Practitioner review: continuity of mental health care from childhood to adulthood for youths with ADHD – who, how and when?

Abstract

Many youths with attention-deficit/hyperactivity disorder (ADHD) experience significant long-term impairment and may develop concurrent mental and somatic health difficulties as adults. This is associated with burden and costs for the individual and society which could be prevented through continued support in youth. Yet, only few young people transition to adult mental health services for ongoing care in different countries worldwide. We provide an overview on current transition practices, highlighting the gaps in knowledge and the barriers to effective service transitioning, while cog different aspects of the transition process and
considering both service users’ nsidering the large geographical variation in available guidelines and service provision. For ease of use, this review is organized in a question-and-answer format coverinand clinicians’ perspectives. Consensus is needed to identify those that require continued care, the optimal timing to arrange transition, and the most suitable services. Finally, we discuss costeffectiveness of transition practices, consider examples of best practice, and propose recommendations on how to mprove transitional care, including the importance of service users’ input into transition planning

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ORCID for Valeria Parlatini: orcid.org/0000-0002-4754-2494

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