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Zadra E, Giupponi G, Migliarese G, Oliva F, De Rossi P, Gardellin F, Scocco P, Holzer S, Venturi V, Sale A, Corato AM, Paletta S, Portigliatti Pomeri A, Ferreri P, Busetto P, Palucchini A, De Dominicis F, Florio V, Bizzarri JV, Boschello F, Contardi A, Mari L, Gubbini S, Manzi A, Nicolò G, Manfredi G, Raponi A, Bruletti S, Ravelli L, Steiner V, Danieli A, Reibman Y, Cerveri G, Bondi E, Innamorati M, Perugi G, Pompili M, Mencacci C, Conca A. Survey on centres and procedures for the diagnosis and treatment of adult ADHD in public services in Italy. Riv Psichiatr 2020; 55:355-365. [PMID: 33349729 DOI: 10.1708/3503.34894] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
Attention deficit/hyperactivity disorder (ADHD) often persists into adulthood. Although its persistence and relative high prevalence, ADHD in adults is often underdiagnosed and undertreated in Italy, leading to poor clinical and functional outcomes, and higher costs of illness. The aims of the study were to identify the Italian mental health services for ADHD in adults, describe the diagnostic and treatment procedures they follow, and compare this offer with the recommendations of the German and English guidelines. The centres, that adopt a clinical and assessment protocol for adult ADHD diagnosis (carried out by specifically trained personnel) and prescribe pharmacological treatment for adult ADHD, were selected from the list of accredited services provided by the Appendix B.2 of the ISTISAN 16/37 Reports of the ISS. An ad-hoc survey including open-ended and close-ended questions was sent to each selected centre in February 2020. The overall picture resulting from the data analysis was compared with the recommendations of the German and English guidelines. The present survey shows that only a few centres are specialised in the diagnosis and treatment of ADHD in adults in Italy. Furthermore, there are no national guidelines for adult ADHD in Italy. The collected data also suggest that there is no a unified practice shared by the Centres both for the patient's transition from child and adolescent to adult mental health services and for the diagnostic-therapeutic process. It is therefore crucial to create specific protocols and develop national guidelines to better identify and diagnose ADHD in adults and provide targeted and more efficient multimodal treatments.
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Affiliation(s)
- Elisa Zadra
- Department of Psychiatry and Child Neuropsychiatry, Bolzano Hospital, Italy
| | - Giancarlo Giupponi
- Department of Psychiatry and Child Neuropsychiatry, Bolzano Hospital, Italy
| | - Giovanni Migliarese
- Department of Mental Health and Addiction, ASST Fatebenefratelli-Sacco, Milan, Italy
| | - Francesco Oliva
- Department of Clinical and Biological Sciences, University of Turin, SCDU Psichiatry, San Luigi Gonzaga University Hospital, Orbassano (Turin), Italy
| | - Pietro De Rossi
- Department of Mental Health and Pathological Addictions (DSMDP), ASL Rome 5, Italy
| | | | - Paolo Scocco
- Department of Mental Health, AULSS6 Euganea, Padova, Italy
| | - Sonia Holzer
- Department of Psychiatry and Child Neuropsychiatry, Bolzano Hospital, Italy
| | - Viviana Venturi
- Department of Mental Health and Addiction, ASST Fatebenefratelli-Sacco, Milan, Italy
| | - Annalisa Sale
- Department of Mental Health, AULSS8 Berica, Vicenza, Italy
| | | | - Silvia Paletta
- Department of Mental Health and Addiction, ASST Lodi, Italy
| | | | - Paolo Ferreri
- Department of Clinical and Biological Sciences, University of Turin, SCDU Psichiatry, San Luigi Gonzaga University Hospital, Orbassano (Turin), Italy
| | - Paolo Busetto
- Department of Mental Health, AULSS6 Euganea, Padova, Italy
| | - Alessandro Palucchini
- Department of Clinical and Experimental Medicine University of Pisa, UO Psychiatry 2, University Hospital of Pisa, Italy
| | - Francesco De Dominicis
- Department of Clinical and Experimental Medicine University of Pisa, UO Psychiatry 2, University Hospital of Pisa, Italy
| | - Vincenzo Florio
- Department of Psychiatry and Child Neuropsychiatry, Bolzano Hospital, Italy
| | | | - Filippo Boschello
- Department of Psychiatry and Child Neuropsychiatry, Bolzano Hospital, Italy
| | - Anna Contardi
- Department of Human Sciences, European University of Rome, Italy
| | - Luca Mari
- Department of Mental Health and Pathological Addictions (DSMDP), ASL Rome 5, Italy
| | - Silvia Gubbini
- Department of Mental Health and Pathological Addictions (DSMDP), ASL Rome 5, Italy
| | - Agostino Manzi
- Department of Mental Health and Pathological Addictions (DSMDP), ASL Rome 5, Italy
| | - Giuseppe Nicolò
- Department of Mental Health and Pathological Addictions (DSMDP), ASL Rome 5, Italy
| | - Giovanni Manfredi
- Department of Neurosciences, Mental Health and Sensory Organs, Sant'Andrea Hospital, Sapienza University of Rome, Italy
| | - Agnese Raponi
- Department of Psychiatry and Child Neuropsychiatry, Bolzano Hospital, Italy
| | | | - Lidia Ravelli
- Department of Mental Health and Addiction, ASST Papa Giovanni XXIII Bergamo, Italy
| | - Vera Steiner
- Department of Mental Health and Addiction, ASST Papa Giovanni XXIII Bergamo, Italy
| | - Andrea Danieli
- Department of Mental Health, AULSS8 Berica, Vicenza, Italy
| | - Yacob Reibman
- Department of Mental Health and Addiction, ASST Fatebenefratelli-Sacco, Milan, Italy
| | | | - Emi Bondi
- Department of Mental Health and Addiction, ASST Papa Giovanni XXIII Bergamo, Italy
| | - Marco Innamorati
- Department of Human Sciences, European University of Rome, Italy
| | - Giulio Perugi
- Department of Clinical and Experimental Medicine University of Pisa, UO Psychiatry 2, University Hospital of Pisa, Italy
| | - Maurizio Pompili
- Department of Neurosciences, Mental Health and Sensory Organs, Sant'Andrea Hospital, Sapienza University of Rome, Italy
| | - Claudio Mencacci
- Department of Mental Health and Addiction, ASST Fatebenefratelli-Sacco, Milan, Italy
| | - Andreas Conca
- Department of Psychiatry and Child Neuropsychiatry, Bolzano Hospital, Italy
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