Evidence map›Paper›PMID 38058161›Full record

ArticleBJPsych bulletin2024

UK adult ADHD services in crisis.

Michael C F Smith, Raja A S Mukherjee, Ulrich Müller-Sedgwick, Dietmar Hank, Peter Carpenter, Marios Adamou

Open access · diamondAbstract read
In one paragraph

Article in BJPsych bulletin, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
6.9field-weighted citation impact, top 2% 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

  1. Pooled it
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  11. Attention-deficit/hyperactivity disorder (ADHD) in adults: evidence base, uncertainties and controversies.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2025
    Article
  12. 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
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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

6 authors at 6 institutions in 2 countries.

Michael C F SmithLeeds and York Partnership NHS Foundation Trust, Leeds, UK.ORCID https://orcid.org/0009-0002-4032-0589
Raja A S MukherjeeSurrey and Borders Partnership NHS Foundation Trust, Redhill, UK.ORCID https://orcid.org/0000-0002-2171-928X
Ulrich Müller-SedgwickLe Bas Centre, St Helier, Jersey.ORCID https://orcid.org/0000-0002-5499-4077
Dietmar HankAvon & Wiltshire Mental Health Partnership NHS Trust, Bath, UK.ORCID https://orcid.org/0000-0001-8686-8078
Peter CarpenterUniversity of Bristol, Bristol, UK.ORCID https://orcid.org/0009-0002-7608-3378
Marios AdamouSouth West Yorkshire Partnership NHS Foundation Trust, Wakefield, UK.ORCID https://orcid.org/0000-0002-4303-664X
Avon and Wiltshire Mental Health Partnership NHS Trust · GBLeeds and York Partnership NHS Foundation Trust · GBSurrey and Borders Partnership NHS Foundation Trust · GBUniversity of Bristol · GBUniversity of Cambridge · GBUniversity of Huddersfield · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The UK's services for adult attention-deficit hyperactivity disorder (ADHD) are in crisis, with demand outstripping capacity and waiting times reaching unprecedented lengths. Recognition of and treatments for ADHD have expanded over the past two decades, increasing clinical demand. This issue has been exacerbated by the COVID-19 pandemic. Despite an increase in specialist services, resource allocation has not kept pace, leading to extended waiting times. Underfunding has encouraged growth in independent providers, leading to fragmentation of service provision. Treatment delays carry a human and financial cost, imposing a burden on health, social care and the criminal justice system. A rethink of service procurement and delivery is needed, with multiple solutions on the table, including increasing funding, improving system efficiency, altering the service provision model and clinical prioritisation. However, the success of these solutions hinges on fiscal capacity and workforce issues.

Indexed as

ADHDattention-deficit hyperactivity disorderdiagnosisquality of careservice delivery

Identifiers

PMID38058161
PMCPMC10801359
OpenAlexW4389446472

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.