ADHD and public health care system in Quebec
The Collège des médecins du Québec as well as the Ordre des psychologues du Québec issued guidelines on ADHD and the use of stimulants « Le trouble déficit de l'attention/ hyperactivité et l'usage de stimulants du système nerveux central ». In 2006, they published a revision of those guidelines taking into account the new pharmacological treatments options now available. In Canada, the Canadian ADHD Resource Alliance (CADDRA) has also published guidelines on the assessment and treatment of ADHD. Those are reviewed periodically and are available online.
In Quebec, the cornerstone of the current organization on mental health is, in its frontline, the services provided by Family Physicians and First-line Mental Health Teams with the support of specialized services in psychiatry, in second and third line. Someone who needs to consult for ADHD must first see his Family Physician, then may have access to the Mental Health Team of his CLSC, if necessary and on specific request. In cases where a psychiatric consultation is needed, the Family Physician will ask for a referral with a specialist for an evaluation via the Mental Health "guichet d'accès", which is mostly located in the CLSC closest to the patient.