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Lucy Cumyn, L. French, L. Hechtman (2009)
Comorbidity in Adults with Attention-Deficit Hyperactivity DisorderThe Canadian Journal of Psychiatry, 54
G. Polanczyk, M. Lima, B. Horta, J. Biederman, L. Rohde (2007)
The worldwide prevalence of ADHD: a systematic review and metaregression analysis.The American journal of psychiatry, 164 6
K. Rasmussen, S. Levander
Untreated ADHD in adults: are there sex differences in symptoms, comorbidity, and impairment?
K. Rasmussen, S. Levander (2009)
Untreated ADHD in AdultsJournal of Attention Disorders, 12
P. Szatmari, D. Offord, M. Boyle (1989)
Ontario Child Health Study: prevalence of attention deficit disorder with hyperactivity.Journal of child psychology and psychiatry, and allied disciplines, 30 2
R. Kessler, L. Adler, M. Ames, O. Demler, S. Faraone, È. Hiripi, M. Howes, R. Jin, K. Secnik, T. Spencer, T. Ustun, E. Walters (2005)
The World Health Organization adult ADHD self-report scale (ASRS): a short screening scale for use in the general populationPsychological Medicine, 35
NICE Clinical Guidelines 72
Diagnosis and management of ADHD in children, young people and adults
J.N. Epstein, D.E. Johnson, C.K. Conners
Conners Adult ADHD diagnostic interview for DSM‐IV
C. Conners, D. Erhardt, J. Epstein, J. Parker, G. Sitarenios, E. Sparrow (1999)
Self-ratings of ADHD symptoms in adults I: Factor structure and normative dataJournal of Attention Disorders, 3
L. Cumyn, L. French, L. Hechtman
Comorbidity in adults with attention‐deficit hyperactivity disorder. Adult ADHD Research, McGill University Health Centre, Montreal Children's Hospital, Montreal, Quebec
Reid Robison, F. Reimherr, B. Marchant, S. Faraone, L. Adler, S. West (2008)
Gender differences in 2 clinical trials of adults with attention-deficit/hyperactivity disorder: a retrospective data analysis.The Journal of clinical psychiatry, 69 2
T. Ford, R. Goodman, H. Meltzer (2003)
The British Child and Adolescent Mental Health Survey 1999: the prevalence of DSM-IV disorders.Journal of the American Academy of Child and Adolescent Psychiatry, 42 10
M. Ward, P. Wender, F. Reimherr (1993)
The Wender Utah Rating Scale: an aid in the retrospective diagnosis of childhood attention deficit hyperactivity disorder.The American journal of psychiatry, 150 6
V. Simon, P. Czobor, S. Bálint, Á. Mészáros, I. Bitter (2009)
Prevalence and correlates of adult attention-deficit hyperactivity disorder: meta-analysisBritish Journal of Psychiatry, 194
B. Emilsson, G. Gudjonsson, J. Sigurdsson, G. Baldursson, E. Einarsson, H. Ólafsdóttir, S. Young (2011)
Cognitive behaviour therapy in medication-treated adults with ADHD and persistent Symptoms: A randomized controlled trialBMC Psychiatry, 11
S. Faraone, J. Biederman, E. Mick (2005)
The age-dependent decline of attention deficit hyperactivity disorder: a meta-analysis of follow-up studiesPsychological Medicine, 36
F. Edwin (2011)
A pilot service for adults with attention deficit hyperactivity disorder: a descriptive studyAdvances in Mental Health and Intellectual Disabilities, 5
Purpose – Adult ADHD is a neuro‐developmental disorder. The current prevalence of ADHD in adults is around 1.9‐4 per cent. The service for adults with ADHD based on NICE guideline recommendation. Hence, the author decides to audit the Adult ADHD case loads against the gold standard set by the NICE. The paper aims to discuss these issues. Design/methodology/approach – The study was based on a retrospective analysis and collection of data from electronic patient records for a duration of five months between October 2011 and February 2012. The data findings were matched against the NICE standards. There were 15 standards identified. On top of that we used six service outcome questions to improve the Quality of the service provided. Findings – As the service outcomes were set for 100 per cent, the performance fell short in few areas. The service managed to achieve roughly 80‐95 per cent in areas such as medication monitoring, transition service and care plan with shared care guidelines for prescription in primary care. The service under performed in areas on non‐pharmacological interventions such as cognitive‐behavioural therapy (CBT). The service continues to provide a exceptional service for adults with intellectual disability and ADHD. Research limitations/implications – The research was limited by information and recall bias due to the retrospective nature of data analysis. There was also over representation of the numbers in co‐morbid cases due to more than two diagnosis. Practical implications – The paper outlines the regional outcome of the audit. However the findings have wider implications. For example the prevalence rate is more common in males than females. CBT is an important resource in the management of ADHD in adults. Priority and importance need to be given for providing a service for CBT in adults with ADHD. Social implications – The cost of sickness and non‐employment due to ADHD is significantly high. Treating this complex group with medications and CBT improves the outcome and get them back in employment and reduce recidivism rates in offenders. Originality/value – The author feels the adult ADHD service audit has huge service implications. Currently it is a controversial diagnosis significantly under‐resourced. The outcome survey had highlighted the areas of need as a neurodevelopmental disorder.
Advances in Mental Health and Intellectual Disabilities – Emerald Publishing
Published: Aug 26, 2014
Keywords: Intellectual disability; Audit; Adult; ADHD; NICE Guidelines; Prevalence of adult ADHD
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