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ADHD in children and young people: prevalence, care pathways & service provision

Sayal, Kapil; Prasad, Vibhore; Daley, David; Ford, Tamsin; Coghill, David


Professor of Child and Adolescent Psychiatry

Vibhore Prasad

David Daley

Tamsin Ford

David Coghill


Attention-Deficit/Hyperactivity Disorder (ADHD) is a common childhood behavioural disorder – systematic reviews indicate that the community prevalence of ADHD globally is between 2% to 7%, with an average of around 5%. In addition, a further 5% of children have significant difficulties with over-activity, inattention and impulsivity that are just sub-threshold to meet full diagnostic criteria for ADHD. Estimates of the administrative (clinically diagnosed and/or recorded) prevalence vary worldwide and although increasing over time, ADHD is still relatively under-recognised and under-diagnosed in most countries, particularly in girls and older children. ADHD often persists into adulthood and is a risk factor for other mental health disorders and negative outcomes including educational under-achievement, difficulties with employment and relationships, and criminality. The timely recognition and treatment of children with ADHD-type difficulties provides an opportunity to improve their long-term outcomes. This review includes a systematic review of the community and administrative prevalence of ADHD in children and adolescents; an overview of the barriers to accessing care for ADHD; a description of costs associated with ADHD; and a broad discussion of evidence-based pathways for the delivery of clinical care, including a focus on key issues for two specific age groups - pre-school children and adolescents requiring transition of care from child to adult services.


Sayal, K., Prasad, V., Daley, D., Ford, T., & Coghill, D. (in press). ADHD in children and young people: prevalence, care pathways & service provision. Lancet Psychiatry, 5(2),

Journal Article Type Article
Acceptance Date Apr 5, 2017
Online Publication Date Oct 9, 2017
Deposit Date May 24, 2017
Publicly Available Date Oct 9, 2017
Journal Lancet Psychiatry
Print ISSN 2215-0366
Electronic ISSN 2215-0374
Publisher Elsevier
Peer Reviewed Peer Reviewed
Volume 5
Issue 2
Keywords ADHD; Children; Young people: Prevalence; Care Pathways; Service Provision.
Public URL
Publisher URL
Additional Information © 2017. This manuscript version is made available under the CC-BY-NC-ND 4.0 license


Sayal Lancet Psych 2017.pdf (379 Kb)

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