King's College London, Institute of Psychiatry, UK.
BMC Psychiatry. 2011 Feb 18;11:32. doi: 10.1186/1471-244X-11-32.
The UK Adult ADHD Network (UKAAN) was founded by a group of mental health specialists who have experience delivering clinical services for adults with Attention Deficit Hyperactivity Disorder (ADHD) within the National Health Service (NHS). UKAAN aims to support mental health professionals in the development of services for adults with ADHD by the promotion of assessment and treatment protocols. One method of achieving these aims has been to sponsor conferences and workshops on adult ADHD.This consensus statement is the result of a Forensic Meeting held in November 2009, attended by senior representatives of the Department of Health (DoH), Forensic Mental Health, Prison, Probation, Courts and Metropolitan Police services. The objectives of the meeting were to discuss ways of raising awareness about adult ADHD, and its recognition, assessment, treatment and management within these respective services. Whilst the document draws on the UK experience, with some adaptations it can be used as a template for similar local actions in other countries. It was concluded that bringing together experts in adult ADHD and the Criminal Justice System (CJS) will be vital to raising awareness of the needs of ADHD offenders at every stage of the offender pathway. Joint working and commissioning within the CJS is needed to improve awareness and understanding of ADHD offenders to ensure that individuals are directed to appropriate care and rehabilitation. General Practitioners (GPs), whilst ideally placed for early intervention, should not be relied upon to provide this service as vulnerable offenders often have difficulty accessing primary care services. Moreover once this hurdle has been overcome and ADHD in offenders has been identified, a second challenge will be to provide treatment and ensure continuity of care. Future research must focus on proof of principle studies to demonstrate that identification and treatment confers health gain, safeguards individual's rights, improves engagement in offender rehabilitation programmes, reduces institutional behavioural disturbance and, ultimately, leads to crime reduction. In time this will provide better justice for both offenders and society.
英国成人多动症网络（UKAAN）由一群心理健康专家创立，他们在国民保健制度（NHS）内为成人多动症患者提供临床服务方面拥有丰富经验。UKAAN 的目标是通过推广评估和治疗方案，支持精神健康专业人员为成年多动症患者开发服务。实现这些目标的一种方法是赞助有关成人多动症的会议和研讨会。本共识声明是 2009 年 11 月举行的法医会议的结果，来自卫生部（DoH）、法医心理健康、监狱、缓刑、法院和大都市警察服务的高级代表出席了会议。会议的目的是讨论提高对成年多动症及其在这些服务中的识别、评估、治疗和管理的认识的方法。虽然该文件借鉴了英国的经验，但稍加修改，就可以作为其他国家类似地方行动的模板。会议得出的结论是，汇集成年多动症和刑事司法系统（CJS）方面的专家，对于在犯罪者的整个犯罪过程中的各个阶段提高对多动症犯罪者的需求的认识至关重要。需要在 CJS 内开展联合工作和委托工作，以提高对多动症犯罪者的认识和理解，确保将个人转介到适当的护理和康复服务。全科医生（GPs）虽然非常适合早期干预，但不应依赖他们提供这项服务，因为弱势犯罪者往往难以获得初级保健服务。此外，一旦克服了这一障碍，并且确定了犯罪者患有多动症，那么下一个挑战将是提供治疗并确保护理的连续性。未来的研究必须集中在原理证明研究上，以证明识别和治疗可以带来健康收益、保护个人权利、提高犯罪者康复计划的参与度、减少机构行为障碍，并最终减少犯罪。随着时间的推移，这将为犯罪者和社会提供更好的司法服务。
