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Clinical service use as people with Attention Deficit Hyperactivity Disorder transition into adolescence and adulthood: a prospective longitudinal study

Eklund, Hanna, Cadman, Tim, Findon, James, Hayward, Hannah, Howley, Deirdre, Beecham, Jennifer, Xenitidis, Kiriakos, Murphy, Declan, Asherson, Philip, Glaser, Karen and others. (2016) Clinical service use as people with Attention Deficit Hyperactivity Disorder transition into adolescence and adulthood: a prospective longitudinal study. Bmc Health Services Research, 16 (248). Article Number 248. ISSN 1472-6963. (doi:10.1186/s12913-016-1509-0) (KAR id:57226)

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http://dx.doi.org/10.1186/s12913-016-1509-0

Abstract

Background

While Attention Deficit Hyperactivity Disorder (ADHD) often persists into adulthood, little is known about the needs and service use among adolescents and young adults with ADHD. The present study followed-up a cohort diagnosed with ADHD as children and assessed their: 1) needs, 2) correlates of contact with clinical services, and 3) experiences of transition from child to adult health services.

Results

At baseline 62 % met diagnostic criteria for ADHD and presented with a range of ADHD related impairments, psychiatric comorbidities, and significant caregiver burden. While ADHD symptoms and related impairments lessened significantly over the three years, psychiatric comorbidities and caregiver burden remained stable. The strongest correlate of contact with clinical services was age (OR 0.65 95 % CI 0.49–0.84) with the odds of reported contact with clinical services decreasing by 35 % for each year increase in age at baseline and by 25 % for each year increase in age over time. Only 9 % of the sample had experienced a transfer to adult services, with the majority reporting unmet needs in healthcare transition.

Despite continuing needs, few were in contact with adult health services or had received sufficient help with transition between child and adult health services. The main determinant of health service use for adolescents and young adults with ADHD is age – not needs. Service models should address the needs of ADHD individuals who are no longer children.

Item Type: Article
DOI/Identification number: 10.1186/s12913-016-1509-0
Uncontrolled keywords: Clinical service use – Attention deficit hyperactivity disorder – Transition – Adolescence – Young adulthood
Subjects: H Social Sciences > H Social Sciences (General)
Divisions: Faculties > Social Sciences > School of Social Policy Sociology and Social Research > Personal Social Services Research Unit
Depositing User: Jane Dennett
Date Deposited: 12 Sep 2016 12:18 UTC
Last Modified: 06 Oct 2020 19:34 UTC
Resource URI: https://kar.kent.ac.uk/id/eprint/57226 (The current URI for this page, for reference purposes)
Beecham, Jennifer: https://orcid.org/0000-0001-5147-3383
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