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Attitudes and reported practice of paediatricians and child psychiatrists regarding the assessment and treatment of ADHD in Ireland

  • F. Honorio Neto (a1), M. Tatlow-Golden (a2), A. Mulligan (a1), B. Gavin (a1) and F. McNicholas (a1)...

This mixed-method national survey has obtained original data on attention deficit hyperactivity disorder (ADHD) attitudes, assessment and treatment regimes reported by paediatricians and child psychiatrists; and has compared their clinics. It has examined the extent of involvement of Irish paediatricians in the management of ADHD.


A questionnaire was designed, based on a review of literature and ADHD guidelines, and piloted by expert clinicians. Universal recruitment was conducted among Child and Adolescent Mental Health Services (CAMHS) consultants (n=71) and community/general paediatric consultants (n=72). Quantitative and qualitative data was collected and analysed.


There was an overall response rate of 43%. A dedicated ADHD clinic is offered in 79% of CAMHS services, but only in one paediatric service. Participants reported that the assessment of ADHD involves multidisciplinary work and this was only established in CAMHS clinics. Medication is initiated by 82% of child psychiatrists and only 22% of paediatricians.


This first national study of ADHD attitudes and practices presents comprehensive data regarding the management of children with ADHD in CAMHS and paediatric settings in Ireland. Paediatricians reported a minor role in managing ADHD. Study limitations are related to subjective reporting rather than case note audit, and a moderate response rate for the paediatricians’ participants.

Corresponding author
*Address for correspondence: M. s. F. Honorio Neto, UCD School of Medicine and Medical Science, University College Dublin (UCD), Belfield, Dublin 4, Ireland (Email:
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American Academy of Child and Adolescent Psychiatry (AACAP) Work Group on Quality Issues (2007). Practice parameter for the assessment and treatment of children and adolescents with attention-deficit/hyperactivity disorder. Journal of the American Academy of Child and Adolescent Psychiatry 46, 894921.
Canadian Attention Deficit Hyperactivity Disorder Resource Alliance (CADDRA) (2011). Canadian ADHD Practice Guidelines, 3rd edn. CADDRA: Toronto, Ontario.
Clarke, V, Braun, V (2013). Teaching thematic analysis. Methods 26, 120123.
Cunningham, CT, Quan, H, Hemmelgarn, B, Noseworthy, T, Beck, CA, Dixon, E, Samuel, S, Ghali, WA, Sykes, LL, Jetté, N (2015). Exploring physician specialist response rates to web-based surveys. BMC Medical Research Methodology 15, 32.
Department of Education (2015) Pilot project to support the development of a new model for allocating additional teaching resources to schools for pupils with special educational needs, 15 September Accessed 23 November 2016.
Department of Education, Houses of the Oireachtas (2004). Education for Persons with Special Educational Needs Act. Department of Education.
Dreyer, R, Kiernan, MJ, Tyson, GA (2012). Parental and professional beliefs on the treatment and management of ADHD. Journal of Attention Disorders 16, 398405.
Hall, R (2013). Mixed methods: in search of a paradigm. In Conducting Research in a Changing and Challenging World, (ed. T. Lê and Q. Lê), chapter 7, pp. 71–78. Launceston, Tasmania: Nova Science Publishers Inc: UK.
Health Service Executive (HSE) (2014). Fifth Annual Child and Adolescent Mental Health Service Report 2012–2013. Health Service Executive: Dublin.
Higgins, JPT, Green, S (editors) (2011). Cochrane handbook for systematic reviews of interventions. The Cochrane Collaboration. Version 5.1.0. ( Accessed 15 May 2015.
Hill, CE, Knox, S, Thompson, BJ, Williams, EN, Hess, SA, Ladany, N (2005). Consensual qualitative research: an update. Journal of Counseling Psychology 52, 196205.
McNicholas, F, Orakwue-Ononye, N, O’Hanrahan, S (2014). Paediatric psychotropic prescribing practices in Ireland. Irish Journal of Psychological Medicine 31, 720.
Medical Council of Ireland (2014). Medical workforce intelligence report. A report on the Annual Registration Retention Survey 2013.
National Health and Medical Research Council (2012). Clinical practices points on the diagnosis, assessment and management of attention deficit hyperactivity disorder in children and adolescents. Commonwealth of Australia.
National Institute for Health and Care Excellence (2008). Attention Deficit Hyperactivity Disorder: Diagnosis and Management. NICE: London (last update 2016).
New Zealand Ministry of Health (2001). New Zealand Guidelines for the Assessment and Treatment of Attention-Deficit/Hyperactivity Disorder. Ministry of Health: Wellington.
O’Keeffe, N, McNicholas, F (2011). Paediatricians’ views on their role in the assessment and management of ADHD and autism. Irish Medical Journal 104, 282284.
Pallant, J (2011). SPSS Survival Manual: a step by step guide to data analysis using SPSS. Allen & Unwin 4, 341.
Polanczyk, G, de Lima, MS, Horta, BL, Biederman, J, Rohde, LA (2007). The worldwide prevalence of ADHD: a systematic review and metaregression analysis. American Journal of Psychiatry 164, 942948.
Royal College of Psychiatrists (2015). Physical health of children and adolescents: What specialist child and adolescent psychiatrists need to know and do. Faculty of Child and Adolescent Psychiatry, Faculty Report, England and Wales and Scotland.
Salmon, G, Kemp, A (2002). A Survey of psychiatric and paediatric practice. Child and Adolescent Mental Health 7, 7378.
Scottish Intercollegiate Guidelines Network (2009). Management of Attention Deficit and Hyperactivity Disorders in Children and Young People – A National Clinical Guideline. Scottish Intercollegiate Guidelines Network (SIGN): Edinburgh.
Storebø, J, Ramstad, E, Krogh, HB, Nilausen, TD, Skoog, M, Holmskov, M, Rosendal, S, Groth, C, Magnusson, FL, Moreira-Maia, CR, Gillies, D, Buch Rasmussen, K, Gauci, D, Zwi, M, Kirubakaran, R, Forsbol, B, Simonsen, E, Gluud, C (2015). Methylphenidate for children and adolescents with attention deficit hyperactivity disorder (ADHD) (Review). Cochrane Developmental. Psychosocial and Learning Problem Group. The Cochrane Library, 1–767.
Subcommittee on Attention-Deficit/Hyperactivity Disorder, Steering Committee on Quality Improvement and Management/American Academy of Pediatrics (2011). ADHD: clinical practice guideline for the diagnosis, evaluation, and treatment of attention-deficit/hyperactivity disorder in children and adolescents. Pediatrics 128, 1–16.
Taylor, E, Döpfner, M, Sergeant, J, Asherson, P, Banaschewski, T, Buitelaar, J, Coghill, D, Danckaerts, M, Rothenberger, A, Sonuga-Barke, E, Steinhausen, HC, Zuddas, A (2004). European clinical guidelines for hyperkinetic disorder – first upgrade. European Society for Child and Adolescent Psychiatry (ESCAP) l3 (Suppl. 1): 1730.
Turgay, A (2007). A multidimensional approach to medication selection in the treatment of children and adolescents with ADHD. Psychiatry (Edgmont) 8, 4757.
Venter, A, Linde, G, Plessis, JD, Joubert, G (2004). A comparison between South African psychiatrists’ and paediatricians’ knowledge, attitudes and current practices regarding the management of children with attention deficit/hyperactivity disorder. Journal of Child & Adolescent Mental Health 16, 1118.
World Health Organization (WHO) (2003). Caring for Children and Adolescents with Mental Disorders. Setting WHO Directions. WHO: Geneva, Switzerland.
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Irish Journal of Psychological Medicine
  • ISSN: 0790-9667
  • EISSN: 2051-6967
  • URL: /core/journals/irish-journal-of-psychological-medicine
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Honorio Neto supplementary material
Honorio Neto supplementary material 1

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