Evaluation of a drop‐in clinic for young people with attention deficit hyperactivity disorder
Evidence & Practice    

Evaluation of a drop‐in clinic for young people with attention deficit hyperactivity disorder

Hanah Sfar-Gandoura ADHD nurse specialist, Leicestershire Partnership NHS Trust, Leicester, England
Gemma Sinead Ryan
Gail Melvin
Aims

To implement and evaluate a nurse‐led, multi‐agency drop‐in clinic for young people with attention deficit hyperactivity disorder (ADHD).

Method

A repeated measures observational study over 12 months exploring clinic attendance and user satisfaction, crisis management and did not attend (DNA) rates, consultant time spent with patients, benefits to quality of care, and service flexibility.

Results

A total of 62 service users participated. A significant improvement in service user experience was observed (P = 0.001). Crisis management attendances significantly increased (P = 0.005). DNA rates did not reduce significantly (P = 0.057). Service users attended for their medication review before or on their due date (P = 0.011). Those who needed to were able to spend more time with the staff (P = 0.001).

Conclusion

The clinic improved service accessibility and flexibility. It allowed adherence to clinical guidance, including uptake of psychosocial interventions. There was an overwhelmingly positive improvement in service user experience. Importantly, as contact with the ADHD nurse specialists increased, this significantly reduced the amount of time consultant community paediatricians spent with service users. Further research should examine the cost‐effectiveness and longitudinal effect of the drop‐in model.

Nursing Children and Young People. doi: 10.7748/ncyp.2017.e808

Correspondence

research@leicspart.nhs.uk

Peer review

This article has been subject to open peer review and has been checked for plagiarism using automated software

Received: 07 June 2017

Accepted: 13 January 2017

Published online: 30 May 2017