ADHD in children and young people: prevalence, care pathways & service provision

Sayal, Kapil and Prasad, Vibhore and Daley, David and Ford, Tamsin and Coghill, David (2017) ADHD in children and young people: prevalence, care pathways & service provision. Lancet Psychiatry . ISSN 2215-0374 (In Press)

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Abstract

Attention-Deficit/Hyperactivity Disorder (ADHD) is a common childhood behavioural disorder – systematic reviews indicate that the community prevalence of ADHD globally is between 2% to 7%, with an average of around 5%. In addition, a further 5% of children have significant difficulties with over-activity, inattention and impulsivity that are just sub-threshold to meet full diagnostic criteria for ADHD. Estimates of the administrative (clinically diagnosed and/or recorded) prevalence vary worldwide and although increasing over time, ADHD is still relatively under-recognised and under-diagnosed in most countries, particularly in girls and older children. ADHD often persists into adulthood and is a risk factor for other mental health disorders and negative outcomes including educational under-achievement, difficulties with employment and relationships, and criminality. The timely recognition and treatment of children with ADHD-type difficulties provides an opportunity to improve their long-term outcomes. This review includes a systematic review of the community and administrative prevalence of ADHD in children and adolescents; an overview of the barriers to accessing care for ADHD; a description of costs associated with ADHD; and a broad discussion of evidence-based pathways for the delivery of clinical care, including a focus on key issues for two specific age groups - pre-school children and adolescents requiring transition of care from child to adult services.

Item Type: Article
Keywords: ADHD; Children; Young people: Prevalence; Care Pathways; Service Provision.
Schools/Departments: University of Nottingham, UK > Faculty of Medicine and Health Sciences > School of Medicine > Division of Psychiatry and Applied Psychology
University of Nottingham, UK > Faculty of Medicine and Health Sciences > School of Medicine > Division of Primary Care
Depositing User: McCambridge, Mrs April
Date Deposited: 24 May 2017 10:07
Last Modified: 05 Aug 2017 12:39
URI: http://eprints.nottingham.ac.uk/id/eprint/42848

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