Quality statement 3: Continuity of child to adult services

Quality statement

Adults who were diagnosed with and treated for attention deficit hyperactivity disorder (ADHD) as children or young people and present with symptoms of continuing ADHD are referred to general adult psychiatric services.

Rationale

There are increasing numbers of adults with ADHD in the general adult population and in addition there are a large number of adolescents moving from children's to adult's services. Adults with continuing symptoms of ADHD often experience much reduced levels of support as adults and it is important that their symptoms are recognised so that appropriate onward referral can be made.

Quality measures

Structure

Evidence of local arrangements to ensure that adults who present with symptoms of continuing ADHD are referred to general adult psychiatric services.

Data source: Local data collection.

Process

Proportion of adults with ADHD who present with symptoms of continuing ADHD who are referred to general adult psychiatric services.

Numerator – the number of people in the denominator who are referred to general adult psychiatric services.

Denominator – the number of adults aged 18 years and over with ADHD who present with symptoms of continuing ADHD.

Data source: Local data collection.

Data are collected through the Mental health minimum dataset (MHMDS) on, referral request received date (REFRECDATE), source of initial referral (REFERRAL), adult mental health team type (CLINTEAMGRP), primary diagnosis (PRIMDIAG) and secondary diagnosis (SECONDDIAG).

Outcome

Adults feel supported to manage their ADHD.

Data source: Local data collection. Data will also be collected against NHS outcomes framework 2013–14 indicator 2.1: proportion of people feeling supported to manage their condition, indicator 4.7: patient experience of community mental health services.

What the quality statement means for service providers, health and social care practitioners, and commissioners

Service providers ensure that systems are in place for adults who present with symptoms of continuing ADHD to be referred to general adult psychiatric services.

Health and social care practitioners ensure that adults who present with symptoms of continuing ADHD are referred to general adult psychiatric services.

Commissioners ensure they commission general adult psychiatric services for adults who present with symptoms of continuing ADHD.

What the quality statement means for patients, service users and carers

Adults who had ADHD when they were younger and who still have symptoms of ADHD are referred to general adult psychiatric services.

Source guidance

Definitions of terms used in this quality statement

Symptoms of ADHD should be associated with at least moderate or severe psychological, social, educational or occupational impairment.

Adults People aged 18 years or over.

Equality and diversity considerations

Consideration should be given to the provision of services for adults within the prison population identified as having symptoms of continuing ADHD.