Quality statement 5: Psychological treatments for children and young people

Quality statement

Children and young people with moderate attention deficit hyperactivity disorder (ADHD) are offered a referral to a psychological group treatment programme.

Rationale

ADHD affects many aspects of the lives of children and young people. Psychological treatment programmes aim to improve their daily functioning and their relationships with family members, carers and peers.

Quality measures

Structure

a) Evidence of local arrangements to ensure that children and young people with moderate ADHD are offered a referral to a psychological group treatment programme.

Data source: Local data collection.

b) Evidence of local arrangements for the provision of psychological group treatment programmes.

Data source: Local data collection.

Process

Proportion of children and young people with moderate ADHD who are referred to a psychological group treatment programme.

Numerator – the number of people in the denominator who are referred to a psychological group treatment programme.

Denominator – the number of children and young people with moderate ADHD.

Data source: Local data collection. NICE clinical guideline 72 audit support tool, services for children and young people, criterion 4.

Outcome

Children and young people feel able to manage their condition.

Data source: Local data collection. Data will be collected against Public Health outcomes framework for England, 2013–16 indicator 1.3: pupil absence, indicator 1.4: first time entrants to the youth justice system, indicator 1.5: 16–18 year olds not in education, employment or training, indicator 2.8: emotional wellbeing of looked-after children.

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

Service providers ensure that systems are in place for children and young people with moderate ADHD to be offered a referral to a psychological group treatment programme.

Healthcare practitioners children and young people with moderate ADHD are offered a referral to a psychological group treatment programme.

Commissioners ensure that they commission psychological group treatment programmes for children and young people with moderate ADHD.

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

Children and young people with moderate ADHD are offered a referral to a psychological group treatment programme.

Source guidance

Definitions of terms used in this quality statement

Psychological group treatment programmes should consist of cognitive behavioural therapy (CBT) or social skills training.

Such courses should cover:

  • solving problems

  • developing their ability to control themselves

  • listening when other people are talking to them

  • coping with and expressing their feelings

  • improving relationships with their friends and other children.

NICE clinical guideline 72 recommendation 1.5.2.6 states that for older adolescents with ADHD and moderate impairment, individual psychological interventions (such as CBT or social skills training) may be considered as they may be more effective and acceptable than group parent training and education programmes or group CBT or social skills training.

Children are defined as people aged 11 years and under.

Young people are defined as people aged 12 to 18 years.

Moderate ADHD in children and young people is present when one of more of the symptoms of hyperactivity, impulsivity or inattention, are present, and associated with at least moderate impairment, which should be present in multiple settings and in multiple domains, where the level appropriate to the child's chronological and mental age has not been reached.

Equality and diversity considerations

The presence of common coexisting conditions such as conduct disorders, mood disorders or learning disability should be considered when planning psychological group treatment programmes for children and young people.