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Prisoners with Attention Deficit Hyperactivity Disorder: Co-morbidities & Service Pathways

Published online by Cambridge University Press:  01 September 2022

A. Rawat ,
E. Chaplin ,
B. Perera ,
J. Mccarthy  and
K. Courtenay
A. Rawat*
Affiliation:
WHLDP, CNWL NHS Foundation Trust, Learning Disability, London, United Kingdom
E. Chaplin
Affiliation:
London South Bank University, Medical Sciences, London, United Kingdom
B. Perera
Affiliation:
Barnet Enfield and Haringey Mental Health NHS Trust, London, UK, Haringey Ldp, London, United Kingdom
J. Mccarthy
Affiliation:
King’s College London, Medical And Health Sciences, London, United Kingdom
K. Courtenay
Affiliation:
Barnet Enfield and Haringey Mental Health NHS Trust, London, UK, Psychiatry - Nlfs, London, United Kingdom
*
*Corresponding author.

Abstract

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Introduction

Effective diagnostic and treatment pathways for ADHD are needed in prison settings due to the high prevalence of ADHD and comorbidities in the prison population.

Objectives

In this presentation, we will describe two studies conducted in seperate London prisons in England. In the first study, the aim was to identify prisoners with ADHD with a focus on describing comorbidity. In the second study, using QI (quality improvement) methodology, the aim was to measure the practicability and effectiveness of a specialist ADHD diagnostic and treatment pathway for prisoners.

Methods

Two studies were carried out in two separate prisons in London. Firstly, data were collected to understand the prevalence of ADHD and the comorbidities. The second study used quality improvement (QI) methodology to assess the impact of a diagnostic and treatment pathway for prisoners with ADHD.

Results

Of the prisoners, 22.5% met the diagnostic criteria for ADHD. Nearly half of them were screened positive for autistic traits, with a higher prevalence of mental disorders among prisoners with ADHD compared to those without. The QI project led to a significant increase in the number of prisoners identified as requiring ADHD assessment but a modest increase in the number of prisoners diagnosed or treated for ADHD.

Conclusions

Despite various challenges, an ADHD diagnostic and treatment pathway was set up in a prison using adapted QI methodology. Further research is needed to explore the feasibility of routine screening for ADHD in prison and examine at a national level the effectiveness of current ADHD prison pathways.

Disclosure

No significant relationships.

Keywords

adhdPrisonersQuality ImprovementService Pathways
Type
Abstract
Information
European Psychiatry , Volume 65 , Special Issue S1: Abstracts of the 30th European Congress of Psychiatry , June 2022 , pp. S348
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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