Services for adults with attention-deficit hyperactivity disorder: national survey

Edwin, Febin; McDonald, Joe

doi:10.1192/pb.bp.106.012237

Cited by 15 publications

(25 citation statements)

References 9 publications

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“…The guidance recommends that NHS Trusts should aim to develop multidisciplinary teams with expertise in Adult ADHD and provides guidance for transition (see summary in Table ). However, as previously noted, a marked paucity of adult services has been identified (Edwin & McDonald ; Young et al . ).…”

Section: Resultsmentioning

confidence: 78%

“…). It is therefore probable that ADHD in adulthood remains under‐recognized and undertreated (Edwin & McDonald ).…”

Section: Introductionmentioning

confidence: 99%

“…The prevalence of ADHD in childhood has been estimated to be at least 4% (Marcer et al 2008;NICE 2008); however, despite more recent calculations of prevalence in adulthood, which is estimated to be between 1.2% and 7.3% worldwide (Simon et al 2009;Turgay et al 2012), such calculations must be approached tentatively. This is because of a paucity of reports estimating epidemiological prevalence (Edwin & McDonald 2007). Furthermore, major difficulties in establishing the administrative prevalence of adult ADHD lie in the often turbulent transition between child and adolescent and adult services (Edwin & McDonald 2007) where young people with ADHD regularly fall through the gap between Child and bs_bs_banner Child: care, health and development Review Article doi:10.1111/cch.12107 Adolescent Mental Health Services (CAMHS) and adult mental health service (AMHS) (Singh et al 2008;Young et al 2011).…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

ADHD and transitions to adult mental health services: a scoping review

Swift

Sayal

Hollis

2013

Child

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There is increased awareness that attention deficit hyperactivity disorder (ADHD) continues into adulthood. Thus, health services are faced with a new challenge in providing a ‘smooth’ transition to adult services appropriate for young people with ADHD. This scoping review sought to identify the literature addressing transition for young people with ADHD to adult mental health services (AMHS). A scoping review, in which the search terms ‘ADHD’ and ‘Transition’ or ‘Transfer’ were entered into eight healthcare publication databases facilitated by NHS Evidence to identify both published and unpublished papers between 2000 and June 2013. Additional informal searches were also undertaken. Twenty‐three papers were selected for this review. This review confirms the lack of research explicitly tracking transition from Paediatrics/Child and Adolescent Mental Health Services (CAMHS) to AMHS for young people with ADHD. Only four papers directly studying transition for ADHD patients were identified. Three further studies surveyed clinician perspectives. Taken together, the studies address a number of issues in relation to transition, including the developmental course of ADHD symptoms, appropriate adult care, knowledge and communication, unmet need, comorbidities, environmental demands and medication cessation/dosage during the transition period. While literature surrounding transition exists, the scope of the evidence showing successful and unsuccessful transition activity from Paediatric and CAMHS to AMHS for young people with ADHD is limited. Future quality research in the form of audits, longitudinal tracking studies and service evaluations are required if we are truly to understand and identify what is needed and currently available for successful transition to an appropriate adult service for ADHD patients.

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Section: Resultsmentioning

confidence: 78%

“…). It is therefore probable that ADHD in adulthood remains under‐recognized and undertreated (Edwin & McDonald ).…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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ADHD and transitions to adult mental health services: a scoping review

Swift

Sayal

Hollis

2013

Child

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“…The 2008 NICE guidelines1 alongside other published research13 14 provide an evidence base for the need for services for adults with ADHD. Our review supports this need and considers appropriate models of care.…”

Section: Discussionmentioning

confidence: 99%

Young adults with ADHD: an analysis of their service needs on transfer to adult services

Taylor

Fauset

Harpin

2010

Archives of Disease in Childhood

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The recent National Institute for Health and Clinical Excellence guidelines highlight the need to provide transition services for young people with ADHD who have continuing impairment. The need for services for adults with ADHD is also recognised. The study confirms and refines the nature of this need in the local population. Young people with mental health problems in addition to their ADHD will need support from adult mental health services. However, a significant group of young adults are likely to be managed well by specialist nurses working with GPs in a primary care setting or adult mental health.

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“…Although there is an element of attrition, many will wait to see the full extent of public demand as it filters through general practice and service commissioners. The generation of children who managed to get their ADHD treated with stimulants has grown up and many want to continue on (or return to) medication (Edwin & McDonald, 2007;Fung, 2007). As public awareness of autism-spectrum disorders has increased, so has the pressure to provide diagnostic services for those individuals who children's services had missed or even told (within the narrower concepts of the time) that they did not have an autistic disorder.…”

mentioning

confidence: 99%