Post by roland on Oct 7, 2009 10:04:41 GMT
Hi Guys,
Today I came across the minutes for the NHS Board Meeting for Ayrshire & Arran on 8 October 2008 and found that adhd, including adult adhd was discussed as follows:
Here's a link to the full document: www.nhsayrshireandarran.com/uploads/5146/Paper5MHPB.pdf
Today I came across the minutes for the NHS Board Meeting for Ayrshire & Arran on 8 October 2008 and found that adhd, including adult adhd was discussed as follows:
Attention Deficit Hyperkinetic Disorder (ADHD) (paper 6)
8.1
Ms Thomson noted that the document was extensive and that she would only speak on selected parts. Ms Thomson noted that she has been involved since the ADHD – SOS (Attention Deficit Hyperkinetic Disorder – Services over Scotland) was set up in March 2006.
Page 2 – Headline Findings: Kick started by Ministers, severely under diagnosed in UK, estimate 7,000 children and young people not getting support. Study shows more boys than girls have ADHD. Girls being left behind only 0.2% in Scotland school age being diagnosed. Support depends on the local authority. No clear picture.
Pg 4 – ADHD are among the most commonly diagnosed behavioural disorders in children and young people. Approximately 4,539 children and young people with a diagnosis of ADHD known to NHS service across Scotland. Equates to 0.6% of the school age population.
8.2
Mr Crichton asked if there were any particular reason for under diagnosis.
8.2.1
Ms Thomson noted that it is down to personal experience and that a lot of parents are struggling to get a diagnosis. Condition very similar to autism. Before a diagnosis will be made they need to have the symptoms longer than 6 months. The time frame can be a very long process as they can look at parenting issues first then look into other issues i.e. ADHA, ASD. Children and young people with ADHD are at increased risk of a wide range of associated problems including low self-esteem, academic underachievement, poor peer relationships, accidents and antisocial behaviour. They may also be at increased risk of later substance misuse. ADHD is associated with an increased rate of other sequelae including depression, anxiety, other behavioural disorders, tic disorder, specific learning difficulties and developmental co-ordination disorder. Sleep problems are also common in children and young people with ADHD. ADHD is a chronic disorder. At least two thirds of children continue to have ADHD symptoms through adolescence, and for many, symptoms and functional impairment persist into adulthood.
8.3
Mr Barron enquired about benchmarking.
8.3.1
Ms Thomson noted European and northern America also World Health organization used across UK. Stage I of project found that service delivery varies between, and within, HNS boards and that few areas have dedicated ADHD teams/services. The number of children in Aryshire and Arran diagnosed are 253 but there should be 5,599. There is a huge cost implication and a huge impact on services. We need to look at the capacity of existing services to respond to potentially increased numbers of referrals, the potential short-and-long cost of undiagnosed ADHD, the potential impact and burden on adult mental health services of ADHD persisting into adulthood, both from the perspective of continuing care for those diagnosed during childhood, and the recognition of continuing ADHD in adults who did not receive a diagnosis in childhood.
8.3.2
Mr Smith noted that he sits on North Ayrshire Forum and he and Fiona have met on several occasions and again pointed out that figures were markedly under what was expect. Not even around 8th of service. They had been asked to review 60 cases and they came across large discrepancies, not good at recording.
8.4
Pg 7 – Key Recommendation: The report outlines the key recommendation that NHS Boards should follow up.
8.5
Mr Crichton thanked Fiona for taking the time to present on this. Mr Crichton noted that we now need to think of next steps as an organization on how to take this forward.
8.6
It was agreed that Mr Crichton will raise this with the Children Adolescent Mental Health Services (CAMHs). It was also agreed that this should be presented to the two Senior Officer Groups to raise awareness.
Ms Gault to clarify mechanism of feeding into these groups.
JC
SG
Here's a link to the full document: www.nhsayrshireandarran.com/uploads/5146/Paper5MHPB.pdf