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Failure of Healthcare Provision for Attention-Deficit/Hyperactivity Disorder in the United Kingdom: A Consensus Statement

Failure of Healthcare Provision for Attention-Deficit/Hyperactivity Disorder in the United Kingdom: A Consensus Statement


Title: Failure of Healthcare Provision for Attention-Deficit/Hyperactivity Disorder in the United Kingdom: A Consensus Statement
Author: Young, Susan   orcid.org/0000-0002-8494-6949
Asherson, Philip
Lloyd, Tony
Absoud, Michael
Arif, Muhammad
Colley, William Andrew
Cortese, Samuele
Cubbin, Sally
Doyle, Nancy
Morua, Susan Dunn
... 12 more authors Show all authors
Date: 2021-03-19
Language: English
Scope: Article 649399
University/Institute: Reykjavík University (RU)
Háskólinn í Reykjavík (HR)
School: School of Social Sciences (RU)
Samfélagssvið (HR)
Department: Department of Psychology (RU)
Sálfræðideild (HR)
Series: ;12
ISSN: 1664-0640 (eISSN)
DOI: https://doi.org/10.3389/fpsyt.2021.649399
Subject: Psychiatry and Mental health; ADHD; Geðheilsa; Service provision; Healthcare commissioning; Assessment; Treatment; Meðferð; Sálfræði
URI: https://hdl.handle.net/20.500.11815/2644

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Citation:

Young, S., Asherson, P., Lloyd, T., Absoud, M., Arif, M., Colley, W. A., Cortese, S., Cubbin, S., Doyle, N., Morua, S. D., Ferreira-Lay, P., Gudjonsson, G., Ivens, V., Jarvis, C., Lewis, A., Mason, P., Newlove-Delgado, T., Pitts, M., Read, H., … Skirrow, C. (2021). Failure of Healthcare Provision for Attention-Deficit/Hyperactivity Disorder in the United Kingdom: A Consensus Statement. Frontiers in Psychiatry, 12. https://doi.org/10.3389/fpsyt.2021.649399

Abstract:

Background: Despite evidence-based national guidelines for ADHD in the United Kingdom (UK), ADHD is under-identified, under-diagnosed, and under-treated. Many seeking help for ADHD face prejudice, long waiting lists, and patchy or unavailable services, and are turning to service-user support groups and/or private healthcare for help. Methods: A group of UK experts representing clinical and healthcare providers from public and private healthcare, academia, ADHD patient groups, educational, and occupational specialists, met to discuss shortfalls in ADHD service provision in the UK. Discussions explored causes of under-diagnosis, examined biases operating across referral, diagnosis and treatment, together with recommendations for resolving these matters. Young et al. Failure of ADHD Healthcare Provision Results: Cultural and structural barriers operate at all levels of the healthcare system, resulting in a de-prioritization of ADHD. Services for ADHD are insufficient in many regions, and problems with service provision have intensified as a result of the response to the COVID-19 pandemic. Research has established a range of adverse outcomes of untreated ADHD, and associated long-term personal, social, health and economic costs are high. The consensus group called for training of professionals who come into contact with people with ADHD, increased funding, commissioning and monitoring to improve service provision, and streamlined communication between health services to support better outcomes for people with ADHD. Conclusions: Evidence-based national clinical guidelines for ADHD are not being met. People with ADHD should have access to healthcare free from discrimination, and in line with their legal rights. UK Governments and clinical and regulatory bodies must act urgently on this important public health issue.

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Attribution 4.0 International (CC BY 4.0)

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