King's College London

Research portal

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

Research output: Contribution to journalArticle

Standard

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.

In: BMC Health Services Research, Vol. 16, No. 1, 11.07.2016.

Research output: Contribution to journalArticle

Harvard

Eklund, H, Cadman, T, Findon, J, Hayward, H, Howley, D, Beecham, J, Xenitidis, K, Murphy, D, Asherson, P & Glaser, K 2016, 'Clinical service use as people with Attention Deficit Hyperactivity Disorder transition into adolescence and adulthood: a prospective longitudinal study', BMC Health Services Research, vol. 16, no. 1. https://doi.org/10.1186/s12913-016-1509-0

APA

Eklund, H., Cadman, T., Findon, J., Hayward, H., Howley, D., Beecham, J., ... Glaser, K. (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(1). https://doi.org/10.1186/s12913-016-1509-0

Vancouver

Eklund H, Cadman T, Findon J, Hayward H, Howley D, Beecham J et al. Clinical service use as people with Attention Deficit Hyperactivity Disorder transition into adolescence and adulthood: a prospective longitudinal study. BMC Health Services Research. 2016 Jul 11;16(1). https://doi.org/10.1186/s12913-016-1509-0

Author

Eklund, Hanna ; Cadman, Tim ; Findon, James ; Hayward, Hannah ; Howley, Deirdre ; Beecham, Jennifer ; Xenitidis, Kiriakos ; Murphy, Declan ; Asherson, Philip ; Glaser, Karen. / Clinical service use as people with Attention Deficit Hyperactivity Disorder transition into adolescence and adulthood : a prospective longitudinal study. In: BMC Health Services Research. 2016 ; Vol. 16, No. 1.

Bibtex Download

@article{8353e24c4a8d46e89848e0533315d38c,
title = "Clinical service use as people with Attention Deficit Hyperactivity Disorder transition into adolescence and adulthood: a prospective longitudinal study",
abstract = "BackgroundWhile 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.MethodsNinety one young people aged 14–24 were recruited from the UK subset of the International Multi-Centre ADHD Genetics (IMAGE) Project. Affected young people and parents conducted face-to-face interviews and self-completion questionnaires including a modified version of the Client Services Receipt Inventory, The Barkley’s ADHD rating scale, The Clinical Interview Schedule-Revised, and the Zarit Burden Interview. Changes in key need characteristics (e.g. ADHD symptoms and impairments) over a 3-year period were examined using fixed effect models. Generalised Estimating Equations (GEE) were used to explore how key characteristics (such as ADHD symptoms) were associated with contact with clinical services across the three years.ResultsAt 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.ConclusionsDespite 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.",
author = "Hanna Eklund and Tim Cadman and James Findon and Hannah Hayward and Deirdre Howley and Jennifer Beecham and Kiriakos Xenitidis and Declan Murphy and Philip Asherson and Karen Glaser",
year = "2016",
month = "7",
day = "11",
doi = "10.1186/s12913-016-1509-0",
language = "English",
volume = "16",
journal = "BMC Health Services Research",
issn = "1472-6963",
publisher = "BMC Health Services Research",
number = "1",

}

RIS (suitable for import to EndNote) Download

TY - JOUR

T1 - Clinical service use as people with Attention Deficit Hyperactivity Disorder transition into adolescence and adulthood

T2 - a prospective longitudinal study

AU - Eklund, Hanna

AU - Cadman, Tim

AU - Findon, James

AU - Hayward, Hannah

AU - Howley, Deirdre

AU - Beecham, Jennifer

AU - Xenitidis, Kiriakos

AU - Murphy, Declan

AU - Asherson, Philip

AU - Glaser, Karen

PY - 2016/7/11

Y1 - 2016/7/11

N2 - BackgroundWhile 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.MethodsNinety one young people aged 14–24 were recruited from the UK subset of the International Multi-Centre ADHD Genetics (IMAGE) Project. Affected young people and parents conducted face-to-face interviews and self-completion questionnaires including a modified version of the Client Services Receipt Inventory, The Barkley’s ADHD rating scale, The Clinical Interview Schedule-Revised, and the Zarit Burden Interview. Changes in key need characteristics (e.g. ADHD symptoms and impairments) over a 3-year period were examined using fixed effect models. Generalised Estimating Equations (GEE) were used to explore how key characteristics (such as ADHD symptoms) were associated with contact with clinical services across the three years.ResultsAt 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.ConclusionsDespite 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.

AB - BackgroundWhile 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.MethodsNinety one young people aged 14–24 were recruited from the UK subset of the International Multi-Centre ADHD Genetics (IMAGE) Project. Affected young people and parents conducted face-to-face interviews and self-completion questionnaires including a modified version of the Client Services Receipt Inventory, The Barkley’s ADHD rating scale, The Clinical Interview Schedule-Revised, and the Zarit Burden Interview. Changes in key need characteristics (e.g. ADHD symptoms and impairments) over a 3-year period were examined using fixed effect models. Generalised Estimating Equations (GEE) were used to explore how key characteristics (such as ADHD symptoms) were associated with contact with clinical services across the three years.ResultsAt 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.ConclusionsDespite 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.

U2 - 10.1186/s12913-016-1509-0

DO - 10.1186/s12913-016-1509-0

M3 - Article

VL - 16

JO - BMC Health Services Research

JF - BMC Health Services Research

SN - 1472-6963

IS - 1

ER -

View graph of relations

© 2018 King's College London | Strand | London WC2R 2LS | England | United Kingdom | Tel +44 (0)20 7836 5454