For ADHD symptoms, our carefully crafted medication management was superior to behavioral treatment and to routine community care that included medication. Our combined treatment did not yield significantly greater benefits than medication management for core ADHD symptoms, but may have provided modest advantages for non-ADHD symptom and positive functioning outcomes.
This leads me to believe that the best treatment is to begin with an inpatient program much the same as the Vet.Admin. uses for PTSD, then follow up with local out-patient treatment taylored from the results of the in-patient program... Robt.