Public Affairs

ADHD in adults: good practice guidelines

This document was written by the Royal College of Psychiatrists in Scotland special interest group in ADHD, co-chaired by Marie Boilson and Prem Shah.

The aims of this publication are to:

  • provide psychiatrists with practical, evidence-based guidance in managing adults with attention-deficit hyperactivity disorder (ADHD) in mental healthcare settings
  • provide those involved in designing mental healthcare services in Scotland with a consensus view on how best to meet the needs of adults with ADHD.

This guidance draws on evidence summarised in established documents, including the National Institute for Health and Care Excellence (NICE) clinical guideline CG72 (NICE, 2008), the British Association of Psychopharmacology’s guidelines (Bolea-Alamañac et al, 2014) and the European Consensus Statement (Kooij et al, 2010).

This is a compact reference guide for those working with this patient group. It is not a substitute for the more extensive guidelines referred to above or for formal clinical training.

Where there is insufficient trial-based evidence, our guidance draws from the clinical experience of the psychiatrists of the Royal College of Psychiatrists in Scotland Adult ADHD Working Group.

This guidance has been developed by the Royal College of Psychiatrists in Scotland to assist psychiatrists and those designing services in Scotland with providing evidence-based care for adults with ADHD.

It is written to be applicable to the Scottish health system. However, the evidence, principles and approaches it sets out may also be relevant for other jurisdictions of the UK.

The group meets approximately three times in the year and attracts a large membership of voluntary agencies, professionals from health and social care organisations, MSPs and individual service users and carers.

Topics the group has covered range from Mental Health in Prisons to Suicide Prevention and meetings always offer up a lively discussion.

To find out more about the group, please contact Andrew Fraser at andrew.fraser@rcpsych.ac.uk.

RCPsych in Scotland have identified maternal and early years mental health as a key clinical and public mental health priority.

We launched our new campaign 'Healthy Start, Healthy Scotland' at the Scottish Parliament on Wednesday 23 September 2015. 

Read more about the campaign.

Personality Disorder in Scotland Report: Raising awareness, raising expectations, raising hope

  • Full report (Released 17 August 2018)
  • Briefing paper  (Released 17 August 2018)
  • Presentations from the Launch Event (Released 09 October 2018) -  Please email: scotland@rcpsych.ac.uk if you would like a copy of the presentations.

The Royal College of Psychiatrists in Scotland has identified Personality Disorder as a clinical and public mental health priority. It aims to promote education and awareness and campaign for service development in order to ensure the best possible outcomes for those with a personality disorder.

The College will achieve this through a 2-year campaign to raise awareness, identify areas of best clinical practice, make recommendations for change and breakdown barriers to effective care within and outwith our profession.

The publication of this report is intended to positively change attitudes of clinicians, the media and the wider public about the causes and prevalence and treatment of Personality Disorder.

The report was put together by the Short Life Working Group on Personality Disorder whose membership includes representatives from faculties of the RCPsych in Scotland, as well as others from various professional backgrounds and those with lived experience of the diagnosis.

What will the Royal College of Psychiatrists in Scotland do over the next two years?

Challenge misconceptions and reduce stigma around Personality Disorders

  • The College will campaign to improve knowledge and awareness of Personality Disorder through public and professional educational events, engagement with politicians and healthcare providers, and media liaison.
  • By producing and disseminating materials about personality disorders the College will seek to draw additional awareness to the campaign.

Advocate for adequate funding and equal service provision for personality disorders across Scotland

  • The College will engage with politicians and healthcare providers to lobby for inclusion of specific actions on personality disorder in the Mental Health Strategy.
  • The College will encourage each Health Board to have a Personality Disorder lead and to include personality disorder in mental health plans, ensuring availability of both long-term treatment and crisis care.
  • The College will promote the establishment of a Managed Clinical Network for Personality Disorder to co-ordinate development of equitable service provision across Scotland. 

Promote best practice in service delivery across both primary and secondary care

  • By producing and disseminating a report on Personality Disorder which includes a good practice guide, the College will promote best practice in service delivery.
  • The College will work jointly with third sector, those with lived experience and the people who support them, to learn about their current and future expectations of care.

Examples of Crisis Planning Documents:

The Scottish Mental Health Partnership is a coalition of third sector mental health organisations, service providers and professional bodies working together to promote mental health awareness and improve outcomes for people experiencing mental health problems. 

The partnership collaborates to offer new perspectives and a progressive vision for mental health in Scotland.

As such, we have a keen interest in the development of the next mental health strategy.

We believe that there is an appetite, and need, for a significant shift in our approach to mental health in Scotland and that by working in unity complex change may be more achievable.

This is driven both by a desire to reduce the incidence of mental health issues and to improve outcomes and experiences for people experiencing mental health issues. 

Read the briefing paper ' Why Mental Health Matters to Scotland's Future'.

We are calling for a high level Commission of enquiry to lead and inform the transformation we need to place mental health and wellbeing at the heart of Scotland’s future.

This would have two objectives:

  • To fully understand and map out how mental health promotion, prevention and support and treatment is recognised across the policy mainstream.
  • To undertake a root and branch review of the way all public  and third sector services support mental health and wellbeing from the perspective of people using them, drawing on best practice globally to describe a vision of what mental health promotion, prevention and support and treatment services should look like by 2020, and 2030.

This Commission must be independent, fully informed by people with experience of mental health issues and of wider inequalities, and be able to make binding recommendations for change, backed, where necessary by legislative reforms.

We call for cross party support for the commission and an appropriate allocation of funding to enable it to be launched as a commitment in the forthcoming mental health strategy. Its recommendations should be enacted through the lifetime of the pending and future mental health strategies.

If you have any enquiries on the briefing paper or any other Partnership matters, please contact scottishmentalhealthpartnership@rcpsych.ac.uk

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