Key outcomes for Constellation
- Six to eight weeks from first consultation to optimized medication
- 90% faster than traditional diagnostic-to-treatment pathways
- Standardized care model that integrates QbCheck as a titration tool
- Remote accessibility enabled high-quality care in a rural setting
- Improved patient insight and emotional engagement in treatment
The challenge - Combating delays in ADHD treatment due to long wait times and fragmented care models
*Source: A 2017 study conducted by the Centers for Disease Control and Prevention (CDC)
For adults seeking ADHD care, especially those living in rural or underserved areas, there exists many barriers to the availability of mental health services. One of Dr. Byrne’s adult ADHD patients, who asked to remain anonymous, had initially received a local assessment which confirmed her ADHD, but overlooked subtler symptoms like inattentiveness and emotional dysregulation. “I had a positive experience locally and began medication, but it didn’t feel very data-driven,” she says. She had also faced delays, suboptimal treatment and long wait times between appointments as a result of overwhelmed local providers.
Her daughter’s ADHD journey underscores these inefficiencies. They waited six months for initial testing, and another two to three months for the results. Pediatrician referrals and wait-times to see a child psychiatric provider added another six months of waiting to the treatment process. She recollects the “cumbersome journey” spanning nearly two years from diagnosis to treatment and knew there had to be a more efficient pathway compared to traditional methods for ADHD management.
So, during her own ADHD management journey she wanted to do more than simply get tested and start medication. She wanted to optimize her treatment plan.
"After initial treatment with a local provider, I was tired of side effects and not knowing what my options were. There was a lack of clarity, and I wanted more concrete information that would help me understand my ADHD. So, I got connected with Dr. Byrne, who recommended QbCheck."
– Anonymous Patient
The solution - Integrating QbCheck as a standardized tool to diagnose ADHD and titrate medication
Constellation’s patient pathway utilizes QbCheck, a remote objective tool that helps diagnose and treat ADHD, to develop a structured and standardized ADHD assessment and titration model. Their approach includes an initial interview, subjective assessments and QbCheck testing at multiple stages – pre-medication, during short-acting stimulant prescription, and again on long-acting medication.
This method provides clinicians with quantifiable data on ADHD symptoms and offers patients flexibility in treatment. The patient in this case is a busy professional and a parent and was able to complete all her tests in a timely manner, from the comfort of her home. Dr. Byrne explains, “I don't have a brick and mortar. I just think it's always better to do the test at home in their (patient’s) natural environment."
"I have been using Qbtech testing for 10 years. A couple years ago, I switched to QbCheck, the remote option. It does move the process faster"
- Jennie Byrne
Within just two months of her initial consultation, one patient was on optimized medication. This is almost a 90% reduction in wait time compared to traditional care pathways, which often take close to a year for diagnosis, and even more to optimize treatment.
Efficiency in ADHD diagnosis through retesting
Retesting with QbCheck is a routine part of Constellation’s clinical workflow, especially for titration. This not only streamlines decision-making but also enhances patient engagement by showing tangible progress in an easy-to-understand format. “I was able to gain a tremendous amount of insight about myself” the patient said, describing how she now approaches previously overwhelming tasks with clarity and confidence.
Retesting with QbCheck was able to visually show medication effects, helping in titration and allowing the patient to better understand her symptoms.
"Visually seeing my individual symptom levels was particularly eye-opening. I wouldn’t have previously associated some of my behaviors with ADHD. And retesting (with QbCheck) let me see how medication was helping.”
- Anonymous Patient
About Constellation
Constellation, PLLC is a concierge mental healthcare practice that uses AI technology while simultaneously providing members with a deeply humanistic experience. Their programs are tailored for the specific needs of busy professionals who seek mental health services, including but not limited to ADHD, anxiety and depression.
Dr. Byrne is an adult psychiatrist and neuroscientist with over 20 years of work in mental healthcare. She has been a Qbtech ADHD technology user for over a decade.