Elizabeth Pieroth has taken the time from her busy practice to discuss diagnosing "attention-deficit/hyperactivity disorder" in adults. These adults tend to be academic underachievers. This disorder may result in unemployment or at least underemployment and is a problem for the workforce. The goal here is to determine whether an individual is truly suffering from attention-deficit/hyperactivity disorder, so proper treatment can be put in place.

Craig Boguslawski reaffirms that we case managers need to focus on the patient's needs for the path to outcomes that are satisfactory for all involved. Craig develops for the reader the elements needed to have a complete focus that will provide an advanced practice process to developing treatment plans with the physician and other professionals involved. This gives case managers the ability to communicate the plan to the payment source so the implementation of the treatment can go smoothly. He provides a case study that aluminates the value of this process. His final advice is: if we focused on our patient's needs and can communicate those needs so they can return to their preinjury life style as much as possible.

Cheryl Humphrey enlightens the readers concerning utilization review for workers' compensation medical treatment. She draws our attention to the fact; that all states have Workers' Compensation laws, but they do not all have mandatory utilization review for Workers' Compensation medical treatment. Humphrey next outlines what WC's utilization review does/what it does not do. She goes further by defining who can provide utilization review. In addition, she details the utilization review process. She alerts the reader to be watching for a new text revision of the previous summation of Workers' Compensation laws in all states in the United States.

Colleen Miller makes the case for the earlier the Professional Case Manager is called in to manage an injured worker's case, a cost-effective result will be experienced by all parties. In fact, this should eliminate the cost of the "Disability Rut."

Frances Snowden, BS, RN, CRRN, CCM

Contributing Editor