The Management of ADHD in Children and Young People, Harpin, Chapter 16 cover

Management of ADHD in Children and Young People – Chapter 16: Transition to adult services in ADHD (ebook)

Product Type: PDF (Sub-Section of Book)

Series: Mac Keith Press Practical Guides

Edition: 1st

Publication date: January 2017

Page count: 16

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Chapter 16 – Transition to adult services in ADHD

ADHD was traditionally seen as a disorder of children, diagnosed and treated by paediatricians and consultants in child and adolescent psychiatry. The general view was that children grew out of ADHD on reaching adulthood and, as such, the disorder was dealt with only by specialists in childhood disorders. This view probably relates to a perception that the main symptom of ADHD is that of hyperactivity. Although the psychopathology of ADHD does change over time, with a reduction in hyperactivity as children grow older, it is increasingly recognised that the other cardinal ADHD symptoms of inattention and impulsivity often do not decline to the same degree as motor symptoms and that adults with ADHD often experience an inner mental restlessness. The validity of the concept of ADHD in adults was examined and confirmed with publication of the NICE Guidelines on ADHD, and there is increased recognition of ongoing symptoms and detrimental long-term outcomes in a significant proportion of young adults with ADHD.

About the book

This book is an accessible and practical guide on all aspects of assessment of children and young people with Attention Deficit Hyperactivity Disorder (ADHD) and how they can be managed successfully. The multi-professional team of authors discusses referral, assessment and diagnosis, psychological management, pharmacological management, and co-existing conditions, as well as ADHD in the school setting. New research on girls with ADHD is also featured. Case scenarios are included that bring these topics to life.

From the Foreword by Dr Duncan Manders:

The topics covered in this book reflect the questions clinicians working in the specialities of child and adolescent psychiatry or paediatrics frequently want answered and so would be ideal for training grade clinicians. The authors have used their expertise of delivering teaching to ensure that their content is clear and understandable to all. This book is not a simple introduction to the subject; clinicians from all backgrounds in children’s services, and at all levels of seniority will find something of value or interest, whether it be seeking validation for their current clinical practice or new insights into how to approach clinical challenges. As the science basis expands, our understanding of the neurobiology of this condition will increase; however, th eneed for access to the experience of clinicans who have been delivering care to this group of children and young people will remain irreplaceable. This book thoroughly fulfills that need.

 

Readership: neurodisability and community paediatricians, child and adolescent psychiatrists, specialist nurses, psychologists,  education professionals and  parents and carers.

Helen Crimlisk (Author) Val Harpin (Editor)

Val Harpin is a consultant neurodevelopmental paediatrician at the Ryegate Children’s Centre, part of the Sheffield Children’s NHS Foundation Trust, where she has practised for more than 25 years.

Her special interests include the care of children and young people with special needs and neurodisabilities, particularly ADHD, autism spectrum disorder and learning disability. Dr Harpin’s main research interest is in long-term outcomes for children and young people with ADHD.

  • Full book contents
  • Foreword David Manders
  • Preface
  • Prologue - ADHD and Proud David Tompkinson
  • 1. Introduction Val Harpin
  • 2. Referral: How to inform/educate referrers Val Harpin
  • 3. Diagnostic assessment: step by step approach Val Harpin
  • 4. Co-existing difficulties Val Harpin
  • 5. Psychoeducation and behavioural management David Daley
  • 6. The use of medication Peter Hill
  • 7. Using, monitoring and optimising treatment Peter Hill
  • 8. Monitoring growth, Val Harpin
  • 9. Cardiac issues: Assessment and monitoring Eric Rosenthal
  • 10. Working with schools Fintan O’Regan
  • 11. How Coexisting difficulties may affect the management of ADHD Val Harpin and Shatha Shibib
  • 12. The role of the ADHD Nurse specialist Julie Warburton and Mel Seymour
  • 13. Young people with ADHD Caroline Bleakly
  • 14. Girls with ADHD Nikos Mytass
  • 15. ADHD and substance misuse Kah Mirza
  • 16. Transition to Adult Services Helen Crimlisk
  • Appendix: Comparison of stimulants for ADHD
  • Appendix: Care Pathways

Prelims for Management of ADHD in Children and Young People by Val Harpin

Author Appointments vii

Foreword ix

Preface xi

Prologue: ADHD and proud xiii

'The prologue sets the stage for a very thorough look at ADHD amongst children and young people from both the clinical perspective and the “eye of the beholder” view. Many of the chapters provide case studies or dialogues with parents and children themselves that offer perspectives that might otherwise be missed. One aspect of the book that I found particularly interesting was the reflections as the child reaches the transition years. Youths with ADHD have even more difficulty “finding themselves” than other teens with increased prevalence of substance abuse and misuse, issues with judgment when driving, misunderstanding the criminal justice system, and associated stressors leading to anxiety, depression and self-harm. Having a better understanding of the teenage years can increase awareness by both clinicians and parents of potential hurdles in the child’s life. This book was a very good read with great references and websites for the average parent and the clinician.' Claire Davies, AACPDM Newsletter, Summer 2017