ArticleEpidemiology and psychiatric sciences2017
Organisation of services for managing ADHD.
Article in Epidemiology and psychiatric sciences, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.
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Who cites it
21 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Digital health interventions with healthcare information and self-management resources for young people with ADHD: a mixed-methods systematic review and narrative synthesis.European child & adolescent psychiatry · 2025Pooled it
- ADHD prevalence estimates in Italian children and adolescents: a methodological issue.Italian journal of pediatrics · 2018Pooled it
- Age equality in UK healthcare policy and decision-making: a scoping review.BMC medical ethics · 2026Article
- Incorporating Patient-Reported Outcome Measures and Patient-Reported Experience Measures in Addiction Treatment Services in Belgium: Naturalistic, Longitudinal, Multicenter Cohort Study.JMIR formative research · 2025Article
- Struggling to be heard: A scoping review of user participation in ADHD mental healthcare for children and adolescents.Scandinavian journal of child and adolescent psychiatry and psychology · 2025Review
- Primary care provision for young people with ADHD: a multi-perspective qualitative study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2024Article
- Barriers and facilitators to implementing a Canadian shared-care ADHD program in pediatric settings in Shanghai: a consolidated framework for implementation research approach.BMC health services research · 2024Article
- The known and unknown about attention deficit hyperactivity disorder (ADHD) genetics: a special emphasis on Arab population.Frontiers in genetics · 2024Review
- Article
- Diagnosis and management of ADHD: a pediatric perspective on practice and challenges in Switzerland.BMC pediatrics · 2023Article
- General practitioner-centred paediatric primary care reduces risk of hospitalisation for mental disorders in children and adolescents with ADHD: findings from a retrospective cohort study.The European journal of general practice · 2022Article
- Ten Years (2011-2021) of the Italian Lombardy ADHD Register for the Diagnosis and Treatment of Children and Adolescents with ADHD.Children (Basel, Switzerland) · 2021Article
- Mapping UK mental health services for adults with attention-deficit/hyperactivity disorder: national survey with comparison of reporting between three stakeholder groups.BJPsych open · 2020Article
- Transitional care for young adults with ADHD: transforming potential upheaval into smooth progression.Epidemiology and psychiatric sciences · 2020Article
- Regional analysis of UK primary care prescribing and adult service referrals for young people with attention-deficit hyperactivity disorder.BJPsych open · 2020Article
- In transition with ADHD: the role of information, in facilitating or impeding young people's transition into adult services.BMC psychiatry · 2019Article
- Resumption of attention-deficit hyperactivity disorder medication in early adulthood: findings from a UK primary care prescribing study.European child & adolescent psychiatry · 2019Article
- Young people with attention deficit hyperactivity disorder in transition from child to adult services: a qualitative study of the experiences of general practitioners in the UK.BMC family practice · 2019Article
- Seven steps to mapping health service provision: lessons learned from mapping services for adults with Attention-Deficit/Hyperactivity Disorder (ADHD) in the UK.BMC health services research · 2019Article
- Optimising treatment strategies for ADHD in adolescence to minimise 'lost in transition' to adulthood.Epidemiology and psychiatric sciences · 2017Article
Corrections and comments
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Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
There is considerable variation in practice, both between and with different countries in the management of attention deficit hyperactivity disorder (ADHD). Whilst there is no one optimal model of service organisation there are general principles of care that can be introduced to reduce this variability. There are frequent debates and discussions about which professional group is best placed to manage ADHD at different points in the life cycle. Who delivers care is however less important than ensuring that training schemes provide adequate exposure, training and experience to both the core and non-core skills required to provide a comprehensive package of care. Most evidence-based guidelines recommend a multi-modal, multi-professional and multi-agency approach. Many also promote the use of both stepped care and shared care approaches for the management of ADHD. As most of those with ADHD continue to have ADHD-related problems into adulthood, it is important to consider how best to transition care into adulthood and think about who should deliver care to adults with ADHD. Young people with ADHD should generally be transferred to adult mental health services if they continue to have significant symptoms of ADHD or other coexisting conditions that require treatment. Unfortunately services for adults with ADHD remain relatively scarce across much of the world and some adult psychiatrists remain unsure of the diagnosis and uncertain about the appropriate use of ADHD medications in adults, but there is a strong case for increased services for adults. ADHD is on the one hand easy to treat; it is much more difficult to treat well. Although optimised care for ADHD requires routine measurement of outcomes, this often does not happen in routine clinical practice. Focusing on optimising symptoms and minimising adverse effects can significantly improve both short- and long-term outcomes.
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