Examining the Association between Television Usage and ADHD: An Analysis from the 2016 National Survey of Children’s Health

Webber, A. Robert; Ikan, Janelle Barrera; Kirby, Russell S.

doi:10.1016/j.annepidem.2018.06.042

Cited by 1 publication

(1 citation statement)

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“…Epidemiological studies have demonstrated a sharp rise in the number of children diagnosed with ADHD over the past three decades (Webber et al , 2018). Many hypotheses have been put forward to explain this increase, including shifts to public and mental health policy (Hinshaw and Scheffler, 2014) and changes to conceptualisations of normative child behaviours over time (Miller and Leger, 2003; Timimi and Taylor, 2004).…”

Section: Introductionmentioning

confidence: 99%

Evaluation of a diagnostic ADHD pathway in a community child mental health service in South London

Barnes¹,

Wretham

Sedgwick

et al. 2020

MHRJ

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Purpose Clinicians working in UK child mental health services are faced with several challenges in providing accurate assessment and diagnosis of attention deficit hyperactivity disorder (ADHD). Within the South London & Maudsley (SLaM) NHS Trust, community Child & Adolescent Mental Health Services (CAMHS) are developing structured pathways for assessing and diagnosing ADHD in young people. To date, these pathways have not been formally evaluated. The main aims of this evaluation are to evaluate all ADHD referrals made to the service in an 18-month period, including the number of completed assessments and proportion of children diagnosed with ADHD; and investigate adherence to the National Institute for Clinical Excellence (NICE) guideline for diagnosing ADHD in children and young people. Design/methodology/approach Retrospective data analysis was performed using service databases and electronic patient records. Adherence to the clinical guideline was measured using the NICE data collection tool for diagnosing ADHD in children and young people. All completed ADHD assessments were compared to four key recommendation points in the guideline. Findings Within the time frame, 146 children aged 4-17 years were referred and accepted for an ADHD assessment. Of these, 92 families opted in and were seen for an initial appointment. In total, 36 ADHD assessments were completed, of which 19 children received a diagnosis of ADHD and 17 did not. Aside from structured recording of ADHD symptoms based on ICD-10 criteria (69%) and reporting of functional impairment (75%), adherence to all guidance points was above 90%. The study also found that although a greater proportion of children referred to the service were male and identified as White, these differences narrowed upon receipt of ADHD diagnosis. Research limitations/implications Relationship to the existing literature is discussed in relation to the assessment process, demographic characteristics and rates of co-occurrence. Practical implications The findings demonstrate that in child mental health services, gold standard practice for diagnosing ADHD should be the adoption of clear, protocol-driven pathways to support appropriate access and treatment for young people and their families. Originality/value This article is unique in that it is, to the best of the authors’ knowledge, the first to describe and report clinician-adherence to a structured pathway for diagnosing ADHD in young people within a community CAMHS service in South London.

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Section: Introductionmentioning

confidence: 99%