Clinical considerations for implementation of the recommendations
The GDG discussed that adherence to non-pharmacological treatment was an important issue that was rarely addressed. They recommended that clinicians discuss the commitment, time and organisational skills needed for successful adherence to non-pharmacological treatment.
Methods used to improve adherence are likely to be similar to any psychological or psychotherapeutic approach. A clear understanding of what the approach entails, likely effects, duration, required effort, costs, benefits and potential harms, likely outcomes, goals and desired effects are important considerations for discussion prior to initiation of any treatment.
Engagement with the clinician, perceived progress and benefit is likely to play a significant part in ongoing adherence. Ensuring that a quality therapeutic relationship is rapidly established is a core skill of the clinician. It is important to ensure that these skills are maintained and that the clinician has the opportunity for regular clinical supervision.
The feasibility for people with ADHD to access clinicians to improve adherence to non-pharmacological treatments may be limited by the availability of clinicians, cost of services and the time commitment required. Workforce development may ensure that any health inequity impacts are minimised (see Chapter 7).