Adult ADHD How Big is the Problem? National Perspective
|
|
- Asher Shelton
- 5 years ago
- Views:
Transcription
1 Adult ADHD How Big is the Problem? National Perspective East Midlands Mental Health Commissioning Network Conference March 23rd 2016 Professor Chris Hollis
2 Adult ADHD: National Perspective Adult ADHD: Key Facts Adult ADHD in AMHS Cost of untreated adult ADHD Mind the Gap - Transition to adult services Implementation of NICE CG72 8 years on Why adult ADHD is a wicked problem for AMHS? Adult ADHD service models
3 Adult ADHD: Key Facts Prevalence 2.5% (4.5k in East Midlands with severe ADHD) Two-thirds of young people with ADHD will have persisting symptoms and impairment in adult life Cost of untreated adult ADHD is 11k/person/yr ( 50M in EM) 25% of young male prisoners have ADHD Less than 20% of young people with ADHD successfully transition to adult mental health services Treatment: medication and behavioural management is highly cost-effective (NICE CG78) Co-morbidity is very common Depression, anxiety, ASD, tic disorder, SUD, personality disorder (ASPD, EUPD), bipolar disorder
4 Rates of ADHD within adult mental health services Odds ratio Murphy et al., NIHR report, 2013; Deberdt et al., BMC Psychiatry, 2015;
5 The costs of untreated adult ADHD Daley, Jacobsen, Lange, Sorensen,& Walldorf, J. (2015). Explored the private and social costs of untreated ADHD in adulthood. 365 Adults with a diagnosis of ADHD and not other comorbid diagnosis were compared to same sex sibling without any diagnosed disorder
6 Yearly cost differences for public costs between ADHD adults and their siblings in euros Negative values represent a greater cost to individuals with ADHD
7 Yearly cost differences for public costs between ADHD adults and their siblings in euros Negative values represent a greater cost to individuals with ADHD
8 Yearly cost differences for private costs between ADHD adults and their siblings in euros Negative values represent a greater cost to individuals with ADHD
9 The cost of untreated ADHD in adults Total cost difference 13, 608 euros 11,000 per year/ person
10 The cost of untreated ADHD in adults East Midlands Est cases 50M per year- Total Costs 10M in health & social care costs annually
11 Costs of untreated ADHD Increased accident rates = additional costs Increased crime rates = additional costs Higher suicides Higher mortality via accidents mainly Greater attendance at A&E Greater obesity Sleep problems Higher drug and alcohol use Higher development of anxiety, depression and personality disorder Most in primary care receiving alternative treatments (antidepressants, antipsychotics, counselling, CBT) Employment costs Educational costs
12 Percentage with criminal convictions Impact of adult ADHD on criminality Proportion of Swedish adults with criminal convictions over a 4-year period (Jan 1, 2006 to Dec 31, 2009) % ADHD General population Men 8.9% 15.4% 2.2% Women Lichtenstein P, et al. N Engl J Med 2012;367:
13 Medication for ADHD and criminality: Observational Swedish data base analysis Hazard Ratio for Conviction for Any Crime During ADHD Medication ( ) vs. Non-Medication Periods Treatment Men (N=16,087) Hazard Ratio (95%CI) All medications 0.64 ( ) Stimulants 0.66 ( ) Non stimulant 0.76 ( ) SSRI medication 1.04 ( ) Crimes occurred less often during medication periods: - men 32% reduction - women 41% reduction Lichtenstein et al. N Engl J Med. 2012;367:
14 Feedback from Prison Inspectorate Outside unbiased perspective Inspectors highlighted the CIAO project: All prisoners were offered screening for attention deficit hyperactivity disorder (ADHD) through the specialist Concerta (an ADHD treatment) in adult offenders (CIAO) trial Some prisoners on the CIAO programme to whom we spoke were experiencing some stability of behaviour for the first time in their lives. The HMIP report recommended continued support beyond the prison: There should be efforts to ensure the continued prescribing of medication and ongoing specialist support for prisoners started on the CIAO trial following their release Her Majesty s Inspectorate of Prisons report carried out in February of Disclaimer: Equasym Depot is not approved for use in adults
15 All grown up and nowhere to go
16 CAMHS-AMH transition in ADHD Treatment Gap 0.04 Age CADDY Study data: McCarthy Hollis (2009) BJPsychiatry 194(3):273-7
17 ADHD Transitions Bridging the Divide
18
19 NICE CG72 on ADHD Recommendations: Transition arrangements for young people with ADHD into adult services Specialist multidisciplinary adult ADHD team responsible for: Diagnostic assessment and management for new and complex cases Consultation, training and advice for generic adult mental health teams and primary care Development of care pathways Development of shared care protocols
20 NICE Quality Standard (2013) Statement 2. Adults who present with symptoms of attention deficit hyperactivity disorder (ADHD), who do not have a childhood diagnosis of ADHD, are referred to an ADHD specialist for assessment. Statement 3. Adults who were diagnosed with and treated for attention deficit hyperactivity disorder (ADHD) as children or young people and present with symptoms of continuing ADHD are referred to general adult psychiatric services. NICE QS39 ADHD (2013)
21 National survey of 36 mental health trusts in England Less than half (43%) had a specialist adult ADHD service 50% reported that young people with ADHD were prematurely discharged because of lack of adult ADHD services Less than half had written transition protocols for ADHD
22 Why adult ADHD is a wicked problem for AMHS? A new clinical demand for already over stretched services Most adult psychiatrists (and AMH staff) are not trained to diagnose or treat ADHD ADHD falls below standard AMH thresholds Reluctance to prescribe stimulants ADHD is a chronic long-term neurodevelopmental condition doesn t fit acute/ short-term intervention model of AMHS
23 Adult ADHD Service Models Quality of assessment & treatment Tertiary AMHS Combined AMH-Tertiary High Variable High Waiting times Long Short Short (if commissioned service) Liaison with AMH Training of AMH staff Continuity of care Management of co-mobidities Weak N/A Good Little or none Little Good Difficult Good Good if AMH remain involved Variable (weak for SMI) Variable (weak for IDD) Good mix of disciplines Funding model Vulnerable Assured Assured if commissioned
24
Adult ADHD Service Development. Dr Joe Johnson Consultant Psychiatrist Five Boroughs Partnership NHS Trust
Adult ADHD Service Development Dr Joe Johnson Consultant Psychiatrist Five Boroughs Partnership NHS Trust Consultant Psychiatrist in 5BP since 2005 My Background Working both in Community and Prison MH
More informationADHD in the mainstream: the role of emotional dysregulation and overlap with common mental health disorders
ADHD in the mainstream: the role of emotional dysregulation and overlap with common mental health disorders Philip Asherson MRCPsych, PhD Professor of Molecular Psychiatry & Honorary Consultant Psychiatrist,
More informationADHD in Adults Service Development
ADHD in Adults Service Development March 23, 2016 East Midlands Mental Health Commissioning Network Conference Muhammad Arif Leicestershire Partnership NHS Trust Services for Adults with ADHD a defining
More informationAdult ADHD: How Big is the Problem? Delivering Effective Services for Adults with ADHD
Adult ADHD: How Big is the Problem? Delivering Effective Services for Adults with ADHD North West Mental Health Commissioning Network 1 st March 2016 Dr Prathiba Chitsabesan Consultant Child and Adolescent
More informationAdult ADHD - New Models of Care
Adult ADHD - New Models of Care Mark Pitts Senior Clinical Nurse Specialist Adult ADHD Service, Maudsley Hospital & Lambeth Adult ADHD & Autism Service What is needed? NICE (2008) guidance postulates 1)
More informationADHD and Behavioural Paediatrics. Dr Tsui Kwing Wan Department of Paediatrics and Adolescent Medicine Alice Ho Miu Ling Nethersole Hospital
ADHD and Behavioural Paediatrics Dr Tsui Kwing Wan Department of Paediatrics and Adolescent Medicine Alice Ho Miu Ling Nethersole Hospital DSM V Diagnostic Criteria Inattention and/or Hyperactivity impulsivity
More informationHealth Economic Evaluation of Adult ADHD in Denmark.
Health Economic Evaluation of Adult ADHD in Denmark. Dr David Daley Professor of Psychological Intervention and Behaviour Change Division of Psychiatry, School of Community Health Science, University of
More informationMental Health Strategy. Easy Read
Mental Health Strategy Easy Read Mental Health Strategy Easy Read The Scottish Government, Edinburgh 2012 Crown copyright 2012 You may re-use this information (excluding logos and images) free of charge
More informationService Specification: Bristol and South Gloucestershire Specialist Substance Misuse Treatment Service January 2016
This specification is an annex to the Service Specification for the provision of Child and Adolescent Mental Health Services. It must be read along with the overarching specification which applies to all
More informationAdult Neurodevelopmental Services. ADHD Shared Protocol
Adult Neurodevelopmental Services ADHD Shared Protocol Issue 1: April 2016 1 2 Adult Neurodevelopmental Service Shared Care Protocol for Adult Attention Deficit Hyperactivity Disorder (ADHD) 1. BACKGROUND
More informationDr S H Jawed Consultant General Adult Psychiatrist, Dorothy Pattison Hospital, Walsall Joint Lead Consultant for
Dr S H Jawed Syed.Jawed@dwmh.nhs.uk 01922607039 Consultant General Adult Psychiatrist, Dorothy Pattison Hospital, Walsall Joint Lead Consultant for Adult Neurodevelopmental Service, DWMHP NHS Trust Regional
More informationClinical guideline Published: 24 September 2008 nice.org.uk/guidance/cg72
Attention deficit hyperactivity disorder: diagnosis and management Clinical guideline Published: 24 September 2008 nice.org.uk/guidance/cg72 NICE 2018. All rights reserved. Subject to Notice of rights
More informationDr Jane McCarthy Consultant Psychiatrist, East London NHS Foundation Trust & Visiting Senior Lecturer, Department of Forensic & Neurodevelopmental
Dr Jane McCarthy Consultant Psychiatrist, East London NHS Foundation Trust & Visiting Senior Lecturer, Department of Forensic & Neurodevelopmental Sciences Department, King s College London Prevalence
More informationNATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE SCOPE
NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE 1 Guideline title SCOPE Personality disorder: the management and prevention of antisocial (dissocial) personality disorder 1.1 Short title Antisocial
More informationTopic proposal. 1. What is the problem/need for a guideline/clinical scenario?
Topic proposal I understand that this proposal will be retained by the Programme Lead and be made available on the website for time period that the proposal is being considered. Only proposals with a completed
More informationKent Joint Commissioning Action Plan For Adults with Autism and or ADHD (2017 / 2021)
Easy Read Kent Joint Commissioning Action Plan For Adults with Autism and or ADHD (2017 / 2021) Action Plan The plan was developed to address the needs identified from the Kent Autism Strategy and Joint
More informationA guide to Getting an ADHD Assessment as an adult in Scotland
A guide to Getting an ADHD Assessment as an adult in Scotland This is a guide for adults living in Scotland who think they may have ADHD and have not been diagnosed before. It explains: Things you may
More informationMethylphenidate Shared Care Agreement For attention deficit hyperactivity disorder (ADHD) in adults Effective Shared Care Agreement
Methylphenidate Shared Care Agreement For attention deficit hyperactivity disorder (ADHD) in adults Effective Shared Care Agreement Section 1: Shared Care arrangements and responsibilities Section 1.1
More informationAttention deficit hyperactivity disorder
Attention deficit hyperactivity disorder Diagnosis and management of ADHD in children, young people and adults Issued: September 2008 last modified: March 2013 NICE clinical guideline 72 guidance.nice.org.uk/cg72
More informationAdult ADHD Service in Northamptonshire. Kobus van Rensburg - Consultant Clinical Psychologist UKAAN 7 th International Congress 22 nd September 2017
Adult ADHD Service in Northamptonshire Kobus van Rensburg - Consultant Clinical Psychologist UKAAN 7 th International Congress 22 nd September 2017 14 th October 2012 Speed of Sound = 768 miles/hour Felix
More informationChildren and Young People s Emotional Wellbeing and Mental Health. Transformation Plan
Children and Young People s Emotional Wellbeing and Mental Health Transformation Plan 2015-2020 2 Summary The Government is making the mental health and emotional wellbeing of children and young people
More informationParity: Innovation in Practice
Parity: Innovation in Practice Karen Turner Director of Mental Health 11 February 2016 Why does parity matter? 1:4 adults experience at least one diagnosable mental health problem a year 1:10 children
More informationProfessor Tim Kendall
Professor Tim Kendall Director of National Collaborating Centre for Mental Health, Royal College of Psychiatrists and Visiting Professor UCL Medical Director and Consultant Psychiatrist for homeless people,
More informationOutline & Objectives
21/11/2017 ADHD Assessment and brief Intervention service: a multi-disciplinary perspective Kapil Sayal Outline & Objectives To be aware of the service context and development To understand these aspects
More informationASD and ADHD Pathway. Pride in our children s, young people s and families s e r v i c e s A member of Cambridge University Health Partners
ASD and ADHD Pathway 30-11-2017 Pride in our care Pride in our children s, young people s and families s e r v i c e s A member of Cambridge University Health Partners ADHD NICE Guidance: Organisation
More informationSetting up Adult ADHD Service in the United Kingdom
Setting up Adult ADHD Service in the United Kingdom Rashid Zaman1, Muhammad Arif2, Amol Vaze2, Ulrich Müller3, 1. Dr Rashid ZAMAN BSc (Hons) MB BChir (Cantab) DGM MRCGP MRCPsych Consultant Psychiatrist
More informationDiagnosis and management of ADHD in children, young people and adults
Issue date: September 2008 Attention deficit hyperactivity disorder Diagnosis and management of ADHD in children, young people and adults NICE clinical guideline 72 Developed by the National Collaborating
More informationProject Initiation Document:
Project Initiation Document: Lancashire Support Services for Children, Young People, Families and Carers Affected by Autistic Spectrum Disorder (ASD) and Diagnosis 1. Background The Children and Young
More informationMental Health Futures event.
Mental Health Futures event. Dr Stuart Adams, Consultant Psychiatrist and Clinical Director for Merton and Sutton Gill Moore, Operational Manager, Sutton and Merton Adult Services Dr Hendrik Hinrichsen,
More informationNATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE SCOPE. Personality Disorder: the clinical management of borderline personality disorder
NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE 1 Guideline title SCOPE Personality Disorder: the clinical management of borderline personality disorder 1.1 Short title Borderline personality disorder
More informationAttention Deficit Hyperactivity Disorder (ADHD) frontline - experience from Sweden
S 2017-12-07 Mental health in Prison and Probation CEP Europris Attention Deficit Hyperactivity Disorder (ADHD) frontline - experience from Sweden Dr. Lena Lundholm, Swedish Prison & Probation Service,
More informationADHD Training for General Practitioners
ADHD Training for General Practitioners Learning Objectives Understand the stigma surrounding ADHD and develop ability to challenge stigma. Understand your role in the ADHD pathway. Understand what you
More informationIntegrated care : 3 years of progress and jugular actions needed. Dr. Geraldine Strathdee, National Clinical Director for Mental Health. .
1 Integrated care : 3 years of progress and jugular actions needed Dr. Geraldine Strathdee, National Clinical Director for Mental Health.@DrG_NHS Kings fund March 2016 This talk: Why do we need Integrated
More informationConsequences of untreated ADHD
Consequences of untreated ADHD Dr Susan Young Imperial College London Pathway to adulthood Continuation of core symptoms in partial remission graduates with a hangover lability of mood (anger, depression,
More informationMETHYLPHENIDATE AND ATOMOXETINE TREATMENT OF ATTENTION DEFICIT HYPERACTIVITY DISORDER IN CHILDREN AND YOUNG PEOPLE
NOTTINGHAMSHIRE AREA PRESCRIBING COMMITTEE SHARED CARE PROTOCOL AGREEMENT METHYLPHENIDATE AND ATOMOXETINE TREATMENT OF ATTENTION DEFICIT HYPERACTIVITY DISORDER IN CHILDREN AND YOUNG PEOPLE OBJECTIVES To
More informationDr Amol Vaze General Adult Psychiatrist with expertise in Adult ADHD 8 th March 2017
Dr Amol Vaze General Adult Psychiatrist with expertise in Adult ADHD 8 th March 2017 Context how big an issue Brief overview of service models for Adult ADHD History and overview of Leicestershire model
More informationSHARED CARE PROTOCOL FOR THE PRESCRIBING AND MONITORING OF MEDICINES FOR ATTENTION-DEFICIT HYPERACTIVITY DISORDER (ADHD)
SHARED CARE PROTOCOL FOR THE PRESCRIBING AND MONITORING OF MEDICINES FOR ATTENTION-DEFICIT HYPERACTIVITY DISORDER (ADHD) 1. Introduction This protocol describes how patients prescribed medicines for ADHD
More informationIssue date September 2010 (Reviewed October 2013) Clinicians from Andrew Lang Centre, Mental. Specialist Pharmacist & Formulary Pharmacist
Title Document Type Issue no Shared care guidelines in the Treatment of Attention Deficit/ Hyperactivity Disorders Shared Care Guidelines and Information for GPs Clinical Governance Support Team Use Issue
More informationPrescribing for people with a personality disorder. POMH-UK QIP 12b
Prescribing for people with a personality disorder POMH-UK QIP 12b Personality disorder Personality disorders are a heterogeneous group of conditions which vary greatly in their severity Characterised
More informationReferral guidance for Lincolnshire CAMHS
Referral guidance for Lincolnshire CAMHS The service is designed to meet a wide range of mental health needs in children and young people. This includes mild to moderate emotional wellbeing and mental
More informationCambridgeshire Autism Strategy and Action Plan 2015/16 to 2018/ Introduction
Cambridgeshire Autism Strategy and Action Plan 2015/16 to 2018/19. 1. Introduction 1.1. Autism is a lifelong developmental disability, sometimes referred to as Autistic Spectrum Disorder (ASD) or Autistic
More information5 December 2016 Our Ref: RFI Freedom of Information Act 2000 Provision of Services for Attention Deficit Hyperactivity Disorder (ADHD)
Information Governance 5 December 2016 Our Ref: RFI 18852 Dear Freedom of Information Act 2000 Provision of Services for Attention Deficit Hyperactivity Disorder (ADHD) I am writing to confirm that the
More informationDisclosures. Speakers and Consultancy fees from. Lundbeck Janssen Eli Lilly
Dr S H Jawed Consultant General Adult Psychiatrist, Dorothy Pattison Hospital, Walsall Joint Lead Consultant for Adult Neurodevelopmental Service, DWMHP NHS Trust Regional Lead, UK Adult ADHD Network (UKAAN)
More informationDr Jane McCarthy MB ChB MD MRCGP FRCPsych
Dr Jane McCarthy MB ChB MD MRCGP FRCPsych Consultant Psychiatrist in Intellectual Disability, East London NHS Foundation Trust and Visiting Senior Lecturer, Institute of Psychiatry, Psychology & Neuroscience,
More informationCAMHS. Your guide to Child and Adolescent Mental Health Services
CAMHS Your guide to Child and Adolescent Mental Health Services The support I received from CAHMS was invaluable and I do not know where I would be now without it. I now study Health and Social Care and
More informationAdult ADHD for GPs. Maria Mazfari Associate Nurse Consultant Adult ADHD Tina Profitt Clinical Nurse Specialist Adult ADHD
Adult ADHD for GPs Maria Mazfari Associate Nurse Consultant Adult ADHD Tina Profitt Clinical Nurse Specialist Adult ADHD I m a Believer.. Are You? What is ADHD? ADHD is a valid clinical condition defined
More informationLongest running mental health survey series using consistent methods
Longest running mental health survey series using consistent methods Adult household Adult household Adult follow-up Adult household Adult household 993 2000 2002 2007 2014 Surveys of specific populations
More informationWeek 2: Disorders of Childhood
Week 2: Disorders of Childhood What are neurodevelopmental disorders? A group of conditions with onset in the developmental period Disorders of the brain The disorders manifest early in development, often
More informationADHD in adults- the Edinburgh Experience
ADHD in adults- the Edinburgh Experience Dr. Premal J Shah Consultant Honorary Senior Lecturer General Adult Psychiatry University of Edinburgh 2007- Founder Lothian Adult ADHD Clinic 2012 Lothian Adult
More informationBournemouth, Dorset and Poole Prescribing Forum
SHARED CARE GUIDELINES FOR PRESCRIBING OF METHYLPHENIDATE IN ATTENTION DEFICIT HYPERACTIVITY DISORDER IN CHILDREN INDICATION Methylphenidate is generally regarded as a first line choice of treatment for
More informationNICE quality standard for attention deficit hyperactivity disorder (QS39)
QS 39 NICE quality standard for attention deficit hyperactivity disorder (QS39) NICE provided the content for this booklet which is independent of any company or product advertised 2 THE COMMISSIONING
More informationNational Institute for Health and Clinical Excellence. NICE Quality Standards Consultation attention deficit hyperactivity disorder
National Institute for Health and Clinical Excellence NICE Quality Standards Consultation attention deficit hyperactivity disorder Closing date: 5pm Thursday 21 st March 2013 Organisation Title (e.g. Dr,
More informationAn Overview of the ADHD Pathway for Adults in Devon/Torbay
An Overview of the ADHD Pathway for Adults in Devon/Torbay Andrew Blewett, also Charles Antwi, Mark Jay, Ruth Marlow, Rachel Pebworth, Abbie Turner, Rachel Webb January 2016 Resource/capacity 0.8 clinical
More informationFlying Under The Radar
Flying Under The Radar Dr. Abu Shafi 1,2, Core Trainee & PhD Student, Dr. Paul Gallagher 3, SpR, Dr. Neil Stewart 1, Consultant. PICU, Camden and Islington NHS Trust 1 ; NPS Unit, Centre for Clinical and
More informationQ. As noted in the NICE Quality Standard for ADHD ( can you please provide information on:
Q. As noted in the NICE Quality Standard for ADHD (https://www.nice.org.uk/guidance/qs39), can you please provide information on: 1. What proportion of children and young people with symptoms of ADHD have
More informationNICE guideline Published: 14 March 2018 nice.org.uk/guidance/ng87
Attention deficit hyperactivity disorder: diagnosis and management NICE guideline Published: 14 March 2018 nice.org.uk/guidance/ng87 NICE 2018. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and-conditions#notice-ofrights).
More informationHospital Authority Convention -- Development of an Integrated Service in the Management of Childhood and Adolescent Depression in Hong Kong
Hospital Authority Convention -- Development of an Integrated Service in the Management of Childhood and Adolescent Depression in Hong Kong Dr. Tam Fung Ling Associate Consultant CAP, Castle Peak Hospital
More informationNATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE SCOPE
NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE 1 Guideline title SCOPE Psychosis and schizophrenia in children and young people: recognition and management 1.1 Short title Psychosis and schizophrenia
More informationBritish Psychological Society response to the House of Commons Justice Committee. Prison Reform Inquiry
response to the House of Commons Justice Committee About the Society The, incorporated by Royal Charter, is the learned and professional body for psychologists in the United Kingdom. We are a registered
More informationHEKSS CHILD & ADOLESCENT PSYCHIATRY PROGRAMME - HST Trainee Job Description. HST TRAINEE Community Eating Disorders Child and Adolescent
HEKSS CHILD & ADOLESCENT PSYCHIATRY PROGRAMME - HST Trainee Job Description Job Title: HST TRAINEE Community Eating Disorders Child and National Post Number: Educational / Supervisor: Base: Hours of Work:
More informationThis guideline has not undergone previous surveillance.
Surveillance report 2016 Autism spectrum disorder in under 19s: support and management National Institute for Health and Care Excellence Surveillance programme Surveillance proposal consultation document
More informationGM ADHD Strategic Clinical Network. Training for Specialist ADHD Teams
GM ADHD Strategic Clinical Network Training for Specialist ADHD Teams Learning Objectives Understand the stigma surrounding ADHD and develop ability to challenge stigma.. DSM-5 classification of ADHD ADHD
More informationMatthew P. Janicki, Ph.D.
Matthew P. Janicki, Ph.D. State Policy Summit: Innovations in Adult Programming - Autism Services, Education, Resources, & Training Collaborative Philadelphia, PA March 22, 2016 CONTEXT Data from the
More informationNATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE Centre for Clinical Practice SCOPE
NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE Centre for Clinical Practice 1 Guideline title SCOPE Autism: the management and support of children and young people on the autism spectrum 1.1 Short
More informationADHD in forensic settings
ADHD in forensic settings Susan Young Imperial College London and Broadmoor Hospital Police Custody Study Learning Disability (N=195) 6.7% screened positive Conduct Disorder (N=194) 75.3% screened positive
More informationFirst Do No Harm. Avoiding adverse outcomes in personality disorder treatments. Mary McMurran PhD.
First Do No Harm Avoiding adverse outcomes in personality disorder treatments Mary McMurran PhD www.marymcmurran.co.uk Outline Potential for harmful outcomes in treatment Trials Clinical practice Including
More informationTaking Care: Child and Youth Mental Health TREATMENT OPTIONS
Taking Care: Child and Youth Mental Health TREATMENT OPTIONS Open Learning Agency 2004 TREATMENT OPTIONS With appropriate treatment, more than 80% of people with depression get full relief from their symptoms
More informationUnderstanding Parkinson s for health and social care staff. The phases of Parkinson s
Understanding for health and social care staff The phases of The phases of Diagnosis 11% 1.6 Post diagnosis before symptoms have become significant Maintenance 40.4% 5.9 Symptoms significant but largely
More informationIf a specialist asks a GP to prescribe ADHD medication in relation to this disease, the GP should reply to this request as soon as practicable.
Shared Care Protocol for the Methylphenidate and the Management of Attention Deficit Hyperactivity Disorder (ADHD) for children from 4 years up to 17 years and 364 days 1.0 INTRODUCTION The medical assessment
More informationDr Rozmin H. BSc, MSc, PhD, DClinHyp, DClinPsych, CPsychol, AFBPSs. HCPC Registration No. PYL06448 DBS Registration No.
Dr Rozmin H BSc, MSc, PhD, DClinHyp, DClinPsych, CPsychol, AFBPSs HCPC Registration No. PYL06448 DBS Registration No. 001352397542 PROFESSIONAL QUALIFICATIONS & EXPERTISE Professional Qualification Chartered
More informationDiscussion. What phrase best describes your beliefs about a diagnosis of AD(H)D in adults? Unconvinced Sceptical Open-minded Accepting Unsure
ADHD and Addictions Discussion What phrase best describes your beliefs about a diagnosis of AD(H)D in adults? Unconvinced Sceptical Open-minded Accepting Unsure Aims of Training To have an understanding
More informationPediatric Primary Care Mental Health Specialist Certification Exam. Detailed Content Outline
Pediatric Primary Care Mental Health Specialist Certification Exam Detailed Content Outline Description of the Specialty The Pediatric Primary Care Mental Health Specialist (PMHS) builds upon the Advanced
More informationYoung et al. BMC Psychiatry (2018) 18:281
Young et al. BMC Psychiatry (2018) 18:281 https://doi.org/10.1186/s12888-018-1858-9 RESEARCH ARTICLE Open Access Identification and treatment of offenders with attention-deficit/hyperactivity disorder
More informationAssessment and early identification
The Right Care: creating dementia friendly hospitals Assessment and early identification Good practice for better care 1 Assessment and early identification Section 1 Self assessment statements from National
More informationAD/HD and co-existing conditions an overview
AD/HD and co-existing conditions an overview with relevance to the Europe Declaration Dr Geoff Kewley, Consultant Paediatrician/Physician, Learning Assessment & Neurocare Centre Horsham, West Sussex UK
More informationAUTISM STRATEGY FOR ADULTS IN BIRMINGHAM
CONSULTATION DOCUMENT AUTISM STRATEGY FOR ADULTS IN BIRMINGHAM 2013 2016 HELPING ADULTS WITH AUTISM TO ACHIEVE FULFILLING AND REWARDING LIVES RAISING AWARENESS TO INFORM, IMPLEMENT AND IMPROVE Strategy
More informationCAMHS - Childrens Scrutiny Panel Rutland Adam McKeown Head of FYPC Group 1 & Adult LD.
CAMHS - Childrens Scrutiny Panel Rutland Adam McKeown Head of FYPC Group 1 & Adult LD www.leicspart.nhs.uk Contents Overview of CAMHS Services provided by LPT Current overall CAMHS performance context
More informationClinical guideline Published: 28 August 2013 nice.org.uk/guidance/cg170
Autism spectrum disorder in under 19s: support and management Clinical guideline Published: 28 August 2013 nice.org.uk/guidance/cg170 NICE 2018. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and-conditions#notice-ofrights).
More informationNICE Clinical Guidelines recommending Family and Couple Therapy
Association for Family Therapy and Systemic Practice NICE Clinical Guidelines recommending Family and Couple Therapy August 2016 Compiled by: Dr Lucy Davis (Chartered and Clinical Psychologist/Trainee
More informationAdult Psychiatric Morbidity Survey (APMS) 2014 Part of a national Mental Health Survey Programme
Adult Psychiatric Morbidity Survey (APMS) 2014 Part of a national Mental Health Survey Programme About the Adult Psychiatric Morbidity Survey (APMS) 2014 The Adult Psychiatric Morbidity Survey (APMS) 2014
More informationAttention Deficit Hyperactivity Disorder (ADHD) in Adults
Attention Deficit Hyperactivity Disorder (ADHD) in Adults What is it? ADHD is a pattern of problems which is usually picked up in childhood. Parents and teachers notice that a child: is unusually over-active
More informationBournemouth, Dorset and Poole Prescribing Forum
SHARED CARE GUIDELINE FOR THE USE OF ATOMOXETINE IN ADULTS WITH ATTENTION DEFICIT HYPERACTIVITY DISORDER INDICATION Atomoxetine is a non-stimulant non-amphetamine inhibitor of noradrenaline reuptake. It
More informationAutism and Offending. Dr Jana de Villiers Consultant Psychiatrist for the Fife Forensic Learning Disability Service 28 November 2016
Autism and Offending Dr Jana de Villiers Consultant Psychiatrist for the Fife Forensic Learning Disability Service 28 November 2016 Overview Increasing interest in the implication of a diagnosis of Autism
More informationMaking Sense. Adults with Asperger Syndrome
Making Sense Adults with Asperger Syndrome What is Asperger syndrome? Asperger syndrome is a lifelong neurodevelopmental condition which is part of the Autism Spectrum (also sometimes called Autism Spectrum
More informationAlberta Alcohol and Drug Abuse Commission. POSITION ON ADDICTION AND MENTAL HEALTH February 2007
Alberta Alcohol and Drug Abuse Commission POSITION ON ADDICTION AND MENTAL HEALTH POSITION The Alberta Alcohol and Drug Abuse Commission (AADAC) recognizes that among clients with addiction problems, there
More informationPsychosis with coexisting substance misuse
Psychosis with coexisting substance misuse Assessment and management in adults and young people Issued: March 2011 NICE clinical guideline 120 guidance.nice.org.uk/cg120 NICE has accredited the process
More informationThe economics of mental health
The economics of mental health Professor Martin Knapp - Professor of Social Policy, London School of Economics and Political Science Michael Parsonage - Chief Economist, Centre for Mental Health Mental
More information1. Family aggregation and long-term outcome of psychopathology in children and adolescents in the Danish Three Generation Study (3GS)
Aalborg CAP research programme 2016 1. Family aggregation and long-term outcome of psychopathology in children and adolescents in the Danish Three Generation Study (3GS) Objectives: Study of the aggregation
More informationChildren & Young People s Mental Health: Policy Landscape
Children & Young People s Mental Health: Policy Landscape Prof Dame Sue Bailey, Chair, Children & Young People s Mental Health Coalition Conflicts of interest /loyalty Chair, Academy of Medical Royal Colleges
More informationNICE UPDATE - Eating Disorders: The 2018 Quality Standard. Dr A James London 2018
NICE UPDATE - Eating Disorders: The 2018 Quality Standard Dr A James London 2018 Background Estimated number of people aged 16 years or older with eating disorders in England Description Percentage of
More informationSheffield s Emotional Wellbeing and Mental Health Strategy for Children and Young People
Sheffield s Emotional Wellbeing and Mental Health Strategy for Children and Young People The Sheffield Vision In Sheffield we want every child and young person to have access to early help in supporting
More informationCAMHS: Focus on Self-Harm, Suicidal Ideation in Adolescents. Nov 8 th 2018
CAMHS: Focus on Self-Harm, Suicidal Ideation in Adolescents Nov 8 th 2018 Introductions Mel Clarke, Clinical Nurse Specialist, CAMHS Emergency Care Service (CECS) Dr. Gili Orbach, Clinical Psychologist,
More informationAddiction and Substance misuse pathways
Addiction and Substance misuse pathways Gordon Morse Chief Medical Officer Turning Point UK Gordon Morse statement of interests Sole employer Turning Point Some unpaid advisory work to the Hepatitis C
More informationAttention-deficit/ hyperactivity disorder. Terry Brugha Philip Asherson André Strydom Zoe Morgan Shanna Christie
Attention-deficit/ hyperactivity disorder Terry Brugha Philip Asherson André Strydom Zoe Morgan Shanna Christie ADULT PSYCHIATRIC MORBIDITY SURVEY 2014 CHAPTER 8 Summary Attention-deficit/hyperactivity
More informationStrathprints Institutional Repository
Strathprints Institutional Repository Akram, Gazala (2015) Profiling psychotropic discharge medication from a children s psychiatric ward. International Journal of Clinical Pharmacy, 37 (5). pp. 753-757.
More informationResource impact report: Eating disorders: recognition and treatment (NG69)
Resource impact report: Eating disorders: recognition and treatment (NG69) Published: May 2017 Summary This report looks at the resource impact of implementing NICE s guideline on eating disorders: recognition
More informationADHD clinic for adults Feedback on services for attention deficit hyperactivity disorder
ADHD clinic for adults Feedback on services for attention deficit hyperactivity disorder Healthwatch Islington Healthwatch Islington is an independent organisation led by volunteers from the local community.
More informationThis webinar is presented by
Webinar DATE: Working together to support people November who self-harm 12, 2008 Monday, 20 th June 2016 Supported by The Royal Australian College of General Practitioners, the Australian Psychological
More informationDiagnosis and management of ADHD in children and adults
NEW FROM NICE Diagnosis and management of ADHD in children and adults STEVE CHAPLIN In March, NICE updated its guidance on the diagnosis and management of attention deficit hyperactivity disorder (ADHD)
More information