ADHD ’One Stop Shop’
Research type
Research Study
Full title
The impact of a drop in clinic for children and young people with ADHD on service user satisfaction, DNA rates and accessibility
IRAS ID
129323
Contact name
Gemma Sinead Ryan
Contact email
Sponsor organisation
Leicestershire Partnership NHS Trust
Research summary
“ADHD is a heterogeneous behavioural syndrome characterised by the core symptoms of hyperactivity, impulsivity and inattention.“ (NICE, 2008). In the United Kingdom [UK] it is estimated that 5% of children diagnosed with ADHD (ADISS). Accessibility to high quality services is inconsistent across the UK. Patients with poorly managed ADHD can present with inhibitive, uncontrolled and erratic behaviour often leading young people into crime or resulting in suspension/expulsion from school,effects of which significantly impact on life chances.
NICE guidelines recommend the a ‘bio psycho social model’ of care using collaborative behavioural, pharmaceutical interventions and service design to optimise health outcomes for ADHD. It is recognised that parents/service users often do not engage with the behavioural training and support available, and therefore do not receive the most holistic and best quality care package available. This may be due to situational, economic factors or perceptions of behavioural training/education. Medication reviews, on-going support and management are also essential in ensuring the best quality care, however many parents fail to attend mandatory reviews due to fixed appointment times and the generally ‘stressful’ and unpredictable family life associated with ADHD.
Caring for or living with ADHD as a child or young person can cause great anxiety and stress for the family unit. Many families often reach ‘crisis’ point where urgent support and intervention is required. Currently, there may be a 4-8 week wait for this, due to clinic waiting lists and specialist availability, by which time the problem may require more intensive intervention which could have been prevented.
A One Stop Shop drop in clinic will be implemented for children and young people with ADHD aiming to improve access, efficiency and satisfaction. This project hopes to reduce the waiting time in a crisis point situation and enable access to the ‘right service at the right time’.REC name
South Central - Oxford C Research Ethics Committee
REC reference
13/SC/0415
Date of REC Opinion
24 Jul 2013
REC opinion
Favourable Opinion