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Article
Publication date: 26 August 2014

Moshieve Febin Edwin

Adult ADHD is a neuro-developmental disorder. The current prevalence of ADHD in adults is around 1.9-4 per cent. The service for adults with ADHD based on NICE guideline…

Abstract

Purpose

Adult ADHD is a neuro-developmental disorder. The current prevalence of ADHD in adults is around 1.9-4 per cent. The service for adults with ADHD based on NICE guideline recommendation. Hence, the author decides to audit the Adult ADHD case loads against the gold standard set by the NICE. The paper aims to discuss these issues.

Design/methodology/approach

The study was based on a retrospective analysis and collection of data from electronic patient records for a duration of five months between October 2011 and February 2012. The data findings were matched against the NICE standards. There were 15 standards identified. On top of that we used six service outcome questions to improve the Quality of the service provided.

Findings

As the service outcomes were set for 100 per cent, the performance fell short in few areas. The service managed to achieve roughly 80-95 per cent in areas such as medication monitoring, transition service and care plan with shared care guidelines for prescription in primary care. The service under performed in areas on non-pharmacological interventions such as cognitive-behavioural therapy (CBT). The service continues to provide a exceptional service for adults with intellectual disability and ADHD.

Research limitations/implications

The research was limited by information and recall bias due to the retrospective nature of data analysis. There was also over representation of the numbers in co-morbid cases due to more than two diagnosis.

Practical implications

The paper outlines the regional outcome of the audit. However the findings have wider implications. For example the prevalence rate is more common in males than females. CBT is an important resource in the management of ADHD in adults. Priority and importance need to be given for providing a service for CBT in adults with ADHD.

Social implications

The cost of sickness and non-employment due to ADHD is significantly high. Treating this complex group with medications and CBT improves the outcome and get them back in employment and reduce recidivism rates in offenders.

Originality/value

The author feels the adult ADHD service audit has huge service implications. Currently it is a controversial diagnosis significantly under-resourced. The outcome survey had highlighted the areas of need as a neurodevelopmental disorder.

Details

Advances in Mental Health and Intellectual Disabilities, vol. 8 no. 5
Type: Research Article
ISSN: 2044-1282

Keywords

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Article
Publication date: 13 August 2021

Eddie Chaplin, Amina Rawat, Bhathika Perera, Jane McCarthy, Ken Courtenay, Andrew Forrester, Susan Young, Hannah Hayward, Jess Sabet, Lisa Underwood, Richard Mills, Philip Asherson and Declan Murphy

This paper aims to examine effective diagnostic and treatment pathways for attention deficit hyperactivity disorder (ADHD) in prison settings given the high prevalence of

Abstract

Purpose

This paper aims to examine effective diagnostic and treatment pathways for attention deficit hyperactivity disorder (ADHD) in prison settings given the high prevalence of ADHD and comorbidities in the prison population.

Design/methodology/approach

Two studies were carried out in two separate prisons in London. Firstly, data were collected to understand the prevalence of ADHD and the comorbidities. The second study used quality improvement (QI) methodology to assess the impact of a diagnostic and treatment pathway for prisoners with ADHD.

Findings

Of the prisoners, 22.5% met the diagnostic criteria for ADHD. Nearly half of them were screened positive for autistic traits, with a higher prevalence of mental disorders among prisoners with ADHD compared to those without. The QI project led to a significant increase in the number of prisoners identified as requiring ADHD assessment but a modest increase in the number of prisoners diagnosed or treated for ADHD.

Originality/value

Despite various challenges, an ADHD diagnostic and treatment pathway was set up in a prison using adapted QI methodology. Further research is needed to explore the feasibility of routine screening for ADHD in prison and examine at a national level the effectiveness of current ADHD prison pathways.

Details

International Journal of Prisoner Health, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 1744-9200

Keywords

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Article
Publication date: 13 March 2007

Graeme H. Coetzer and Lynn Richmond

The purpose of this research is to investigate the relationship between adult attention deficit and efficacy for working in teams.

Abstract

Purpose

The purpose of this research is to investigate the relationship between adult attention deficit and efficacy for working in teams.

Design/methodology/approach

A total of 181 management students working in short term project teams (13 weeks) completed established assessments of efficacy for working in teams and a multi‐dimensional measure of adult attention deficit. The hypotheses were tested using product moment correlations and multiple regression.

Findings

Multiple regression provided support for the general hypothesis that adult attention deficit predicts lower efficacy for working in teams (F(5, 176) = 7.31, p=0.00). All dimensions of adult attention deficit were significantly correlated with efficacy for teamwork (r = −0.20 to −0.41), and the hypothesis that difficulty managing emotional interference uniquely predicts efficacy for teamwork was supported (β: p=0.000).

Research limitations/implications

Future research needs to include a variety of workplace teams.

Practical implications

The strength of the results suggests that organizations implementing work teams need to be more aware of the effect of adult attention deficit on team member confidence and ability. Organizational development practices need to include interventions that assist the members with adult attention deficit.

Originality/value

This research helps to raise awareness of the relationship between adult attention deficit and key organizational behaviors. This research is of value to researchers, managers, organizational development specialists and employees who are trying to develop effective ways of supporting employees who are struggling with adult attention deficit.

Details

Team Performance Management: An International Journal, vol. 13 no. 1/2
Type: Research Article
ISSN: 1352-7592

Keywords

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Article
Publication date: 22 April 2010

Graeme H. Coetzer and Richard Trimble

A recent national survey of the US workforce suggests that adult attention related disorders are producing a wide range of negative outcomes in the workplace. The symptoms…

Abstract

A recent national survey of the US workforce suggests that adult attention related disorders are producing a wide range of negative outcomes in the workplace. The symptoms typically associated with the disorder (difficulties with activation, concentration, effort, emotional interference and accessing memory) suggest that team work may represent a problematic situation for adults with the disorder. Subjects were one hundred and fifty‐five student teams (subjects=628) from universities in both Canada and the United States. The study begins by confirming a hypothesis arising out of previous qualitative research that team members with adult attention deficit have relatively greater difficulty with necessary but uninteresting tasks. The hypothesis that team members with the disorder will be extraordinarily reliant on their teammates was also supported. The need to secure situations of particular fit, and to do so without undermining the support of fellow teammates, suggests that cooperative conflict management styles are especially important for clinical AAD vs. non‐clinical team members. The specific hypotheses, that cooperative styles (problem solving and compromising) are especially important for producing positive team experiences/expectations and efficacy for working in teams, were supported. Future research needs to sample more workplace teams.

Details

American Journal of Business, vol. 25 no. 1
Type: Research Article
ISSN: 1935-5181

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Article
Publication date: 6 March 2009

Graeme H. Coetzer and Richard Trimble

The purpose of this paper is to examine the impact of adult attention deficit on team members, the relationships between team members, the task performance dynamics within…

Abstract

Purpose

The purpose of this paper is to examine the impact of adult attention deficit on team members, the relationships between team members, the task performance dynamics within teams and team member performance.

Design/methodology/approach

A total of 304 management students working in self managing project teams completed measures of adult attention deficit, difficulty with necessary tasks, general independence, extraordinary reliance on team mates and acceptance of reliance on team mates. A measure of a team member's performance was completed by the other team members upon completion of the team project. Product moment correlations were used to examine associations between the measures, and partial correlations were used to test for mediation effects. The Williams T2 test was used to test for significant differences in correlations between adult attention deficit and related variables.

Findings

Adult attention deficit interferes with the ability to perform necessary tasks and constrains the achievement of a general sense of independence. The disorder also promotes extraordinary reliance on team mates and constrains team member performance. Although the disorder promotes extraordinary reliance on team mates, it promotes acceptance of such reliance to a much lesser extent.

Research limitations/implications

Future research needs to sample a variety of workplace teams. Testing the hypotheses on new samples will also help to confirm the validity and reliability of the measures developed for this study.

Practical implications

Organizations that are increasingly reliant on the performance of employee teams need to be more aware of the influence of adult attention deficit on team members, their relationships with other team members and their performance. Providing individual training and team interventions that target the cognitive, emotional and behavioral capacity for completing necessary tasks is especially important for team members afflicted with the disorder.

Originality/value

This is the first study to examine the relationship between adult attention deficit, reliance on other team members and team member performance. This research is of value to researchers, organizational development specialists, managers and team members who are trying to improve the performance of team members with adult attention deficit.

Details

Team Performance Management: An International Journal, vol. 15 no. 1/2
Type: Research Article
ISSN: 1352-7592

Keywords

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Article
Publication date: 6 June 2016

Graeme Coetzer

The purpose of this paper is to conduct an empirical examination of the mediating influence of time management (TM) on relationship between adult attention deficit (AAD…

Abstract

Purpose

The purpose of this paper is to conduct an empirical examination of the mediating influence of time management (TM) on relationship between adult attention deficit (AAD) and role stress (RS).

Design/methodology/approach

In total, 117 actively employed business graduate students completed a self-report measure of RS and identified two close associates, one of which completed an observer version of the Brown Attention Deficit Scale while the other complete an observer version of a TM measure. Product moment correlations were used to test the hypotheses that AAD, TM and RS were associated. The Sobel test of mediation was used to test the hypothesis that TM mediated the relationship between AAD and RS.

Findings

AAD, TM and RS are associated with each other and TM partially mediates the relationship between AAD and RS.

Research limitations/implications

Research study is limited by a measure of AAD that may not fully represent all the key symptom clusters and an indirect workplace sample. Further investigation of AAD symptoms, including potentially positive manifestations like entre/intrapreneurial cognition and behavior, is required to stabilize the content, structure and measurement of the construct.

Practical implications

Organizations wishing to ensure timely completion of tasks and limit disruptive RS need to be aware of the influence of AAD. The provision of TM training, productivity management tools and an organized work space free of distractions is suggested for disordered employees. Various forms of organizational coaching including a peer coaching system may help disordered employees better manage both their time and their role. The effective design and management of teams represents a significant opportunity for effectively distributing the potential benefits of the disorder while managing deficits like poor TM and increased RS. Organizational development interventions that focus on TM and role (re)negotiation are suggested. Employee assistance programs that raise awareness and provide access to assessment are an important part of multimodal management of the disorder.

Social implications

Increasing social, economic and legal pressures to provide reasonable accommodation for functional but disordered employees and take appropriate advantage of employee diversity underscores the general social value of this research.

Originality/value

This research study is the first empirical examination of the mediating influence of TM on the relationship between AAD and RS. The results are of value to researchers, organizational development specialists, human resource management specialists, managers and employees who are seeking effective multimodal management of the disorder in the workplace.

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Article
Publication date: 24 April 2009

Mark S. Rosenbaum

The purpose of this paper is to introduce restorative servicescapes. The work demonstrates that younger‐aged consumers may remedy symptoms associated with directed…

Abstract

Purpose

The purpose of this paper is to introduce restorative servicescapes. The work demonstrates that younger‐aged consumers may remedy symptoms associated with directed attention fatigue, including adult attention deficit hyperactivity disorder (ADHD), by patronizing third places, such as video arcades and coffee shops.

Design/methodology/approach

This paper evaluates a servicescape's restorative potential by drawing on established measures. Attention restoration theory (ART) has been explored in natural and environmental psychology, rather than marketing. The first study uses survey methodology to explore whether teenagers who patronize a video arcade sense its restorative potential. The second study uses survey methodology to explore the relationship between patronizing a restorative third place and being at risk for ADHD.

Findings

Study 1 reveals that video arcade patrons sense the arcade's restorative potential. Therefore, commercial servicescapes may possess restorative qualities. Study 2 reveals that college‐aged students, who patronize a restorative servicescape, are significantly less likely than other students to be at risk for experiencing ADHD.

Research limitations/implications

Although the data reveal a relationship between restorative servicescapes and ADHD risk, a diagnosis is not obtained. Furthermore, because survey methodology is employed, the causal influence of restorative servicescapes cannot be evaluated on their customers' health. However, commercial servicescapes can mimic the restorative properties found in nature. Thus, the health potential of public places on health may be profound.

Practical implications

Educational institutions, governmental agencies, and parents should consider publicly supporting third places for teenagers because doing so can remedy symptoms associated with mental fatigue.

Originality/value

The paper brings ART into the marketing discipline.

Details

Journal of Service Management, vol. 20 no. 2
Type: Research Article
ISSN: 1757-5818

Keywords

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Article
Publication date: 18 December 2020

Amanda Kirby, W. Huw Williams, Betony Clasby, Nathan Hughes and Mary Ann Megan Cleaton

This paper aims to examine the relationship between patterns of functioning in four domains (attention and concentration; social and communication; coordination and…

Abstract

Purpose

This paper aims to examine the relationship between patterns of functioning in four domains (attention and concentration; social and communication; coordination and organisation; and literacy and numeracy) in women in prison. Also, to consider potential associations between functioning and previous Neurodevelopmental Disorder (NDD) diagnoses, previous mental health diagnoses and history of head injury, self-harm and attempted suicide.

Design/methodology/approach

Women in one Scottish prison were invited to participate; 87 consented. Women were screened for functional difficulties and asked about their relevant educational and medical history.

Findings

Half of participants reported difficulties in one or more domains. All possible combinations of functional difficulties were found. Only eight women reported previous NDD diagnoses. Functional difficulties were significantly associated with history of self-harm, history of attempted suicide and mental health diagnoses. In total, 32% of women reported at least one head injury, but this was not significantly associated with functional difficulties.

Research limitations/implications

The sample was comparatively small and questions were self-report. Analyses were based on within-cohort comparisons due to a lack of appropriate general population data.

Practical implications

There is a clear need for timely, practical and comprehensive profiling of females in the Justice System. Current systems do not appear to adequately identify women with functional difficulties or other adversity. Greater use of interdisciplinary working and shared training is indicated, as is a move from categorical diagnostic systems towards dimensional approaches.

Originality/value

This study is the first to investigate associations between difficulties associated with NDDs, mental health difficulties and head injury in women in prison.

Details

International Journal of Prisoner Health, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 1744-9200

Keywords

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Article
Publication date: 6 June 2016

Graeme Coetzer

– The purpose of this paper is to examine the relationship between adult attention deficit (AAD) and the operational effectiveness of project managers (OEPM).

Abstract

Purpose

The purpose of this paper is to examine the relationship between adult attention deficit (AAD) and the operational effectiveness of project managers (OEPM).

Design/methodology/approach

In total, 160 actively employed business graduate students participated in a business course where they were assigned to four person project teams responsible for completing a major business project. The project contained four sub-projects each of which was managed by a different team member. At the end of the semester each team member rated the others on their operational effectiveness as a project manager. Each subject identified a close associate who completed an observer version of the Brown Attention Deficit Scale. Product moment correlations were used to test the hypotheses that AAD and each of the symptom clusters are negatively associated with OEPM. Simultaneous linear regression was used to test the hypothesis that difficulties activating and organizing to work (DAOW) is uniquely associated with OEPM after controlling for the influence of all the other symptom clusters.

Findings

AAD and each of the symptom clusters is negatively associated with OEPM, and DAOW is uniquely associated with OEPM.

Research limitations/implications

Research study is limited by use of an indirect work sample (working graduate students) and future research requires direct workplace samples of project managers. The influence of creativity within the relationship between AAD and project management effectiveness requires further investigation and may reveal beneficial aspects of the disorder.

Practical implications

Individuals and organizations wanting to ensure timely and successful completion of key tasks and projects need to be aware of the influence of AAD on OEPM. The provision of intensive project management training/coaching, regular performance feedback, project management tools and an organized work space free of distractions is suggested for disordered project managers. Disordered project managers are especially vulnerable during the task activation and organization phase which may be addressed through the use of peer coaching and constructive team support. The effective design and management of project teams represents a significant opportunity for distributing the potential creative benefits of the disorder while managing the deficits. Pairing disordered employees with coworkers who are less creative but have better administrative skills may be mutually beneficial. Employee assistance programs that raise awareness and provide access to assessment are an important part of multimodal management of the disorder.

Social implications

Increasing social, economic and legal pressures to provide reasonable accommodation for functional but disordered employees, be more inclusive and take appropriate advantage of employee diversity underscores the general social value of this research.

Originality/value

This research study is the first examination of the influence of AAD within the nomological network that determines project manager effectiveness. The results are of value to researchers, organizational development specialists, human resource management specialists, managers and employees who are seeking effective multimodal management of the disorder in the workplace.

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Article
Publication date: 15 July 2011

Febin Edwin

The aim of this descriptive study is to highlight the number and co-morbid health needs of adults with attention deficit hyperactivity disorder (ADHD) presenting to a…

Abstract

Purpose

The aim of this descriptive study is to highlight the number and co-morbid health needs of adults with attention deficit hyperactivity disorder (ADHD) presenting to a pilot adult ADHD service.

Design/methodology/approach

This study aimed to focus on the epidemiologic data such as total number of referrals, source of referrals, sex ratio, follow-up treatments, and co-morbid diagnosis. The number of referrals between March and October 2009 were looked at. The study population included adults aged 18-65 years including adults with mild intellectual disabilities. A total of 117 adults were referred to the pilot ADHD service for adults and 105 patients were assessed.

Findings

The commonest source of referral was from general practice (n=60) 57 per cent. New diagnosis of adult ADHD was around (n=47) in 39.1 per cent of those who presented. Over 80 per cent of the patients were males. Around (n=55), 58 per cent of adults with ADHD had a co-morbid diagnosis. About 4 per cent (n=4) of the referrals were from the adult learning disability services.

Originality/value

The findings from the descriptive study suggest a significant gap in diagnostic services for adults with ADHD who present with high rates of co-morbidity.

Details

Advances in Mental Health and Intellectual Disabilities, vol. 5 no. 4
Type: Research Article
ISSN: 2044-1282

Keywords

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