Shetland Faces ADHD Diagnosis Backlog as Demand Surges

Over 300 adults in Shetland are currently on the waiting list for an assessment for ADHD (Attention Deficit Hyperactivity Disorder), highlighting significant challenges faced by local health services. During the annual review meeting of NHS Shetland on March 4, 2024, officials reported that increasing demand for ADHD diagnoses is straining resources.

The surge in requests has been linked to heightened awareness and reduced stigma surrounding mental health conditions, as noted by Maree Todd, the Minister for Drugs and Alcohol Policy and Sport. She pointed out that the situation is not isolated to Shetland; it reflects a national trend affecting services across Scotland.

In addition to the adult waiting list, the meeting revealed that over 240 children are waiting for neurodevelopmental assessments for conditions like ADHD and autism, further complicating the landscape of mental health support in the region.

Challenges in Meeting Demand

During the presentation on health board performance for the fiscal year 2024/25, Gary Robinson, chairman of NHS Shetland, emphasized the ongoing difficulties in addressing the growing demand. He stated, “We know in Shetland we have double the national average of learning disability and neurodevelopmental diagnosis.”

To tackle these challenges, NHS Shetland is focusing its limited resources on individuals deemed most at risk. Robinson also mentioned that the organization is exploring alternative methods to provide support for those waiting for services to ensure better outcomes.

The NHS describes ADHD as a collection of behavioral symptoms, including difficulty concentrating, hyperactivity, and impulsiveness. While some individuals experience issues with inattentiveness without accompanying hyperactivity, the availability of medication can assist in managing ADHD symptoms.

During a question-and-answer session, occupational therapist Jen Roberts raised concerns about the escalating demand for ADHD assessments. In response, Todd reiterated that the rise in requests is part of a “global phenomenon” impacting Scotland’s ability to meet growing demand.

Efforts to Improve Care

In the meeting, Anthony McDavitt, NHS Shetland’s Director of Pharmacy, acknowledged the substantial number of individuals awaiting a diagnosis and treatment pathways. He pointed out that the current service structure was not designed to accommodate the level of care required for such a large population.

“There’s a lot of work we’re doing internally,” McDavitt stated, noting some past successes in implementing effective assessment processes. However, he acknowledged that the treatment pathway still requires further development. He assured attendees that efforts are underway to ensure access to assessment and treatment for individuals exhibiting symptoms of ADHD, particularly those with co-occurring challenges like mental illness or substance use.

McDavitt characterized the situation as a “new burden in demand” for the health board, especially in light of rising numbers of referrals for childhood assessments since the end of the Covid pandemic. Last year, NHS Shetland reported that demand for ADHD assessments had doubled over the past two years, with adult patients now facing an average waiting time of 14 months for their assessments.

As NHS Shetland continues to grapple with these challenges, officials are committed to improving access to care and support for those affected by ADHD and other neurodevelopmental conditions. For more information on ADHD, individuals can visit the NHS website.