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

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dc.contributor Reykjavík University (RU)
dc.contributor Háskólinn í Reykjavík (HR)
dc.contributor.author Young, Susan
dc.contributor.author Asherson, Philip
dc.contributor.author Lloyd, Tony
dc.contributor.author Absoud, Michael
dc.contributor.author Arif, Muhammad
dc.contributor.author Colley, William Andrew
dc.contributor.author Cortese, Samuele
dc.contributor.author Cubbin, Sally
dc.contributor.author Doyle, Nancy
dc.contributor.author Morua, Susan Dunn
dc.contributor.author Ferreira-Lay, Philip
dc.contributor.author Gudjonsson, Gisli
dc.contributor.author Ivens, Valerie
dc.contributor.author Jarvis, Christine
dc.contributor.author Lewis, Alexandra
dc.contributor.author Mason, Peter
dc.contributor.author Newlove-Delgado, Tamsin
dc.contributor.author Pitts, Mark
dc.contributor.author Read, Helen
dc.contributor.author van Rensburg, Kobus
dc.contributor.author Zoritch, Bozhena
dc.contributor.author Skirrow, Caroline
dc.date.accessioned 2021-07-02T10:50:15Z
dc.date.available 2021-07-02T10:50:15Z
dc.date.issued 2021-03-19
dc.identifier.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
dc.identifier.issn 1664-0640 (eISSN)
dc.identifier.uri https://hdl.handle.net/20.500.11815/2644
dc.description Publisher's version (útgefin grein)
dc.description.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.
dc.description.sponsorship The meeting was jointly funded by the ADHD Foundation, the UK Adult ADHD Network (UKAAN), and the UK ADHD Partnership (UKAP). Other than reimbursement of travel expenses to attend the meeting, none of the authors received any financial compensation for attending the meeting or writing the manuscript, aside from CS who was remunerated for her time. PA was supported by NIHR Biomedical Research Center for Mental Health, NIHR/MRC (14/23/17) and NIHR senior investigator award (NF-SI-0616-10040). TN-D was funded by an NIHR Advanced Fellowship (NIHR300056). The views expressed in this publication are those of the authors and not necessarily those of the NHS, the National Institute for Health Research or the Department of Health and Social Care.
dc.format.extent Article 649399
dc.language.iso en
dc.publisher Frontiers Media SA
dc.relation.ispartofseries ;12
dc.rights info:eu-repo/semantics/openAccess
dc.subject Psychiatry and Mental health
dc.subject ADHD
dc.subject Geðheilsa
dc.subject Service provision
dc.subject Healthcare commissioning
dc.subject Assessment
dc.subject Treatment
dc.subject Meðferð
dc.subject Sálfræði
dc.title Failure of Healthcare Provision for Attention-Deficit/Hyperactivity Disorder in the United Kingdom: A Consensus Statement
dc.type info:eu-repo/semantics/article
dcterms.license Attribution 4.0 International (CC BY 4.0)
dc.description.version Peer Reviewed (ritrýnd grein)
dc.identifier.journal Frontiers in Psychiatry
dc.identifier.doi https://doi.org/10.3389/fpsyt.2021.649399
dc.relation.url https://www.frontiersin.org/articles/10.3389/fpsyt.2021.649399/full
dc.contributor.department Department of Psychology (RU)
dc.contributor.department Sálfræðideild (HR)
dc.contributor.school School of Social Sciences (RU)
dc.contributor.school Samfélagssvið (HR)


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