G469 Impact of capss and bpsu in identifying the imminent needs of adhd patients in transition from childrens to adults services across the united kingdom. (12th March 2018) - Ayyash, H
Abstract : Background: The Child and adolescent Psychiatry Surveillance System(CAPSS) is the British Paediatric Surveillance Unit's(BPSU's) baby sibling. It was established in year 2009, and to date has completed more than 6 National studies on children's mental health, with one more in the field of trnsition in ADHD. Aim: 1 st: To dissminate the clinically important findings from the National Transitional ADHD study run on the CAPSS and the BPSU in the UK. 2nd: To raise awareness of CAPSS methodology and its relevance for clinical practice for clinicians and for researchers working with people across the life span. Methods: This ADHD surveillance study run in collaboration with the Child and Adolescent Psychiatric Surveillance System(CAPSS) and British Paediatric Surveillance Unit(BPSU).Each month these units mailed a tick box response card to all consultant paediatricians and child psychiatrists in the UK. Consultants reported on the number of young patients who needed ongoing medications for ADHD and is within six months of the age boundary for their service. Baseline questionnaire was utilised to confirm the eligibility of the case, current treatment and comorbidity. Additional data were collected on the adult service to whom they were referred. Consultants were also asked to evaluate the different aspects of an optimal transition. The BPSU reported 135 cases with 64 returned questionnaires and 51 eligible ADHD cases in transition. The CAPSS reported on 115 cases with 47 returned questinnaires and 39 eligible ADHD cases in need of transition were identified. Results from the surveillance period which ended in November 2016 are very exciting. In general they indicate poor transition processes for young people with less than 25% of clinicians holding a transition planning meeting or having a handover period and less than 50% having the referral to an adult mental health service accepted. Conclusions: Both paediatricians and child psychiatrists are equally involved in the management of young children with ADHD. However, there are still gaps in the provision of transitions of ADHD adolescents across the lifespan in most UK regions. National guidelines that aims to promote optimal transitions and reduce perceived barriers to transition of care for young people with ADHD out of children's to adult services should be established. Funding acknowledgement: This project was funded by the National Institute for Health Research – Health Services and Delivery Research programme (project ref: 14/21/52)