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Chapter 11 - Attention Deficit Hyperactivity Disorder: Assessment and Therapeutic Approaches within Forensic Settings

from Section 2 - Assessment and Therapeutic Approach

Published online by Cambridge University Press:  18 May 2023

Jane M. McCarthy
Affiliation:
Sussex Partnership NHS Foundation Trust and University of Auckland
Regi T. Alexander
Affiliation:
Hertfordshire Partnership University NHS Foundation Trust and University of Hertfordshire
Eddie Chaplin
Affiliation:
Institute of Health and Social Care, London South Bank University
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Summary

The significantly high prevalence of attention deficit hyperactivity disorder (ADHD) in prison populations raises the importance of assessment and treatment. Identification of prisoners for ADHD using screening tools is helpful. Those who are screened positive for ADHD can then undergo a full psychiatric assessment to confirm the diagnosis. The assessment also needs to focus on other potential comorbid mental disorders given the high prevalence of autism, intellectual disability, mental illness and personality disorders in prison/forensic population. Presence of comorbid mental disorders can also complicate the diagnostic process for ADHD. Treatment of ADHD is important given the strong evidence base for pharmacological treatment outcomes. Treatment needs to be personalised, taking into account many different factors. Stimulant or non-stimulant medications can be used, non-pharmacological interventions need to be offered alongside pharmacological treatments. Treatment of other comorbid mental disorders is equally important to achieve better outcomes. These may include pharmacological, psychological and social interventions within and when released from prison/forensic settings.

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Information
Forensic Aspects of Neurodevelopmental Disorders
A Clinician's Guide
, pp. 125 - 136
Publisher: Cambridge University Press
Print publication year: 2023

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References

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