Understanding the Ministry of Health’s Clinical Principles Framework for ADHD
New Zealand's Ministry of Health released its “Clinical Principles Framework for ADHD” in July 2025.
The purpose of the framework is to set clear standards for ADHD assessment, diagnosis, and treatment.
For you, this means a clearer understanding of the quality of care you should expect on your ADHD journey.
What to expect
The framework outlines a process designed to be thorough and person-centred.
Professional conduct: Assessments and diagnoses should be conducted by registered, trained, and qualified healthcare professionals. They will always consider alternative explanations for your symptoms.
Comprehensive evaluation: Expect in-depth clinical interviews supplemented by collateral information gathered from multiple sources like family members and school reports.
Clear diagnostic criteria: Diagnosis must be based on DSM (Diagnostic and Statistical Manual of Mental Disorders) or ICD (International Classification of Diseases) criteria. Symptoms must occur across time and multiple settings.
Guiding principles for your care
Your ADHD care under this framework will be guided by core principles ensuring it is respectful, inclusive and tailored to you.
Cultural safety: Care is equitable and respectful, considering te ao Māori worldviews and the needs of minority groups.
Person-centred: Your treatment plan actively involves you and your family in decision-making.
Multimodal treatment: You'll have access to a range of evidence-informed treatments, including both medication and non-medication options like therapy, coaching.
Tailored support for age groups
For children and young people:
Collaborative planning: Treatment plans involve active collaboration with parents (or guardians) and schools.
Monitored medication: If medication is prescribed, it includes regular monitoring alongside non-medication support.
For adults
Personalised assessment: Your assessment will prioritise comprehensive information, including a thorough review of your childhood history.
Non-medication first (for mild symptoms): Initial considerations may include options like facilitated self-education, healthy lifestyle support and therapies.
Medication monitoring: The healthcare professionals managing your treatment will regularly monitor your medication plan for effectiveness and side effects.
Co-occurring conditions: It is important to manage significant co-occurring conditions, such as anxiety and depression, which often present alongside ADHD.
Support networks: Access to coaches, peer support, and support groups is beneficial and an important part of your overall care plan.
