1. The question you asked after the panel discussion (10 marks) 

In my limited experience with ADHD care, parents / caregivers are looking for useful practical tools to use at home to reinforce classroom strategies, and are looking for support for themselves, the parents (parent workshops or support groups etc.) how could these resources be incorporated into your website and kept current and reliable?

2. How did you feel it was answered by (10 marks) 

Jennifer mentioned that Fraser Health schools currently do not have direct links to ADHD resources in a centralized hub and feel unprepared due to lack of training and resources in early identification and management of ADHD, her presentation was clear in defining that a website specifically for teachers would be beneficial.

She mentioned that it was on one of her slides about the implementation and design of the website and how collaboration partners would include parents and families, who would potentially express the need for these resources and guidance on how parents can reinforce classroom strategies at home. Overall, her answer was great and well aligned with the wicked problem of ADHD care and how her website could close the gap between everyday practice in schools and homes.

3. What went well? (5 marks) 

The presentation explained with wicked problem of ADHD care very well. It was well laid out, each slide was very clear in its intent to explain about the rationale, strengths, challenges and feasibility of her solution. I got a better understanding that teachers are considered one of the frontline observers of ADHD and how this website would help to equip teachers better with resources, educational materials, links to services and classroom strategies that are tailored locally to the Fraser Health area.

Also – the article Jennifer posted was clear in pointing out the benefit of web-based ADHD interventions for school-based ADHD interventions.

4. What can be done better? Identify 2 or more areas of improvements (10 marks)

The presentation could have elaborated more on what teachers are using/doing now and how this site would be different and unique to the Fraser Health region. It would have shown more clearly how the site isn’t replacing what they already do (or perhaps a change in practice), but filling gaps in service that exist in schools and reinforcing that the site is supplementary, designed to make their work easier.

I was looking for more information on the feasibility of the website. I was not sure what resources and infrastructure already existed that Jennifer mentioned. I feel that a website of this magnitude, with health authorities, content experts and school district involvement would an expensive undertaking requiring major resources through IT and multiple stakeholders.

5. What can be done to improve? (Provide 3 or more suggestions for improvement). (15 marks) 

Jennifer talked about how teachers need to invest significant time in ADHD education. Teachers typically complete education modules etc. out of class time, similar to professional development courses. However, very helpful website, it did leave me with an impression that this may lead to more time burden for teachers and teachers may see it as “extra work”. I felt the presentation could have addressed the time management challenge more with educators to ensure the website is being fully utilized.

Integrated support pathways –between school and Fraser health services. I was curious as to what is happening now – I believe most referrals go directly to PHNs or public health? The presentation could have shown how nurses and teachers could use this site to work more closely to align the support with health recommendations (behavior plans, medication awareness, classroom accommodations).

Jennifer mentioned that this solution is to be used supplementary to other training methods, such as in person, in service training sessions not to replace them and I like the idea of clinical champions to promote and maintain educator engagement – just wasn’t sure who this would be – nurses/teachers/education staff? What would these “champion” duties be as nurses and teachers would need clear roles, protected time and system-level backing to avoid disengagement.