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ADHD

Attention Deficit Hyperactivity Disorder (ADHD) Service

ADHD is a medical condition where children show difficulties in 3 areas:

Inattention: this includes difficulties concentrating, organising oneself and often forgetting things;

Hyperactivity: this includes constantly being on the go, fidgeting/squirming when expected to sit still and constantly talking, or making a noise;

Impulsivity: this includes doing or saying things without thinking of the consequences, shouting out in class and difficulties waiting a turn.

Many children show some of these difficulties at times in their life although if they are there a lot of the time and are having a significant effect on their life it may be they have ADHD. A diagnosis of ADHD is usually not made until children are 6 years old.

How to be referred to the ADHD service

This service supports children and young people who are over 5 years old, and who are struggling with paying attention or concentrating with suspected ADHD. Children under 5 should be referred to their Health Visitor and/or the Bromley Children’s Project (BCP)

For children aged 5-6, parents or carers need to attend a Parenting Course through the BCP before making a referral. This course is the first line of intervention/treatment for ADHD-type behaviours. Referrals should come from the child’s school or education setting and include a completed Vanderbilt questionnaire and School ADHD Report Form, which can be found on the Bromley Education website. If the child is not in school, information should be enclosed from another professional (e.g. Speech Therapist, Educational Psychologist, Behavioural Therapist etc), highlighting the difficulties the child is showing, including their observations of the child.

What happens next?

Questionnaires will usually be sent out to both the school and parents/carers to get further information, an appointment with one of the Community Paediatricians is then offered where you can discuss your concerns. If needed a school based observation can then be organised.

Treatment of ADHD

If a diagnosis of ADHD is made the doctor will discuss treatment options for ADHD with you. Depending on the severity of the ADHD these may include parenting groups/workshops looking at how to manage difficult behaviour and/or medication. Parenting groups/workshops/courses are offered by Bromley Children’s Project locally and we would recommend that you contact them to discuss which course best meet your needs. You can contact them on 020 8461 7259 or email: bcpadmin@bromley.gov.uk

Further information about ADHD can be obtained through ADDISS

Useful websites and resources

The Attention Deficit Disorder Information and Support Service (ADDISS) offers information and support on ADHD and related learning and behaviour disorders. Call them on 020 8952 2800 or visit their website at addiss.co.uk

adhdfoundation.org.uk

nhs.uk/conditions/attention-deficit-hyperactivity-disorder-adhd

The National Institute for Health and Care Excellence provides national guidance and advice to improve health and social care. There are NICE guidelines on ADHD online at nice.org.uk/guidance/cg72

There are a number of books on helping a child with ADHD available to buy or borrow from your local library:

  • Cathy Laver-Bradbury (2010) Step by step help for children with ADHD: a self-help manual for parents. Jessica Kingsley Publishers ISBN 1 849 050 708
  • Joanne Steer and Kate Horstmann (2009) Helping kids and teens with ADHD in school: a workbook for classroom support and managing transitions. Jessica Kingsley Publishers ISBN 1 843 106 639
  • Susan Yarney (2013) Can I tell you about ADHD? A guide for friends, family and professionals. Jessica Kingsley Publishers ISBN 1 849 053 596
  • Christopher Green and Kit Chee(1997): Understanding ADHD: A parent’s guide to Attention Deficit Hyperactivity Disorder in Children ISBN 9780091817008Thomas Phelan (2016): 1-2-3 Magic: 3-Step Discipline for Calm, Effective, and Happy Parenting  ISBN 149262988X