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Title: Practitioner review: pathways to care for ADHD - a systematic review of barriers and facilitators
Authors: Wright, Nicola
Moldavsky, Maria
Schneider, Justine
Chakrabarti, Ipsita
Coates, Janine
Daley, David
Kochhar, Puja
Mills, Jon
Sorour, Walid
Sayal, Kapil
Issue Date: 2015
Publisher: John Wiley & Sons / © the authors
Citation: 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.
Abstract: Background 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.
Description: This is an Open Access Article. It is published by John Wiley & Sons under the Creative Commons Attribution 4.0 Unported Licence (CC BY). Full details of this licence are available at: https://creativecommons.org/licenses/by/4.0/
Sponsor: 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).
Version: Published
DOI: 10.1111/jcpp.12398
URI: https://dspace.lboro.ac.uk/2134/22551
Publisher Link: http://dx.doi.org/10.1111/jcpp.12398
ISSN: 0021-9630
Appears in Collections:Published Articles (Sport, Exercise and Health Sciences)

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