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Services for adults with ADHD: work in progress(†): Commentary on . . . Specialist adult ADHD clinics in East Anglia
Magon and colleagues highlight a number of relative strengths and weaknesses very reminiscent of those we have seen over the years in the development of similar services for children and adolescents. It is clear that we all have a lot of work to do to improve our approach to the transition from chil...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Royal College of Psychiatrists
2015
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4478922/ https://www.ncbi.nlm.nih.gov/pubmed/26191454 http://dx.doi.org/10.1192/pb.bp.114.048850 |
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author | Coghill, David |
author_facet | Coghill, David |
author_sort | Coghill, David |
collection | PubMed |
description | Magon and colleagues highlight a number of relative strengths and weaknesses very reminiscent of those we have seen over the years in the development of similar services for children and adolescents. It is clear that we all have a lot of work to do to improve our approach to the transition from child to adult services. There was clear evidence that adult services can adapt to manage ADHD, but there is also a clear need for increased upskilling of clinicians in the practical management of medication and other treatments. I disagree with Magon and colleagues about the role of primary care and believe that treatment initiation and ongoing monitoring should, for the time being, remain in secondary care and that, because of the volume of work that will come our way, this will need to become a core rather than specialist task. As with other aspects of psychiatric care, there is a clear role for specialist nurses in delivering a significant proportion of the core care. |
format | Online Article Text |
id | pubmed-4478922 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Royal College of Psychiatrists |
record_format | MEDLINE/PubMed |
spelling | pubmed-44789222015-07-17 Services for adults with ADHD: work in progress(†): Commentary on . . . Specialist adult ADHD clinics in East Anglia Coghill, David BJPsych Bull Current Practice Magon and colleagues highlight a number of relative strengths and weaknesses very reminiscent of those we have seen over the years in the development of similar services for children and adolescents. It is clear that we all have a lot of work to do to improve our approach to the transition from child to adult services. There was clear evidence that adult services can adapt to manage ADHD, but there is also a clear need for increased upskilling of clinicians in the practical management of medication and other treatments. I disagree with Magon and colleagues about the role of primary care and believe that treatment initiation and ongoing monitoring should, for the time being, remain in secondary care and that, because of the volume of work that will come our way, this will need to become a core rather than specialist task. As with other aspects of psychiatric care, there is a clear role for specialist nurses in delivering a significant proportion of the core care. Royal College of Psychiatrists 2015-06 /pmc/articles/PMC4478922/ /pubmed/26191454 http://dx.doi.org/10.1192/pb.bp.114.048850 Text en © 2015 The Author http://creativecommons.org/licenses/by/4.0/ This is an open-access article published by the Royal College of Psychiatrists and distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Current Practice Coghill, David Services for adults with ADHD: work in progress(†): Commentary on . . . Specialist adult ADHD clinics in East Anglia |
title | Services for adults with ADHD: work in progress(†): Commentary on . . . Specialist adult ADHD clinics in East Anglia |
title_full | Services for adults with ADHD: work in progress(†): Commentary on . . . Specialist adult ADHD clinics in East Anglia |
title_fullStr | Services for adults with ADHD: work in progress(†): Commentary on . . . Specialist adult ADHD clinics in East Anglia |
title_full_unstemmed | Services for adults with ADHD: work in progress(†): Commentary on . . . Specialist adult ADHD clinics in East Anglia |
title_short | Services for adults with ADHD: work in progress(†): Commentary on . . . Specialist adult ADHD clinics in East Anglia |
title_sort | services for adults with adhd: work in progress(†): commentary on . . . specialist adult adhd clinics in east anglia |
topic | Current Practice |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4478922/ https://www.ncbi.nlm.nih.gov/pubmed/26191454 http://dx.doi.org/10.1192/pb.bp.114.048850 |
work_keys_str_mv | AT coghilldavid servicesforadultswithadhdworkinprogresscommentaryonspecialistadultadhdclinicsineastanglia |