Evidence map›Paper›PMID 32723405›Full record

ArticleBJPsych open2020

Mapping UK mental health services for adults with attention-deficit/hyperactivity disorder: national survey with comparison of reporting between three stakeholder groups.

Anna Price, Astrid Janssens, Tamsin Newlove-Delgado, Helen Eke, Moli Paul, Kapil Sayal, Chris Hollis, Cornelius Ani, Susan Young, Susan Dunn-Morua and 3 more

Open access · goldAbstract read
In one paragraph

Article in BJPsych open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
2.0field-weighted citation impact, top 14% of its field
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

14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 25 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Review
  6. Review
  7. 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 · 2025
    Article
  8. Article
  9. UK adult ADHD services in crisis.BJPsych bulletin · 2024
    Article
  10. Article
  11. Article
  12. Article
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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

13 authors at 9 institutions in 3 countries.

Anna PriceCollege of Medicine and Health, University of Exeter, UK.ORCID https://orcid.org/0000-0001-9147-1876
Astrid JanssensDepartment of Public Health, University of Southern Denmark, Odense, Denmark; and College of Medicine and Health, University of Exeter, UK.ORCID https://orcid.org/0000-0001-8419-0937
Tamsin Newlove-DelgadoCollege of Medicine and Health, University of Exeter, UK.
Helen EkeCollege of Medicine and Health, University of Exeter, UK.ORCID https://orcid.org/0000-0003-4781-6683
Moli PaulDivision of Mental Health and Wellbeing, Warwick Medical School, University of Warwick; and Coventry & Warwickshire Partnership, UK.
Kapil SayalFaculty of Medicine and Health Sciences, University of Nottingham, UK.
Chris HollisSchool of Medicine, University of Nottingham; National Institute for Health Research (NIHR) MindTech and in Vitro Diagnostics Co-operative (MIC), Faculty of Medicine & Health Sciences; and NIHR Nottingham Biomedical Research Centre, Nottingham, UK.
Cornelius AniDepartment of Brain Sciences, Faculty of Medicine, Imperial College London; and Surrey and Borders Partnership NHS Foundation Trust, UK.ORCID https://orcid.org/0000-0003-0050-7939
Susan YoungDepartment of Psychology, Psychology Services Ltd, London, UK; and University of Reykjavik, Iceland.
Susan Dunn-MoruaAADD-UK, Bristol, UK.
Philip AshersonDepartment of Social Genetic & Developmental Psychiatry, Institute of Psychiatry, King's College London, UK.
Stuart LoganCollege of Medicine and Health, University of Exeter; NIHR Applied Research Collaboration South West Peninsula (NIHR PenARC), University of Exeter; and Royal Devon and Exeter Foundation NHS Trust,UK.
Tamsin FordDepartment of Psychiatry, University of Cambridge, UK.ORCID https://orcid.org/0000-0001-5295-4904
University of Exeter · GBUniversity of Nottingham · GBAt Bristol · GBImperial College London · GBKing's College London · GBReykjavík University · ISUniversity of Cambridge · GBUniversity of Southern Denmark · DKUniversity of Warwick · GB

Funding

Department of Health 10/140/02Department of Health 14/21/52
6 · The paper itself

Abstract

backgroundUK clinical guidelines recommend treatment of attention-deficit hyperactivity disorder (ADHD) in adults by suitably qualified clinical teams. However, young people with ADHD attempting the transition from children's to adults' services experience considerable difficulties in accessing care.

aimsTo map the mental health services in the UK for adults who have ADHD and compare the reports of key stakeholders (people with ADHD and their carers, health workers, service commissioners).

methodA survey about the existence and extent of service provision for adults with ADHD was distributed online and via national organisations (e.g. Royal College of Psychiatrists, the ADHD Foundation). Freedom of information requests were sent to commissioners. Descriptive analysis was used to compare reports from the different stakeholders.

resultsA total of 294 unique services were identified by 2686 respondents. Of these, 44 (15%) were dedicated adult ADHD services and 99 (34%) were generic adult mental health services. Only 12 dedicated services (27%) provided the full range of treatments recommended by the National Institute for Health and Care Excellence. Only half of the dedicated services (55%) and a minority of other services (7%) were reported by all stakeholder groups (P < 0.001, Fisher's exact test).

conclusionsThere is geographical variation in the provision of NHS services for adults with ADHD across the UK, as well as limited availability of treatments in the available services. Differences between stakeholder reports raise questions about equitable access. With increasing numbers of young people with ADHD graduating from children's services, developing evidence-based accessible models of care for adults with ADHD remains an urgent policy and commissioning priority.

Indexed as

ADHDhealth servicesstakeholderssurveyUK

Identifiers

PMID32723405
PMCPMC7443899
OpenAlexW3045961317

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.