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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

Authors

KAPIL SAYAL kapil.sayal@nottingham.ac.uk
Professor of Child and Adolescentpsychiatry

Vibhore Prasad

DAVID DALEY david.daley@nottingham.ac.uk
Professor of Psychological Intervention_ and Behaviour Change

Tamsin Ford

David Coghill



Abstract

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.

Citation

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), https://doi.org/10.1016/S2215-0366%2817%2930167-0

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
DOI https://doi.org/10.1016/S2215-0366%2817%2930167-0
Keywords ADHD; Children; Young people: Prevalence; Care Pathways; Service Provision.
Public URL http://eprints.nottingham.ac.uk/id/eprint/42848
Publisher URL http://thelancet.com/journals/lanpsy/article/PIIS2215-0366(17)30167-0/fulltext
Copyright Statement Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by-nc-nd/4.0
Additional Information © 2017. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/

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Copyright Statement
Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by-nc-nd/4.0





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