Better Help for Young People and Adults with ADHD and Corresponding Difficulties: Final Evaluation Report
In 2016-19, the Danish National Board of Social Services commenced a controlled evaluation of psychological treatment for adults presenting with symptoms of ADHD living in the community across three municipalities. The treatment consisted of R&R2-ADHD, a manualised group cognitive skills training programme, and the Young-Bramham cognitive behavioural therapy programme delivered on an individual basis.
The short-term outcomes at the end of the course indicated significant improvement in ADHD symptoms, social functioning and emotional control and a reduction in symptoms of anxiety, depression and temperamental problems. The participants also perceived improvements in quality of life and greater personal locus of control over their lives. Most of these outcomes were sustained at three-month follow-up and some further improved (indicated by an increased treatment effect).
The long-term outcomes (at 6 and 12 months) were investigated by comparing the participants' educational, occupational and healthcare outcomes, and their receipt of government benefits with matched controls drawn from the associated Danish Registers. It was found that participation in the programme increased the participant's employment and education rates and reduced their use of cash benefits and social services. After six months, there was an increase in visits to hospital A&E which may reflect improvement personal locus of control and improvement in self-care.
“Overall, I feel that I have become a different man. I have become so much more down-to-earth and happier inside. I can handle everyday life better. More calm. My spontaneity and my impulses are not there in the same way. The exercise “Stop and think”, I really took that one to heart. In my work I am the kind of person who takes on a lot of responsibility, but then, when it gets to be too much, it can be really hard for me. So, it is important just to stop and not explode. I practice that a lot, and I feel that I am succeeding more and more often.” Participant in R&R2ADHD.
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