Evidence map›Paper›PMID 31159893›Full record

ArticleThe British journal of psychiatry : the journal of mental science2020

Transition between child and adult services for young people with attention-deficit hyperactivity disorder (ADHD): findings from a British national surveillance study.

Helen Eke, Tamsin Ford, Tamsin Newlove-Delgado, Anna Price, Susan Young, Cornelius Ani, Kapil Sayal, Richard M Lynn, Moli Paul, Astrid Janssens

Abstract read
In one paragraph

Article in The British journal of psychiatry : the journal of mental science, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  8. Co-Producing Resources to Help Improve Access to Primary Care for Young People With Attention Deficit Hyperactivity Disorder.Health expectations : an international journal of public participation in health care and health policy · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Helen EkePostgraduate Research Fellow, University of Exeter Medical School, St. Luke's Campus, UK.ORCID 0000-0003-4781-6683
Tamsin FordProfessor of Child and Adolescent Psychiatry, University of Exeter Medical School, St. Luke's Campus, UK.
Tamsin Newlove-DelgadoNational Institute for Health Research Academic Clinical Lecturer, University of Exeter Medical School, St. Luke's Campus, UK.
Anna PriceAssociate Research Fellow, University of Exeter Medical School, St. Luke's Campus, UK.ORCID 0000-0001-9147-1876
Susan YoungDirector, Psychology Services Limited, UK.
Cornelius AniConsultant Child and Adolescent Psychiatrist, Centre for Psychiatry, Imperial College London, UK.
Kapil SayalProfessor of Child and Adolescent Psychiatry, Division of Psychiatry and Applied Psychology, School of Medicine, University of Nottingham; and Professor of Child and Adolescent Psychiatry, CANDAL (Centre for ADHD and Neuro-Developmental Disorders across the Lifespan), Institute of Mental Health, UK.
Richard M LynnBritish Paediatric Surveillance Unit, Royal College of Paediatrics and Child Health, UK.
Moli PaulConsultant Child and Adolescent Psychiatrist, Coventry and Warwickshire Partnership Trust, UK.
Astrid JanssensAssociate Professor, Department of Public Health, University of Southern Denmark, Denmark; and Honorary Associate Professor, University of Exeter Medical School, St. Luke's Campus, UK.ORCID 0000-0001-8419-0937

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOptimal transition from child to adult services involves continuity, joint care, planning meetings and information transfer; commissioners and service providers therefore need data on how many people require that service. Although attention-deficit hyperactivity disorder (ADHD) frequently persists into adulthood, evidence is limited on these transitions.

aimsTo estimate the national incidence of young people taking medication for ADHD that require and complete transition, and to describe the proportion that experienced optimal transition.

methodSurveillance over 12 months using the British Paediatric Surveillance Unit and Child and Adolescent Psychiatry Surveillance System, including baseline notification and follow-up questionnaires.

resultsQuestionnaire response was 79% at baseline and 82% at follow-up. For those aged 17-19, incident rate (range adjusted for non-response) of transition need was 202-511 per 100 000 people aged 17-19 per year, with successful transition of 38-96 per 100 000 people aged 17-19 per year. Eligible young people with ADHD were mostly male (77%) with a comorbid condition (62%). Half were referred to specialist adult ADHD and 25% to general adult mental health services; 64% had referral accepted but only 22% attended a first appointment. Only 6% met optimal transition criteria.

conclusionsAs inclusion criteria required participants to be on medication, these estimates represent the lower limit of the transition need. Two critical points were apparent: referral acceptance and first appointment attendance. The low rate of successful transition and limited guideline adherence indicates significant need for commissioners and service providers to improve service transition experiences.

Indexed as

Health Care SurveysMental Health ServicesTransition to Adult CareAdolescentAttention Deficit Disorder with HyperactivityFemaleHumansMaleUnited KingdomYoung AdultAttention-deficit hyperactivity disorderBritish Paediatric Surveillance Unit (BPSU)Child and Adolescent Psychiatry Surveillance System (CAPSS)incidencesurveillance

Identifiers

PMID31159893
PMCPMC7589988

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.