Child Psychology Psychiatry - 2015 - Wright - Practitioner Review Pathways to care for ADHD a systematic review of.pdf (203.5 kB)
Practitioner review: pathways to care for ADHD - a systematic review of barriers and facilitators
journal contribution
posted on 2022-10-28, 09:02 authored by Nicola Wright, Maria Moldavsky, Justine Schneider, Ipsita Chakrabarti, Janine CoatesJanine Coates, David Daley, Puja Kochhar, Jon Mills, Walid Sorour, Kapil SayalBackground Attention-Deficit/Hyperactivity Disorder (ADHD) is a common neurodevelopmental disorder starting in childhood that may persist into adulthood. It can be managed through carefully monitored medication and nonpharmacological interventions. Access to care for children at risk of ADHD varies both within and between countries. A systematic literature review was conducted to investigate the research evidence related to factors which influence children accessing services for ADHD. Method Studies investigating access to care for children at risk of ADHD were identified through electronic searches of the international peer-reviewed and grey literature. Databases were searched from inception till 30th April 2012. This identified 23,156 articles which were subjected to three levels of screening (title, abstract and full text) by a minimum of two independent reviewers. Due to the heterogeneity in the study designs, a narrative approach was used to present the findings. Results Twenty-seven papers met the inclusion criteria; these were grouped into four main themes, with some papers being included in more than one. These were wider determinants (10 papers); identification of need (9 papers); entry and continuity of care (13 papers) and interventions to improve access (4 papers). Barriers and facilitators to access were found to operate at the individual, organisational and societal level. Limited evidence of effective interventions to improve access was identified. Conclusion This review explored the multilayered obstacles in the pathway to care for children at risk of ADHD and the lack of evidence-based interventions designed to address these issues, thereby indicating areas for service development and further evaluative research.
Funding
This study was funded by the National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care Nottinghamshire, Derbyshire and Lincolnshire (NIHR CLAHRC-NDL).
History
School
- Sport, Exercise and Health Sciences
Published in
Journal of Child Psychology and Psychiatry and Allied DisciplinesVolume
56Issue
6Pages
598 - 617Citation
WRIGHT, N. ... et al, 2015. Practitioner review: pathways to care for ADHD - a systematic review of barriers and facilitators. Journal of Child Psychology and Psychiatry, 56 (6), pp. 598-617.Publisher
John Wiley & SonsVersion
- VoR (Version of Record)
Rights holder
© the authorsPublisher statement
This is an Open Access Article. It is published by John Wiley & Sons under the Creative Commons Attribution 4.0 International Licence (CC BY). Full details of this licence are available at: https://creativecommons.org/licenses/by/4.0/Acceptance date
2015-01-09Publication date
2015-02-23Copyright date
2015ISSN
0021-9630eISSN
1469-7610Publisher version
Language
- en