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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

Vibhore Prasad

David Daley

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.

Journal Article Type Article
Journal Lancet Psychiatry
Print ISSN 2215-0366
Electronic ISSN 2215-0374
Publisher Elsevier
Peer Reviewed Peer Reviewed
Volume 5
Issue 2
APA6 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), doi:10.1016/S2215-0366(17)30167-0
DOI https://doi.org/10.1016/S2215-0366%2817%2930167-0
Keywords ADHD; Children; Young people: Prevalence; Care Pathways; Service Provision.
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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