RESUMEN
Evaluation of the effectiveness of psychosocial intervention in comparison to outpatient management. Child and Adolescent Psychiatric Unit, Psychiatric Hospital, Ministry of Health, Bahrain. Retrospective/cross sectional study. Group 1 [ROM] consist of twenty children from outpatient and group 2 [MPI] consist of 15 children from day-care, aged 4-16 years, diagnosed with DSM IV ADHD were recruited for the study after four weeks of treatment from 2006-2009. Twelve [80%] children from daycare group were from non-intact family [P>.036]. Fourteen mothers [70%] from ROM and 9 mothers [60%] from MPI reported marked improvement in both groups. Blind investigator and therapist/nurse found more improvement among those received more intense psychosocial intervention, group 2 [MPI] [P> .018]. group 2 [MPI] had more psychopathology compared to group 1 [ROM]. The staff and blind investigator reported better improvement among children in Group 2 [MPI]. Difficult ADHD cases benefit more from intense psychosocial intervention in group 2 [MPI]