What is it about?
This audit aimed to analyze the cohort of children and young people with ADHD seen in two Community Paediatric clinics of a Mid-Eastern Scottish NHS Trust over a one-year period in 2016/17.
Featured Image
Why is it important?
ADHD is the commonest childhood neurodevelopmental disorder that begins in childhood and persists into adulthood, causing multi-domain impairment and three core symptoms of inattention, hyperactivity, and impulsivity. This study highlights the significant Public Health importance of childhood ADHD requiring high levels of integrated multi-professional involvement.
Perspectives
A total of 93 out of 543 patients (17%) were diagnosed with ADHD, corresponding to 1.5 per 1000 of children’s population (0–15 years), aged between 5 years and 18 years (Average of 11 years) and 82% males. Each patient had 2 to 3 other co-morbid neurodevelopmental problems (NDPs) (ranging from 1 to 8). The commonest co-morbidities were difficulties with sleep (52%), behaviour (32%), coordination (25%), social communication concerns (24%), and emotional problems (19%). Girls had a higher number of co-morbidities (3 vs 2) and other healthcare professionals (2 vs 1) compared to the boys. There were statistically significant associations between the prevalence of ADHD and the SES of the patients (figure 1) and between the number of co-morbidities and the number of professionals caring for each patient (figure 2). The commonest multi-agency professionals involved included the CAMHS (33%), OT (19%), Educational Psychologists (14%), General Paediatricians (14%) and Clinical Psychologists (12%).
Dr Michael O Ogundele
Mid Cheshire Hospitals NHS Foundation Trust Postgraduate Medical Centre
Read the Original
This page is a summary of: G253(P) An audit of ADHD patients attending scottish nhs community child health clinics, May 2019, BMJ,
DOI: 10.1136/archdischild-2019-rcpch.246.
You can read the full text:
Contributors
The following have contributed to this page
