Response to announcement of independent review into mental health, ADHD and autism services

Response to announcement of independent review into mental health, ADHD and autism services

Response to announcement of independent review into mental health, ADHD and autism services

A photo of Philip Shaw stood in front of the Pears Maudsley Centre for children and young people

Yesterday (4 December) the Government launched an independent review to look at rising demand for mental health, ADHD, and autism services and what is driving it.

 

Our Reaction

 

“Waiting lists for the assessment of both mental health conditions, ADHD, and autism have all risen exceptionally sharply in the last decade. Many people are seeking help from services that are stretched too thin, and people in need are falling through the cracks. 

“In order to confront this situation, we need to have a clear grasp as to why so many people are seeking help. The King’s Maudsley Partnership is home to the world’s largest group of researchers and clinicians dedicated to understanding and improving outcomes for children with a range of conditions, and we’re working hard to understand the underlying causes in an effort to provide the knowledge needed for more effective interventions. 

“The announcement of this review is a welcome one, and we hope our work will contribute meaningfully to it.” 

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RE-STAR Team & Dr Gonzalo Salazar de Pablo win at Association for Child and Adolescent Mental Health Awards

RE-STAR Team & Dr Gonzalo Salazar de Pablo win at Association for Child and Adolescent Mental Health Awards

RE-STAR Team & Dr Gonzalo Salazar de Pablo win at Association for Child and Adolescent Mental Health Awards

RE-STAR Team

Held annually, the Association for Child and Adolescent Mental Health (ACAMH) Awards aim to recognise high quality work in evidence based science, both in publication and practice, in the field of child and adolescent mental health. Receiving a nomination is prestigious recognition of work that is at the forefront of the advancement of child and adolescent mental health research, and clinical practice. 

Dr Gonzalo Salazar De Pablo wins Kathy Sylva ‘Rising Star’ Award

The Kathy Sylva ‘Rising Star’ Award is presented to someone who has made a significant scientific contribution to child and adolescent mental health literature, within 10 years of their first peer reviewed journal publication.

The 2025 Award was presented to Dr Gonzalo Salazar de Pablo, Senior Clinical Lecturer in the Department of Child & Adolescent Psychiatry, honorary Consultant Child & Adolescent Psychiatrist at the South London and Maudsley NHS Foundation Trust and part of the King’s Maudsley Partnership for Children & Young People. It was presented in recognition of his outstanding scientific contributions to child and adolescent mental health.

I am deeply honoured to receive the Kathy Sylva Rising Star Award. This recognition means a great deal to me, and it is only possible thanks to the young people, families, and colleagues I have had the privilege of working with. I am really grateful to ACAMH for this award, and to my collaborators across King’s, South London and Maudsley, and our international partners for their support and inspiration.

Dr Gonzalo Salazar de Pablo

Dr Gonzalo Salazar de Pablo’s research focuses on the early identification and prediction of bipolar disorder and psychosis in young people, advancing the field through high-impact publications.

The nomination highlighted his exceptional productivity, international collaborations, and leadership. A defining feature of Dr Salazar de Pablo’s work is his commitment to co-production with young people, families, and clinicians, ensuring that research questions and interventions are grounded in lived experience and real-world clinical needs. Receiving this award is a meaningful recognition of his work and his contributions to child and adolescent mental health.

Looking ahead, he hopes to continue developing equitable, accessible, and youth-informed approaches that improve early intervention and long-term outcomes for children and adolescents worldwide.

Lionel Hersov Memorial Award presented to RE-STAR

The Lionel Hersov Memorial Award is given to a practice or research team that has either demonstrated the translation of an evidence base into clinical practice with measurable clinical impact, or demonstrated quality improvement within either clinical or research practice.

This year, it was presented to RE-STAR Academic Researchers (Ars) and its Youth Researcher Panel (Y-RP), a four-year interdisciplinary programme led by researchers from the Department of Child & Adolescent Psychiatry, and part of the King’s Maudsley Partnership at King’s College London with UCL, Anna Freud and Centre.

We are thrilled that the work of the RE-STAR Team – both the academics and the youth researchers – has been recognised in this way. This collaborative process has been transformative on so many levels, both for those involved and the science we’ve been focused on. Ultimately, we hope this will help us find new ways to promote the mental health of neurodivergent young people.

Dr Susie Chandler

RE-STAR Programme Manager, Department of Child & Adolescent Psychiatry, IoPPN

RE-STAR, led by Professor Edmund Sonunga-Barke, explores the interplay between autism and/or ADHD traits, exposure to environmental stressors, and emotional responding in neurodivergent young people, in driving developmental pathways to depression.

Who are the RE-STARs? To me we are a band of neurodiverse adventurer scientists coming together, at a particular moment in time, to explore new ways of doing child and adolescent mental health research by stretching the boundaries of participatory and inter-disciplinary practice. I believe our last four years of work illustrates the creative energy that can be released when researchers from radically different backgrounds come together with young autistic young people and those with ADHD to produce real progress in ideas new, methods, interpretations and interventions.

Professor Edmund Sonuga-Barke

RE-STAR Chief Investigator, Department of Child & Adolescent Psychiatry, IoPPN

The programme works closely with its Youth Researcher Panel, who play an integral role in the planning and delivery of RE-STAR, and contribute to the project in a wide variety of ways, working alongside the academic researchers as ‘co-researchers’, co-analysing and collecting data, and helping to share and communicate the work of RE-STAR to a wider audience.

RE-STAR is funded by UKRI Medical Research Council.

Celebrating the award wins, Head of Department for Child & Adolescent Psychiatry, Professor Philip Shaw, said, “I know that all in the King’s Maudsley Partnership join me in congratulating the award winners and those nominated, and a shout out also to others at KMP who were nominated, the awardees showcase how King’s Maudsley Partnership strives to infuse research into clinical care, and will enrich our research through clinical insights and experience.”

Dr Gonzalo Salazar de Pablo, the Rising Star, has provided consistently highly impactful reviews of studies that centre on key clinical questions.  His achievement is all the more impressive as he is very active in CAMHS, both working with families and developing care pathways.  The RE-STAR team, led by Professor Sonuga-Barke, gain their award in part for placing neurodivergent young people at the core of all of stages of their research.  In RE-STAR, experts by lived experience and experts by academic training have together provided rich insights into why depression is so often experienced by neurodivergent youth.  

Professor Philip Shaw

Director of the King’s Maudsley Partnership and Head of Department of Child & Adolescent Psychiatry, IoPPN

Alongside these wins, we’re delighted to recognise Dr. Josefien Breedvelt who was also nominated for the Rising Star award, and Mr Sangwoo Richard Jung, shortlisted for Clinical Trainee of the Year.

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Experts come together to discuss ADHD research and treatments

Experts come together to discuss ADHD research and treatments

Experts come together to discuss ADHD research and treatments

Leading experts explored what Attention Deficit Hyperactivity Disorder (ADHD) is, how it affects children and young people and what research questions are currently under investigation.

The “ADHD: New Discoveries, Better Support” webinar, held on Tuesday 4 November, brought together clinicians, researchers and experts by lived experience to reflect on the clinical academic research taking place on ADHD. The King’s Maudsley Partnership is home to the world’s largest group of researchers and clinicians dedicated to understanding and improving outcomes for children with ADHD.

Professor Philip Shaw, Director of the King’s Maudsley Partnership for Children and Young People, who’s academic work is focused on ADHD, chaired the webinar.

The focus of the work on ADHD across the King’s Maudsley Partnership is to develop new and better treatments for ADHD to give children, young people and families greater choice.

Professor Philip Shaw

Director of King's Maudsley Partnership

Increasing choice and quality of treatments 

In recent years awareness and understanding of ADHD have increased, however the treatment and support options available to support children and young people with ADHD have not kept pace. Most treatments are medication-based, and while these can be effective, many families and young people want more choices — especially non-drug alternatives.

These thoughts were echoed by Tiegan Boyens a neurodivergent lived experience consultant who joined the panel. She reflected that it took her a long time to get an ADHD diagnosis due to misconceptions around ADHD such as that it manifests primarily in physical activity and in boys. She called on researchers to do more to investigate supporting children who have ADHD alongside other comorbidities. She also said she wants to see more non-drug based treatment options to be available.

Research has helped me embark on my own journey and gain a deeper understanding of neurodiversity, both generally and personally.

Tiegan Boyens

Youth Research Panel Member for RE-STAR (Regulating Emotions – Strengthening Adolescent Resilience)

Novel brain therapies 

Professor Katya Rubia is focused on pioneering non-drug treatments for children and adults with ADHD. She spoke about some of the recent discoveries in this area. She has been investigating non-invasive brain stimulation to see if these can mimic the effects of ADHD medication by targeting the same brain regions, but without the side effects of drugs. She shared promising findings using transcranial direct current stimulation in children and adults with ADHD and new findings around Trigeminal nerve stimulation (TNS) which are due for publication in Nature Medicine in the coming weeks. She also reflected on the challenges of the placebo effect in studies involving cutting edge technology.

High-technology brain therapies have more than twice the placebo effect compared placebo effects in drug studies. Therefore, it is crucial to control the placebo effect in brain therapies so that patients do not spend thousands of dollars on treatments that do not work and give them false hope.

Professor Katya Rubia

Professor of Cognitive Neuroscience, King's College London

More information on the ATTENS (ADHD trial of external trigeminal nerve stimulation) project can be found here: ATTENS 

Tools to support children’s sleep 

Almost 75% of children with ADHD have sleep problems. Parents and carers report that poor sleep makes their children’s daytime behaviour and schoolwork worse and affects the quality of life of the whole family. However there are limited options for support and medication is the most common intervention. Professor Samuele Cortese provided insight into the DISCA (Digital Sleep Support for Children with ADHD) study. This research project aims to help parents, carers, and health professionals to manage sleep problems in children with ADHD.

Medication should not be the first line of treatment for insomnia in children with ADHD yet behavioural interventions are not routinely available in the NHS. We have developed the first digital intervention of its kind to be tested in the UK for children with ADHD who experience sleep problems, and we are testing it in a trial. Parents/carers of children with ADHD and sleep problems will be offered this intervention for free if they take part in the study

Professor Samuele Coretese

NIHR Research Professor of Child and Adolescent Psychiatry at the University of Southampton

More information about DISCA including information on how families can sign up to get involved in the study can be found at Home | Disca Study 

How data is guiding our work 

Professor Johnny Downs who leads the CAMHS Digital Lab shared data around children with ADHD living in south London. The data tells us that early childhood factors and demographics including ethnicity and gender make an ADHD diagnosis more likely even though this doesn’t represent true prevalence. He found that children from non-white ethnic groups are almost 50% less likely to get a diagnosis. He reflected that services need to ensure they are engaging effectively with all local communities to ensure all children who need it can access support services for ADHD.  

Professor Downs also reflected the ambitions of the CAMHS Digital Lab to continue to build digital tools to support parents and carers whose child is on the waiting list, or who has received a diagnosis, for ADHD. This follows successful outcomes from providing digital support to parents and carers on the waiting list for services via the My Health-E app. There is a virtuous circle that parents and carers receive more support and guidance whilst on the waiting list and their participation helps build a richer bank of data to underpin research into ADHD.

The challenge for us is to use data in a way that helps people in clinics—clinicians, young people, and families—and to determine how we can use this data to make real changes in their daily lives and in the factors that might affect their treatment

Professor Johnny Downs

Leader of CAMHS Digital Lab and Professor of Child Psychiatry and Health Informatics

More information on the CAMHS Digital Lab can be found on its website Home | CAMHS Digital Lab 

The webinar came just after ADHD Awareness Month, throughout which the King’s Maudsley Partnership has been highlighting it’s work on ADHD. The King’s Maudsley Partnership’s home will be in the Pears Maudsley Centre for Children and Young People, due to open in 2026. The Centre will have a one of it’s kind research facility enabling us to revolutionise our understanding ADHD and other neurodevelopmental conditions, and mental health conditions that affect children and young people.

For more information, please contact Helen Honstvet on helen.honstvet@slam.nhs.uk or sign up to our newsletter to keep up to date with the work happening across the Partnership. You can also watch the recording of the webinar on our YouTube channel.

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King’s Maudsley Partnership welcomes the ADHD Taskforce final report

King’s Maudsley Partnership welcomes the ADHD Taskforce final report

King’s Maudsley Partnership welcomes the ADHD Taskforce final report

Close up self-portrait picture of happy young Hispanic mom and small teen biracial daughter have fun together. Smiling Latino mother and little girl child make selfie relax at home on weekend.

“The ADHD Taskforce report is a call to action to provide better support and treatmentDelivering this for children and young people with ADHD is central to King’s Maudsley Partnership’s mission. We are proud to have contributed to the evidence base and are committed to driving forward many of its recommendations – ensuring timely, effective, and inclusive support for all.” 

Professor Philip Shaw

Director, King’s Maudsley Partnership

We welcome the publication of the ADHD Taskforce’s final report—a landmark step toward improving support for individuals with ADHD across the UK. The report rightly emphasises early intervention, whole-school approaches, better training for health professionals, and digital innovation as ways to improve care for those living with ADHD. These priorities align closely with much of the work of King’s Maudsley Partnership for Children and Young People.

We are proud that work that has taken place across the Partnership has contributed to the evidence base underpinning the report and are actively working already on many of its recommendations. Work cited in the report included Professor Edmund Sonuga-Barke’s work evaluating the New Forest Parenting Programme, a parent-led intervention for children with ADHD. As well as Dr Nicoletta Adamo’s meta-analysis into the efficacy and tolerability of medications for attention-deficit hyperactivity disorder in children, adolescents, and adults.

The King’s Maudsley Partnership is home to the world’s largest group of academics and clinicians focused on ADHD in children and young people. We are working to understand ADHD better, but also to co-design more and better treatment options for children and young people with ADHD.

Work is already underway or planned that will drive many of the Taskforce’s recommendations forward:

1.Early Intervention

The report highlights the importance of early intervention. Our Empowering Parents, Empowering Communities (EPEC) programme complements school-based approaches by supporting school readiness through reaching families before formal schooling begins. EPEC has developed neurodivergence-specific modules, including for children with ADHD, having reflected on the need for early support. We now need rigorous evaluation of these interventions to understand the potential for wider scale application.

2.Whole-School Approach

We welcome the Taskforce’s recommendations to both move towards a whole school approach and to move away from requiring a diagnosis to access interventions. This would create more inclusive environments and remove the unnecessary delays to support.  The Regulating Emotions – Strengthening Adolescent Resilience (RE-STAR) programme, led by Professor Edmund Songa-Barke exemplifies this. RE-STAR is working to create school environments which are inclusive for children with ADHD and autism. The study is aiming to improving the experiences of children with ADHD and autism in school and reduce their chance of experiencing depression.

Through the Schools Mental Health Innovation Network we are also looking to develop teaching resources for schools in south London to learn about brain health and contribute to creating neuro-affirmative and de-stigmatising school environments.

3.Assessment and Treatment Innovation

We’re rethinking how assessment and treatment can work for every child and young person with ADHD. We’re focusing on three key areas, which reflect recommendations within the taskforce. First, we’re expanding training for professionals who support this group, offering webinars and plan a new on-line course focused on neurodevelopmental conditions including ADHD.   At the same time, our CAMHS Digital Lab is leading digital transformation – exploring how digital tech and AI can support diagnosis and treatment monitoring. We’re also committed to improving access for those waiting for care and are conducting trials into digital support for young people on waiting lists. We’re also beginning a new study to investigate if we can combine online cognitive data with reports of ADHD symptoms to predict who is most likely to receive a clinical diagnosis of ADHD. These initiatives reflect our commitment to using technology and research to deliver timely, effective care.

This report is a milestone for ADHD care, responding to the clinical realities of today.   At King’s Maudsley Partners, we equally focus on transforming care for the future.  We have listened to those living with ADHD who ask for new effective, safe non-drug treatment options.  We will build this next generation of treatments on science, by unravelling the differences in the genetic code, the brain and thinking that underpin ADHD and using these features as the foundation for innovative new ways of helping.

We will continue to lead research, innovation, and collaboration to make its vision a reality—improving outcomes for children, families, and communities.

If you want to keep up to date with our work on ADHD please sign up to our newsletter. Or emails us at helen.honstvet@slam.nhs.uk for any more information about our work in this area.

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How the King’s Maudsley Partnership is pioneering new, more effective treatment options for children with ADHD

How the King’s Maudsley Partnership is pioneering new, more effective treatment options for children with ADHD

How the King’s Maudsley Partnership is pioneering new, more effective treatment options for children with ADHD 

-By Professor Philip Shaw, Director of King’s Maudsley Partnership

Over the past 25 years, I’ve been lucky enough to meet thousands of children and young people with ADHD who have taken part in research. In that time, public awareness of ADHD has grown enormously. It’s now part of everyday conversations.  There have been great strides forwards in our understanding of the subtle brain and thinking differences that contribute to some of the experiences of living with ADHD – such as having problems staying focused.

But while awareness and understanding of ADHD have increased, the options available to support children and young people with ADHD have not kept pace. Most current treatments are medication-based, and while these can be effective, many families and young people tell us they want more choices — especially non-drug alternatives that are tailored to their child’s needs.

That’s where the King’s Maudsley Partnership comes in.

We are the world’s largest collaborative group of researchers and clinicians dedicated to improving outcomes for children and young people with ADHD. What makes us different is how we work: we don’t just study ADHD — we work with children and young people to ask the questions that matter most to them, and to find answers that can truly make a difference in their lives.

 

Our Approach

Our research spans three interconnected areas, each designed to drive innovation and real-world impact:

1. Discovery Science

We explore the societal and biological factors that influence ADHD – from cells to society, from neurons to neighbourhoods. Much of our current work focuses on how subtle differences in genes, the brain and thinking are tied to ADHD. We use cutting edge approaches particularly AI.

One exciting breakthrough we have already had involves using AI to predict how ADHD might develop over time. In a recent project, we combined genetic and brain imaging data to train a machine learning model that can predict — with over 80% accuracy — whether a child diagnosed with ADHD will continue to meet diagnostic criteria in adolescence. This kind of insight could be transformative for families and clinicians as they plan for the future and make decisions about care and support.

2. Collaborative Science

We’re redefining how ADHD is understood by working directly with young people. Together, we’re co-creating new ways to measure how ADHD affects daily life — especially in school. We also explore how ADHD overlaps with other neurodevelopmental conditions like autism, helping to build a more inclusive and accurate understanding of these experiences.

An example of this is our involvement within the Regulating Emotions – Strengthening Adolescent Resilience or RE-STAR Study. Many neurodivergent young people such as those with ADHD or autism traits develop depression during adolescence – but we currently don’t know which individuals are at risk, what underlying processes increase that risk or, perhaps most importantly, the best way to intervene to increase resilience to reduce that risk. RE-STAR will address these gaps by exploring the interplay between autism and/or ADHD traits, exposure to environmental stressors, and emotional responding in neurodivergent young people, in driving developmental pathways to depression.

3. Treatment Innovation

We’re developing and testing new interventions that go beyond medication. One area we’re exploring is brain therapies — treatments that aim to change brain activity in a safe, non-invasive way. Over decades of research we have identified the brain networks that function differently in some people with ADHD. Brain therapies targets these networks directly, rather than just managing behaviour.

We’re currently focusing on brain stimulationHere, a gentle, painless, tiny electrical or magnetic field is applied to specific brain regions to improve attention and self-control. We are still testing these treatments.  So far, we find they have minimal side effects and now we are looking to see if they offer longer-lasting benefits.

Other researchers are looking at how digital technologies, such as smart watches and mobile phone, can help youth with ADHD monitor how treatments impact on their attention and mood.  Another focus is using on-line resources to help improve the sleep of those with ADHD, again asking if this will improve quality of life.   

 

Pears Maudsley Centre 

The Pears Maudsley Centre for Children and Young People, will enable us to transform our understanding of ADHD. The new Centre will bring cutting-edge research, clinical care, and community engagement under one roof. Though our commitment to inclusion, and access to move inclusive technology we will be able to rebalance the inequalities that have existed in research until now.  

 

Want to learn more or get involved?

Join our free webinar ADHD: New Discoveries, Better Support on 4th November to hear more about the work happening on ADHD within the Partnership.

Stay connected with the King’s Maudsley Partnership as we continue to push boundaries, ask bold questions, and work alongside families and young people to shape the future of ADHD care. Email us at PMCYP@slam.nhs.uk to connect or follow us on our social media accounts.

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