Adult Attention Deficit Hyperactivity Disorder (ADHD) Assessment Team
What ADHD is
‘The definitions of ADHD and hyperkinetic disorder are based on maladaptively high levels of impulsivity, hyperactivity and inattention. It is very common for the core problems of ADHD present with other developmental impairments and/or mental health problems. The problems associated with ADHD appear in different ways at different ages; during the school years hyperactivity may present as excessive fidgetiness and body movements and in adult life it may be sustained as an inner sense of restlessness’ NICE (2008)
Attentional difficulties in adults include struggling to sustain focus to complete activities, issues with effective planning, sequencing and time management. There are difficulties with retention and recall of information and both distractibility and zoning out.
Hyperactivity/impulsivity in adults include fidgeting, restlessness, avoidance of activities requiring sitting, irritability and rapid cycling mood changes, inability to wait, impulsive decision making and behaviour that can include risk taking and difficulty managing money.
We can all identify with having days when we feel like this, that we have been forgetful, disorganised, in a world of our own and feeling restless but in ADHD the difficulties are the same every day, regardless of what type of activity a person is doing and it does not change according to mood or anxiety.
What we do
We are a service that provides assessment and treatment with medication for adults with Attention Deficit Hyperactivity Disorder (ADHD) in Lancashire with the exception of the Blackpool area which has its own service. We see people who are already in treatment but who are now too old for children’s services. We also see people who may have been diagnosed as a child but who may have stopped treatment or people who have never had a diagnosis but have reached a point where ADHD is being considered.
We carry out full diagnostic assessments for ADHD and can either make referrals for or signpost to other services for anything that is identified that is not ADHD. If no diagnosis of ADHD is made then the person would be discharged.
We initiate treatment in the form of medication after discussion with each person which includes health and lifestyle, what they hope to achieve from treatment, and to make the best decision about treatment for them.
Initiating medication means attending several monthly appointments but once treatment is stabilised in most areas we ask the GP to take over prescribing and we generally offer annual reviews.
Who we are
The team is nurse led and is made up of:
- Three Independent Nurse Prescribers; two full time and one part time
- One Specialist ADHD Practitioner whose profession is Occupational Therapy
- Two days of consultant psychiatrist per week provided by two consultants
The team is based at The Mount in Accrington but we hold clinics in 7 different locations throughout the county. The team is available 9 a.m.-5 p.m. Monday to Friday and messages can be left either with our admin team or on the voicemail. We are a non-urgent service and are in clinic with our patients most of the week so cannot guarantee a clinician will be able to return your call on the same day.
If people who use our service are concerned about their mental health enough to feel that they are at risk we would always suggest they contact their local crisis service and the link is as follows:
If their concern is about their physical health and they are unsure what to do and cannot wait to speak to the team we would always suggest contacting the NHS 111 or in an emergency A&E.
How to access the service
We need people to be referred to us with some information about why ADHD is being considered. It can help if the person can spend a little time making a list of what they find difficult day to day and how long this has been the case. If someone is seeing a mental health worker they can refer to us but if not GPs can refer via the Single Point of Access Service. Referrals made to Single Point of Access service are screened or sometimes an assessment is completed before the referral is forwarded to the most appropriate service for therapeutic intervention.
A common reason a referral cannot be accepted is that there is not enough information so the more information that you and the person referring you can share with us the better.
How to contact the service
The number for the service is 01254 226315 and the working hours are 9-5 Monday to Friday. Voicemails can be left outside these hours
Patient Information Leaflets
With our leaflets we aim to give you information about the Trust in general, our services and treatments, and to provide useful information for service users and their carers.