ArticleBMC family practice2019
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.
Article in BMC family practice, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.
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Who cites it
15 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
- Perspectives of young people who access support for mental health in primary care: a systematic review of their experiences and needs.The British journal of general practice : the journal of the Royal College of General Practitioners · 2022Pooled it
- Transitions from child to adult mental health care: the evidence-base for ESCAP guidance for clinicians.European child & adolescent psychiatry · 2026Article
- Article
- Improving healthcare information for young people with ADHD in general practice: a qualitative study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025Article
- Exploring the barriers and facilitators of discharging children and young people from child and adolescent mental health services.Clinical child psychology and psychiatry · 2025Article
- 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
- Article
- Identification and treatment of individuals with attention-deficit/hyperactivity disorder and substance use disorder: An expert consensus statement.World journal of psychiatry · 2023Review
- Mainstreaming adult ADHD into primary care in the UK: guidance, practice, and best practice recommendations.BMC psychiatry · 2022Article
- Young people who have fallen through the mental health transition gap: a qualitative study on primary care support.The British journal of general practice : the journal of the Royal College of General Practitioners · 2022Article
- Article
- "I'm just a long history of people rejecting referrals" experiences of young people who fell through the gap between child and adult mental health services.European child & adolescent psychiatry · 2021Article
- Failure of Healthcare Provision for Attention-Deficit/Hyperactivity Disorder in the United Kingdom: A Consensus Statement.Frontiers in psychiatry · 2021Article
- New models of care in general practice for the youth mental health transition boundary.BJGP open · 2020Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
backgroundMany young people with Attention Deficit Hyperactivity Disorder (ADHD) have impairing symptoms that persist into adulthood, yet only a minority experience continuity of care into adult life. Despite growing emphasis on the primary care role in ADHD management in NICE ADHD and transition guidance, little is known about GPs' perspectives, which could hamper efforts to improve outcomes for young people leaving children's services. This study aimed to understand GPs' experiences of involvement with this group and explore their views on the roles and responsibilities of primary and secondary care in transition, to inform recommendations for policy and practice.
methodQualitative interview study with GPs across the UK. Semi-structured telephone interviews were carried out with 14 GPs recruited through a linked mapping study, social media, and snowballing; data were analysed using thematic analysis.
resultsIn the absence of a smooth transition from child to adult services, many GPs became involved 'by default'. GPs reacted by trying to identify suitable specialist services, and were faced with the decision of whether to continue ADHD prescribing. Such decisions were strongly influenced by perceptions that prescribing carried risks, and concerns over responsibility, particularly where specialist services were lacking. Participants described variation in service availability, and some highlighted tensions around how shared care works in practice.
conclusionImplementation of NICE guidance is highly variable, with implications for GPs and patients. Risk and responsibility for primary care ADHD prescribing are central concerns that need to be addressed, as is the inclusion of GPs in a planned transition process.
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