Research & Evidence

Innovative Approaches to ADHD and Mental Health Care: Compassionate, Connection, Community-Based Solutions for Sustainable Transformation

Research Authors

Nicholas Pairaudeau

Lead Researcher & Project Coordinator

ADHD research methodology and community engagement

Meibaohong Hou

Data Analyst & Statistical Expert

Economic impact analysis and healthcare metrics

Rohan Bond

Clinical Research Specialist

Evidence-based interventions and therapeutic approaches

Elle Cockman

Community Engagement Lead

Peer support networks and lived experience integration

Executive Summary

Mental health services in the UK face critical challenges, including surging demand, workforce shortages, and prolonged diagnosis waiting times — exacerbating health inequalities and societal costs. This paper proposes the ADHD Action Network, a mutual aid group co-produced with experts by experience (EbE), that addresses these gaps through three core pillars: self-referral systems, peer support networks, and improved integration of services.

Rooted in community-driven innovation, this model draws inspiration from global programs and aligns with NHS strategies to deliver scalable, sustainable care.

Economic & Social Impact

60%
Higher Healthcare Costs
Adults with ADHD vs general population
Hodgkins et al., 2011
$15,000+
Lifetime Costs
Per individual due to education, healthcare, justice systems, deadweight losses and reduced productivity
Sciberras et al., 2020
22
Lost Workdays
Annually due to untreated ADHD
Barkley, 2008
30%
Job Instability Risk
More likely to face chronic job instability
Hilton et al., 2009
25%
Incarcerated with ADHD
vs 3-4% in general population
Young et al., 2014
2.7x
Substance Use Risk
Higher prevalence in adults with ADHD
Kessler et al., 2006

Systemic Healthcare Challenges

Workforce Shortages

3.8M

Mental health services treated a record 3.8 million people in 2024, yet workforce shortages persist

NHS England, 2024a

Prolonged Waiting Times

3-8 years

In North London, patients wait 3–8 years for services; nationally, median waiting time is 47 days

Burns et al., 2024

DNA Rates

38%

38% of adults with ADHD miss ≥1 appointment annually, 16% miss ≥2

McQueenie et al., 2024

GP Care Withdrawal

70%

Up to 70% of GPs in Wales are no longer sharing care for ADHD patients due to pay dispute

ITV News, 2024

Substance Use Disorders in Adults with ADHD

12%
Alcohol Addiction

Develop alcohol addiction

27.7%
Drug Addiction

Develop drug addiction

Research Objectives

Reduce Barriers to Care

Through self-referral systems and peer-led support networks, empowering individuals during extended waiting periods

Integrate Evidence-Based Therapies

Such as ACT and mindfulness-based interventions, adhering to NICE guidelines that prioritise education and non-pharmacological approaches before medication

Strengthen NHS Collaboration

With NHS systems, local authorities, and community organisations to align with regional strategies, such as the North Central London Health and Care Plan

Address ADHD Innovation Needs

Innovative management, early intervention, and learning-based care

Key Benefits

Immediate Impact

Reduce pressure on GPs and NHS trusts by providing and guiding support within local communities, increasing accessibility to ADHD support and intervention

Long-term Sustainability

Leverage low-cost, co-produced solutions mirroring success of the Atmiyata program, reducing systemic financial reliance and hospitalisations

Societal Gains

Address social bias toward ADHD and broader implications including the disproportionate prevalence of ADHD in criminal populations (25% vs. 3-4% nationally) by improving earlier intervention and community support

Our Approach: Three Core Pillars

Self-referral to peer-support meetings

Tangible intervention for The Waiting Well; additional GP support pathway; relieve helplessness and anxiety

  • Provide tangible intervention for The Waiting Well
  • Give GPs additional support pathway
  • Help relieve feelings of helplessness and anxiety

Peer Support Networks

ADHD skills training (time management, emotional regulation); build supportive relationships; suicide prevention

  • ADHD skills training (time management, emotional regulation)
  • Build supportive relationships
  • Suicide prevention and emergency case identification

Improve Awareness and Integration of Services

Signposting to NHS & third sector resources; first-hand recommendations from EbE; system navigation

  • Signposting to NHS & third sector resources
  • First-hand recommendations from experts by experience
  • System navigation support

Evidence-Based Interventions

Cognitive Behavioral Therapy

Specific behavioural compensatory strategies within group CBT

Bramham et al., 2009

Acceptance & Commitment Therapy

Reducing impulsivity, inattention, and inflexibility through ACT

Knouse & Safren, 2010; Munawar et al., 2021

Mindfulness Interventions

Successful complementary tool in improving outcomes

Oliva et al., 2021

Proven Success: Case Studies

NHS MHLDA Provider Collaboratives

Two-year pilot across 15 sites

  • Over 550 individuals returned from out-of-area placements
  • CAMHS admissions reduced by over 70%
  • Over £30 million in savings generated
NHS England, 2024b

Atmiyata Program (India)

Ongoing rural India program

  • 16 paid staff and 800+ trained volunteers
  • 25,000-30,000 individuals supported annually
  • $9 in societal benefits for every $1 spent
  • 2.5x higher recovery rate vs traditional treatment
Atmiyata Research, 2023

Benefits to All Stakeholders

Patients

Learn about ADHD, find hope and in-person community

Integrated Care Boards

Low-risk innovative proven project with significant cost savings

NHS Mental Health Trusts

Offer innovation, bringing trust together

NHS Employees

Increased efficiency, improved patient outcomes

NHS England

Improved data collection and patient self-empowerment models

Employers

Somewhere to signpost their employees

Families

Increased education and awareness around neurodivergent support

Future Vision

By prioritising community empowerment, workforce resilience, and NHS alignment, the ADHD Action Network lays the groundwork for scalable mental health transformation. Future phases aim to expand across boroughs, supported by risk-mitigated roadmaps and collaborative funding strategies, fostering a system rooted in compassion, equity, and innovation.

As awareness and understanding of attention deficit hyperactivity disorder (ADHD) continues to grow, we are presented with a unique opportunity to transform mental health care delivery through an innovative peer-to-peer network model that is scalable, low cost and effective. Together, we can shift from reactive to proactive solutions, building a future where individuals with ADHD receive compassionate, accessible, and effective care.

Join Us in Transforming ADHD Care

Through consideration and implementation of the most effective aspects of global, national and regional perspectives, we propose aligning such approaches to intervention with individual needs through a new comprehensive model of ADHD support.

Together, we can empower communities and ensure every individual receives the care they deserve.
Contact us to learn more and take action!