British Columbia Adults face many barriers to ADHD diagnosis in B.C., advocates and patients say in B.C.'s only public adult ADHD clinic stopped adding names to its wait list of two years in July 2021 Michelle Gomez • CBC News • Posted: Oct 23, 2022 9:00 AM PT

British Columbians say they feel stigmatized, ignored when seeking ADHD diagnosis ADHD affects four to six per cent of adults in Canada Michelle Gomez • CBC News • • Posted: Nov 07, 2023 8:00 AM EST | Last Updated: November 7, 2023 Andrea Fraser-Winsby, pictured with her daughter, says receiving an ADHD diagnosis at age 47 changed her life.

33% of methadone users had ADHD 35% of cocaine users had ADHD 33% of alcoholics had ADHD 65% of drug users had ADHD 47% of teen prescription opioid abusers and 21% of heroin addicts had ADHD 70% of crystal meth inpatients had ADHD Only 8-10% of kids & 5% of adults have ADHD https://addcoach4u.com/adhd-addictions-articles/

htts://addcoach4u.com/adhd-medication-articles/ Does Stimulant Medication Cause Addiction? Explains what the title says. One day we'll see articles saying things like does not taking ADHD medication increase the chance of your son or daughter or adult child instead self-medicating with booze, tobacco and illegal drugs to get the dopamine from them they'd otherwise get with ADHD medications? Children on Methylphenidate Less Likely to Abuse Drugs, Study. "Pre-teens who have been treated with methylphenidate may develop an aversion to abusable drugs, according to a team of researchers from Harvard Medical School. The Harvard study also rebuts arguments that treating children with stimulants such as Ritalin, Concerta or other medications containing methylphenidate may lead to later substance abuse." Does Stimulant Therapy of ADHD Beget Later Substance Abuse? A Meta-analytic Review of the Literature. By the Clinical Research Program in Pediatric Psychopharmacology, Massachusetts General Hospital, Boston, Harvard Medical School, Pediatrics. Conclusion? No. They found it actually reduced the risk of later substance abuse.

@jasjohal.bsky.social given depending on who wins they might be the next BC premier?

If you do, please ask if they will continue #bcndp policy to deny access to ADHD diagnosis & treatment?

vs requiring ALL BC Doctors to have #MandatoryCMECoursesOnADHD, so we get less SUD, homelessness, and crime?

UK nurse practitioner should also have mandatory CE courses on ADHD, as well as one’s in Canada and all over the world

ALL doctors worldwide should have #MandatoryCMECoursesOnADHD

there are many, many ADHD physical comorbidities not just a mental ones

28% Of Referrals To A Mood & Anxiety Clinic Had Undiagnosed ADHD - Adult ADD Strengths 28% Of Referrals To A Mood Disorders Clinic Had Undetected ADHD. ADHD Also Diagnosed In 22.6% Of Patients Referred For Treatment-Resistant Depression

With the opinion, writing workshop also be good for someone who is an adult ADHD coach and wants to do opeds about why provincial and state governments should have #MandatoryCMECoursesOnADHD for all doctors & Nurse Practitioners?

adultaddstrengths.com/2016/04/30/2...

"Mental health experts urge more community-based support in B.C. budget"

Good idea.

There is also a huge need for all BC doctors to have #MandatoryCMECoursesOnADHD because it's a nightmare to get a competent assessment for ADHD in ADHD hostile BC

#bcpoli

www.youtube.com/watch?v=ZxNq...

Yes many people in creative industries have ADHD.

No one with ADHD needs to pay to learn how to be more creative

It's a matter of too many ideas and how to narrow them down and complete them

Hope some artists do visual campaign to get MLAs to demand

#MandatoryCMECoursesOnADHD for ALL BC doctors

I hope people with ADHD and their family members lobby their individual MPs & explain why ALL UK doctors should have #MandatoryCMECoursesOnADHD

So they can diagnose and medically treat ADHD just like doctors can do in Canada, US, Oz & Nz.

Vs privatize ADHD diagnosis to parasite private equity

In Canada, Oz, Nz, & US, IF the doctors are trained on ADHD, they can diagnose ADHD

They are simply are not enough psychiatrists to diagnose all the adults and kids with ADHD. Psychologists charge thousands to diagnose ADHD

UK should require ALL doctors to have #MandatoryCMECoursesOnADHD

28% Of Referrals To A Mood Disorders Clinic Had Undetected ADHD. ADHD Was Also Diagnosed In 22.6% Of Patients Referred To The Clinic For Treatment-Resistant Depression. Only 5% Of Adults Have ADHD. Misdiagnosis Of ADHD As Anxiety & Depression Are Huge Problems. https://adultaddstrengths.com/2016/04/30/28-of-referrals-to-a-mood-and-anxiety-clinic-had-undiagnosed-adhd/

So wrong.

Canadian doctors can diagnose ADHD, so can US, Oz & NZ doctors IF they're properly trained on it (sadly not all are.)

UK doctors can't diagnose ADHD.

Why not?

British doctors aren't dumber than other doctors in other countries.

Require ALL docs to have

#MandatoryCMECoursesOnADHD

My understanding that GPs can’t diagnose ADHD in the UK only psychiatrists, psychologist & paediatricians

And there’s not enough of them to diagnose adults & kids with ADHD

Can a GP be train to diagnose ADHD and prescribed meds there?

ALL doctors everywhere should have #MandatoryCMECoursesOnADHD

Media not covering enough bcndp's latest involuntary treatment is a red herring to distract public that #bcndp refuses to properly fund:

1. Prevention like #MandatoryCMECoursesOnADHD for ALL BC doctors

20-40%+ of SUD have ADHD, but ADHD diagnosis & ADHD meds reduce SUD

2 Vol treatment
#bcpoli

BCNDP govt is violating BC's Medicare Protection Act on ADHD diagnosis and treatment. Violating sections on: Public administration. "The plan is publicly funded and operated on an accountable basis." No. Defacto privatized ADHD assessments in many cases to private Nurse Practitioner companies charging $3-600 for an assessment, $80 to adjust meds via neglect & refusal to require All doctors to have #MandatoryCMECoursesOnADHD. Comprehensiveness. "All medically required services provided by enrolled medical practitioner." No. So many are defacto privatized to Nurse Practitioners, instead of requiring them to bill MSP so we don't have to pay. Universality. "The plan applies to 100% of beneficiaries on uniform terms and conditions." No. So many can't find a doctor or psychiatrist properly trained on ADHD. So many are defacto privatized to Nurse Practitioners, instead of requiring them to bill MSP so we don't have to pay. Accessibility. "The plan provides benefits on uniform terms and conditions on a basis that does not impede or preclude reasonable access to benefits by beneficiaries." Hell no. That is the main problem. We ADDers often can't access competent diagnoses and treatment in BC.

BC Governments's Medicare Protection Act. BCNDP govt is violating BC's Medicare Protection Act on ADHD diagnosis and treatment. Public administration Violating sections on Public administration, comprehensiveness, universality and accessibility 5.2 The plan is publicly funded and operated on an accountable basis. Comprehensiveness https://www.bclaws.gov.bc.ca/civix/document/id/complete/statreg/96286_01 5.3 The plan includes as benefits (a) all medically required services provided by enrolled medical practitioners, (b) all required services provided by enrolled health care practitioners and prescribed as benefits under section 51, (c) benefits that are performed in approved diagnostic facilities, and (d) any benefits that are performed by practitioners in a health facility that has entered into an agreement with one or more regional health boards designated under the Health Authorities Act or with the Provincial Health Services Authority, in accordance with the agreement. Universality Portability 5.4 The plan applies to 100% of beneficiaries on uniform terms and conditions. 5.5 The plan applies to the following individuals: (a) beneficiaries who are temporarily absent from British Columbia or moving to another province; (b) eligible individuals who are moving to British Columbia; (c) eligible individuals visiting British Columbia from another province that has entered into a reciprocal agreement with British Columbia for medical and health care services, in accordance with that agreement. Accessibility 5.6 The plan provides benefits on uniform terms and conditions on a basis that does not impede or preclude reasonable access to benefits by beneficiaries.

BCNDP govt is violating BC's Medicare Protection Act on ADHD diagnosis and treatment. Copyright © King's Printer, Victoria, British Columbia, Canada Violating sections on public administration, comprehensiveness, universality and accessibility This Act is current to February 1, 2023 Contents See the Tables of Legislative Changes for this Act's legislative history, including any changes not in force. MEDICARE PROTECTION ACT [RSBC 1996] CHAPTER 286 https://www.bclaws.gov.bc.ca/civix/document/id/complete/statreg/96286_01 1 Definitions 2 Purpose 2.1 Application to laboratory services Call or email your MLA and politely ask them to stop breaking their laws and stop discriminating against the human rights of adults and kids with ADHD Part 1 - Medical Services Commission 3 Commission and Medical Services Plan 4 Special committees respecting health care practitioners MLA Finder https://www.leg.bc.ca/learn-about-us/members 5 Responsibilities and powers of the commission 5.01 Investigations by commission Give them personal examples on WHY they should stop harming us. 5.1 Guiding principles 5.2 Public administration 5.3 Comprehensiveness Here are some other reasons why. 5.4 Universality 5.5 Portability 5.6 Accessibility 5.7 Sustainability The Socio-Economic Costs Of ADHD. It Is Very Expensive To Ignore Us https://bcadhd.com/socio-economic-costs-adhd-expensive-ignore-us/

#bcndp govt are violating their own laws

Violating BC's Medicare Protection Act on ADHD diagnosis and
treatment.Violating sections on public administration, comprehensiveness, universality and accessibility

+ violating Canada's Medicare Act on those sections

#MandatoryCMECoursesOnADHD = less SUD

A game changer for the UK?

Allow doctors to diagnose ADHD as doctors in Canada in the US can & have done for decades ( but many don’t know ADHD esp. Can.)

I don’t think the UK doctors are dumber than ours

ADHD people in all countries should demand that all doctors have #MandatoryCMECoursesOnADHD

True.

Most BC docs not properly trained on ADHD

Nightmare to get a competent diagnosis for ADHD in BC

Huge rates of SUD, crime & homelessness w/ ADHD

if we’re diagnosed & treated with ADHD meds, much lower rates of all

Eby refuses to require all docs to have #MandatoryCMECoursesOnADHD
#bcpoli

And I hope more people complain to the provincial and state politicians to demand that they stop discriminating against people with ADHD and require all doctors to have #MandatoryCMECoursesOnADHD

Numbers of people with ADHD in jail ◦ 46% of female prisoners in Rhode Island met criteria for childhood ADHD. ◦ Swedish study showed 40% of adult male longer-term prison inmates had ADHD. ◦ The overall prevalence of ADHD in young male prisoners according to DSM-IV was ◦ 45% ◦ Half of the male prisoners in Iceland (50%) were found on screening to have met criteria for ADHD in childhood ◦ Studies show that at least 25% of prisoners in the United States have ADHD. ◦ Diagnosable ADHD was found to occur in 25.5% of the adult male inmates, and major depression occurred in 25.5 % of the inmates. A significant relationship between
ADHD and depression was found to exist. ◦ Rates of arrests and types of crime ◦ Follow up study using arrest records showed significantly more people with ADHD than comparisons had been arrested (47% vs. 24%), convicted (42% vs. 14%), and incarcerated (15% vs. 1%). ◦ Follow up study using arrest records showed people with ADHD had significantly higher rates of felonies and aggressive offenses than non adders ◦ The ADHD symptomatic group had significantly higher rates of total, acquisitive and violent offending than other prisoners, as well as greater regular heroin use. ◦ For violent offending, ADHD symptoms were the strongest predictor followed by alcohol dependence. ◦ Hyperactive subjects had significantly higher juvenile (46% versus 11%) and adult (21% versus 1% arrest rates. Juvenile and adult incarceration rates were also significantly higher. Childhood conduct problems predicted later criminality, https://adultaddstrengths.com/2011/01/12/adhd-and-crime-ignore-now-jail-later-15-clinical-studies

33% of methadone users had ADHD 35% of cocaine users had ADHD 33% of alcoholics had ADHD 65% of drug users had ADHD 47% of teen prescription opioid abusers and 21% of heroin addicts had ADHD 70% of crystal meth inpatients had ADHD Only 8-10% of kids & 5% of adults have ADHD https://addcoach4u.com/adhd-addictions-articles/

Childhood Attention-Deficit/Hyperactivity Disorder and Homelessness: Table 2 A 33-Year Follow-Up Study Features of Homelessness in Probands and Comparisons https://www.ncbi.nlm.nih.gov/labs/pmc/articles/PMC5533180/ ADHD Probands (n=32) Comparisons (n=6) Non ADHD Variables Mean (SD)/n Median (min- (%) max) Mean (SD)/n Median (min- (%) max) Place stayed while homeless b Street-Shelter Family-Friends Longest continuous duration of homelessness (months) Total duration of homelessness (months) Number of homeless periods 19 (59.4) 13 (40.6) 10.7 (17.8) 15.5 (22.9) 2.3 (2.8) 3.5 (1-78) 6.0 (1-96) 1.0 (1-12) aPresented for information's sake. Small n (n=6) precludes meaningful statistical contrasts. bif more than 1 episode was reported, the most severe is presented https://www.ncbi.nlm.nih.gov/labs/pmc/articles/PMC5533180/table/T2/?report=objectonly

Judge David Admire The program targets LD and/or ADD misdemeanor and gross misdemeanor offenders, between 17 and 45 years of age. The program provides: 1 Initial screening to determine if the client/offender possesses the basic tendencies, behavior and history consistent with learning and/or attentional disabilities. 2 An intake interview to determine need and appropriateness for the program. 3 Optional testing and evaluation to confirm the diagnosis of LD and/or ADD. 4 A 14 week (28 hour) instructional class geared specifically toward the needs of the LD and ADD clients. The Life Skills Program is designed to address the clients difficulties in social skills, anger management, decision making and problem solving. It also provides information on learning and attentional disabilities, offers suggestions on specific coping mechanisms and provides community resource information. A supplementary manual for both clients and instructors has been developed. As a result of the program clients become aware of the personal characteristics that are related to or the result of their LD and/or ADD, such as: getting lost; confusing right and left; being late for work or appointments; forgetfulness and/or losing things. Clients also become aware of how they process information such as: difficulty in understanding or following directions; not understanding information the first time it is given; being easily distracted by background noise or having a short attention span. Clients learn specific social skills such as: how to express a complaint; how to prepare for a stressful conversation; how to deal with accusations; how to keep out of fights; how to express emotions and deal with the emotions of others. Clients also learn the skills in how to make "smart decisions" in problem solving and conflict resolution situations. After completion of the Life Skills Program, the recidivism (re-offense) records of offenders are reviewed at 6 months, 1 year, 18 months a…

21% To 45% Of Prisoners Have ADHD 15 Studies

adultaddstrengths.com/2011/01/12/a...

20-40% Of SUD People

addcoach4u.com/adhd-addicti...

23.7% of homeless people

www.ncbi.nlm.nih.gov/pmc/articles...

Nightmare to get ADHD diagnosis in BC

#MandatoryCMECoursesOnADHD for docs

#UBCM #BCPOLI

Four Pillars drug strategy https://vancouver.ca/people-programs/four-pillars-drug-strategy.aspx About the four pillars approach The four pillars approach to drug addiction was first implemented in Europe in the 1990s, and is based on four principals: • Harm reduction 20-40%+ of substance users have ADHD. • Prevention Only 5% of adults have ADHD • Treatraent Demand ALL BC doctors have • Enforcement Mandatory CME Courses on ADHD https://addcoach4u.com/adhd-addictions-articles/ Successfully used in such cities as Geneva, Zurich, Frankfurt, and Sydney, this four pillars approach has resulted in a: • Dramatic reduction in the number of drug users consuming drugs on the street • Significant drop in overdose deaths • Reduction in the infection rates for HIV and hepatitis.

https://www.ncbi.nlm.nih.gov/labs/pmc/articles/PMC5533180/table/T2/?report=objectonly 110%太三 Childhood Attention-Deficit/Hyperactivity Disorder and Homelessness: Table 2 A 33-Year Follow-Up Study Features of Homelessness in Probands and Comparisonsa https://www.ncbi.nlm.nih.gov/labs/pmc/articles/PMC5533180/ ADHD Probands (n=32) Comparisons (n=6) Non ADHD Variables Mean (SD)/n Median (min- (%) max) Mean (SD)/n Median (min- (%) max) Place stayed while homeless b Street-Shelter Family-Friends Longest continuous duration of homelessness (months) Total duration of homelessness (months) Number of homeless periods 19 (59.4) 13 (40.6) 10.7 (17.8) 15.5 (22.9) 2.3 (2.8) 3.5 (1-78) 6.0 (1-96) 1.0 (1-12) aPresented for information's sake. Small n (n=6) precludes meaningful statistical contrasts. bif more than 1 episode was reported, the most severe is presented

33% of methadone users had ADHD 35% of cocaine users had ADHD 33% of alcoholics had ADHD 65% of drug users had ADHD 47% of teen prescription opioid abusers and 21% of heroin addicts had ADHD 70% of crystal meth inpatients had ADHD Only 8-10% of kids & 5% of adults have ADHD https://addcoach4u.com/adhd-addictions-articles/

https://adultaddstrengths.com/2011/01/12/adhd-and-crime-ignore-now-jail-later-15-clinical-studies/ Numbers of people with ADHD in jail • 46% of female prisoners in Rhode Island met criteria for childhood ADHD. • Swedish study showed 40% of adult male longer-term prison inmates had ADHD. • The overall prevalence of ADHD in young male prisoners according to DSM-IV was 45% • Half of the male prisoners in Iceland (50%) were found on screening to have met criteria for ADHD in childhood • Studies show that at least 25% of prisoners in the United States have ADHD. • Diagnosable ADHD was found to occur in 25.5% of the adult male inmates, and major depression occurred in 25.5 % of the inmates. A significant relationship between ADHD and depression was found to exist. Rates of arrests and types of crime • Follow up study using arrest records showed significantly more people with ADHD than comparisons had been arrested (47% vs. 24%), convicted (42% vs. 14%), and incarcerated (15% vs. 1%). • Follow up study using arrest records showed people with ADHD had significantly higher rates of felonies and aggressive offenses than non adders • The ADHD symptomatic group had significantly higher rates of total, acquisitive and violent offending than other prisoners, as well as greater regular heroin use. • For violent offending, ADHD symptoms were the strongest predictor followed by alcohol dependence. • Hyperactive subjects had significantly higher juvenile (46% versus 11%) and adult (21% versus 1% arrest rates. Juvenile and adult incarceration rates were also significantly higher. Childhood conduct problems predicted later criminality,

None are talking about prevention

1 of the 4 pillars of Vancouver's Drug Policy.

27% of homeless people had ADHD.

20-40%+ of people with SUD have ADHD

21-45% of prisoners have ADHD.

Nightmare to get an ADHD diagnosis in BC

No councillors demand #MandatoryCMECoursesOnADHD

#bcdpoli #UBCM

If not us then who, if not now, then when John Lewis

It would. ALL doctors should screen people with anxiety & depression, #SUD for ADHD because we have huge rates of those.

ALL family doctors should have #MandatoryCMECoursesOnADHD

But this will never happen until more people with ADHD ask their provincial politicians to do so.

No one else will

33% of methadone users had ADHD 35% of cocaine users had ADHD 33% of alcoholics had ADHD 65% of drug users had ADHD 47% of teen prescription opioid abusers and 21% of heroin addicts had ADHD 70% of crystal meth inpatients had ADHD Only 8-10% of kids & 5% of adults have ADHD https://addcoach4u.com/adhd-addictions-articles/

Numbers of people with ADHD in jail ◦ 46% of female prisoners in Rhode Island met criteria for childhood ADHD. ◦ Swedish study showed 40% of adult male longer-term prison inmates had ADHD. ◦ The overall prevalence of ADHD in young male prisoners according to DSM-IV was ◦ 45% ◦ Half of the male prisoners in Iceland (50%) were found on screening to have met criteria for ADHD in childhood ◦ Studies show that at least 25% of prisoners in the United States have ADHD. ◦ Diagnosable ADHD was found to occur in 25.5% of the adult male inmates, and major depression occurred in 25.5 % of the inmates. A significant relationship between
ADHD and depression was found to exist. ◦ Rates of arrests and types of crime ◦ Follow up study using arrest records showed significantly more people with ADHD than comparisons had been arrested (47% vs. 24%), convicted (42% vs. 14%), and incarcerated (15% vs. 1%). ◦ Follow up study using arrest records showed people with ADHD had significantly higher rates of felonies and aggressive offenses than non adders ◦ The ADHD symptomatic group had significantly higher rates of total, acquisitive and violent offending than other prisoners, as well as greater regular heroin use. ◦ For violent offending, ADHD symptoms were the strongest predictor followed by alcohol dependence. ◦ Hyperactive subjects had significantly higher juvenile (46% versus 11%) and adult (21% versus 1% arrest rates. Juvenile and adult incarceration rates were also significantly higher. Childhood conduct problems predicted later criminality, https://adultaddstrengths.com/2011/01/12/adhd-and-crime-ignore-now-jail-later-15-clinical-studies

hildhood Attention-Deficit/Hyperactivity Disorder and Homelessness: Table 2 A 33-Year Follow-Up Study Features of Homelessness in Probands and Comparisons https://www.ncbi.nlm.nih.gov/labs/pmc/articles/PMC5533180/ ADHD Probands (n=32) Comparisons (n=6) Non ADHD Variables Mean (SD)/n Median (min- (%) max) Mean (SD)/n Median (min- (%) max) Place stayed while homeless b Street-Shelter Family-Friends Longest continuous duration of homelessness (months) Total duration of homelessness (months) Number of homeless periods 19 (59.4) 13 (40.6) 10.7 (17.8) 15.5 (22.9) 2.3 (2.8) 3.5 (1-78) 6.0 (1-96) 1.0 (1-12) aPresented for information's sake. Small n (n=6) precludes meaningful statistical contrasts. bif more than 1 episode was reported, the most severe is presented https://www.ncbi.nlm.nih.gov/labs/pmc/articles/PMC5533180/table/T2/?report=objectonly

28% of patients at a tertiary care mood and anxiety disorder clinic had undiagnosed ADHD 22% of patients referred to the clinic for treatment resistant depression had undiagnosed ADHD Only 5% of adults have adhd ADHD vs Undiagnosed ADHD vs Undiagnosed ADHD in Treatment Resistent Depression https://adultaddstrengths.com/2016/04/30/28-of-referrals-to-a-mood-and-anxiety-clinic-had-undiagnosed-adhd/

21% To 45% Of Prisoners Have ADHD 15 Studies Show.

adultaddstrengths.com/2011/01/12/a...

20-40% Of SUD

addcoach4u.com/adhd-addicti...

23.7% of homeless

www.ncbi.nlm.nih.gov/pmc/articles...

Most BC doctors are NOT properly trained on ADHD. Ask BC gov for #MandatoryCMECoursesOnADHD

#UBCM

33% of methadone users had ADHD 35% of cocaine users had ADHD 33% of alcoholics had ADHD 65% of drug users had ADHD 47% of teen prescription opioid abusers and 21% of heroin addicts had ADHD 70% of crystal meth inpatients had ADHD Only 8-10% of kids & 5% of adults have ADHD https://addcoach4u.com/adhd-addictions-articles/

https://adultaddstrengths.com/2011/01/12/adhd-and-crime-ignore-now-jail-later-15-clinical-studies Numbers of people with ADHD in jail ◦ 46% of female prisoners in Rhode Island met criteria for childhood ADHD. ◦ Swedish study showed 40% of adult male longer-term prison inmates had ADHD. ◦ The overall prevalence of ADHD in young male prisoners according to DSM-IV was ◦ 45% ◦ Half of the male prisoners in Iceland (50%) were found on screening to have met criteria for ADHD in childhood ◦ Studies show that at least 25% of prisoners in the United States have ADHD. ◦ Diagnosable ADHD was found to occur in 25.5% of the adult male inmates, and major depression occurred in 25.5 % of the inmates. A significant relationship between
ADHD and depression was found to exist. Rates of arrests and types of crime ◦ Follow up study using arrest records showed significantly more people with ADHD than comparisons had been arrested (47% vs. 24%), convicted (42% vs. 14%), and incarcerated (15% vs. 1%). ◦ Follow up study using arrest records showed people with ADHD had significantly higher rates of felonies and aggressive offenses than non adders ◦ The ADHD symptomatic group had significantly higher rates of total, acquisitive and violent offending than other prisoners, as well as greater regular heroin use. ◦ For violent offending, ADHD symptoms were the strongest predictor followed by alcohol dependence. ◦ Hyperactive subjects had significantly higher juvenile (46% versus 11%) and adult (21% versus 1% arrest rates. Juvenile and adult incarceration rates were also significantly higher. Childhood conduct problems predicted later criminality,

https://www.ncbi.nlm.nih.gov/labs/pmc/articles/PMC5533180/table/T2/?report=objectonly Childhood Attention-Deficit/Hyperactivity Disorder and Homelessness: Table 2 A 33-Year Follow-Up Study Features of Homelessness in Probands and Comparisonsa https://www.ncbi.nlm.nih.gov/labs/pmc/articles/PMC5533180/ ADHD Probands (n=32) Comparisons (n=6) Non ADHD Variables Mean (SD)/n Median (min- (%) max) Mean (SD)/n Median (min- (%) max) Place stayed while homeless b Street-Shelter Family-Friends Longest continuous duration of homelessness (months) Total duration of homelessness (months) Number of homeless periods 19 (59.4) 13 (40.6) 10.7 (17.8) 15.5 (22.9) 2.3 (2.8) 3.5 (1-78) 6.0 (1-96) 1.0 (1-12) aPresented for information's sake. Small n (n=6) precludes meaningful statistical contrasts. bif more than 1 episode was reported, the most severe is presented

28% of patients at a tertiary care mood and anxiety disorder clinic had undiagnosed ADHD 22% of patients referred to the clinic for treatment resistant depression had undiagnosed ADHD Only 5% of adults have adhd https://adultaddstrengths.com/2016/04/30/28-of-referrals-to-a-mood-and-anxiety-clinic-had-undiagnosed-adhd/

20-40% Of SUD People Have ADHD

addcoach4u.com/adhd-addicti...

21% To 45% Of Prisoners Have ADHD 15 Studies Show.

adultaddstrengths.com/2011/01/12/a...

23.7% of homeless people

www.ncbi.nlm.nih.gov/pmc/articles...

Ask city councillors to ask for

#MandatoryCMECoursesOnADHD at #UBCM

#bcpoli

ADHD in adults. What the science says doctor Russell Barkley 236 ADHD IN ADULTS TABLE 8.13. Proportion of Hyperactive and Control Groups Endorsing Suicidality Questions at the Age 21 Follow-Up for the Milwaukee Study Question Hyperactive Control Odds ratio 95% CI P N % N In high school Considered suicide 53 361 17 22 4.09 1.92 1.01-3.62.043 Attempted suicide 24 16 8.94 7.10 1.63-30.92 .003 Hospitalized 11 7 0 5.90 ー .015 Since high school Considered suicide 38 25 12 5.68 2.55 1.16-5.60 .017 Attempted suicide 9 921 3 1.26 2.4 0.5-11.3 NS Hospitalized 7 1.68 3.70 0.45-30.61 NS extent, the severity of ADHD in childhood made significant contributions to risk for suicidality. With this exceptionally limited background of research in mind, we present the results for the UMASS Study of clinic-referred adults. As in the Milwaukee Study at age-21 follow-up, we asked participants whether they had ever consid- ered suicide or attempted it prior to age 18 years of age and also after age 18

236 ADHD IN ADULTS TABLE 8.13. Proportion of Hyperactive and Control Groups Endorsing Suicidality Questions at the Age 21 Follow-Up for the Milwaukee Study Question Hyperactive Control Odds ratio 95% Cl In high school Considered suicide 53 36 22| 4.009 1.921 1.01-3.62 .043 Attempted suicide 24| 16 8,94 7.10 1.63-30.921 .003 Hospitalized 11 5.90 .015 Since high school Considered suicide 38 25| 12 5.68 2.55 1.16-5.60 .017 Attempted suicide 1.26 2.4 0.5-11.3| NS Hospitalized 1.68 3.70 0.45-30.61 NS Noc. Sample sizes by group are Hyperactive = 149 and Control = 76. N= number anovering "ye" to this question: y*- results of Cochran's chi-square test: odds ratio - common odds ratio for the Mantel-Haenszel Tex: 95% CI = 95% considence interval for the Mantel-Haenszel Tex. From Barkley and Fisber (2005). Copynight 2005 by Guilford Publications. Reprinted by pennission. extent, the severity of ADHD in childhood made significant contributions to risk for suicidality. With this exceptionally limited background of research in mind, we present the results for the UMASS Study of clinic-referred adults. As in the Milwaukee Study at age-21 follow-up, we asked participants whether they had ever consid- cred suicide or attempted it prior to age 18 years of age and also after age 18 years. Our findings appear in Table 8.14. Here it can be seen that our groups did not differ in either suicidal ideation or attempts prior to 18 years of age. in con- TABLE 8.14. Suicidal Thinking and Attempts before and after Age 18 Years for Each Group in the UMASS Study Measure ADHD Clinical Community % P Pairwise contrasts N % N % N Before age 18 years Suicidal thinking 25 16 16 15 5.1 NS Suicide attempt b91 2.81 NS After age 18 years Suicidal thinking 42| 291 25 27 22.8 < .001 1,2 > 3 Suicide attempt 12 19 6.8 033 1ン3 Nife. Sample sizes are ADHD - 145, Clinical - 94, Community - 108, N' - ample size endorsing this item: $6 - percent of group eodorsing this item: 7' - resuks of the ommbus chi-square tex…

25% of ADHD adults considered suicide vs 12% of controls

6% of ADHD adults attempted suicide vs 3% of controls

5% of ADHD adults hospitalized for suicide vs 1% of controls

Many are un or misdiagnosed. Will you require ALL Docs to get

#MandatoryCMECoursesOnADHD?

books.google.ca/books?id=4BI...

236 ADHD IN ADULTS TABLE 8.13. Proportion of Hyperactive and Control Groups Endorsing Suicidality Questions at the Age 21 Follow-Up for the Milwaukee Study Question Hyperactive Control Odds ratio 95% CI P N % N In high school Considered suicide 53 361 17 22 4.09 1.92 1.01-3.62.043 Attempted suicide 24 16 8.94 7.10 1.63-30.92 .003 Hospitalized 11 7 0 5.90 ー .015 Since high school Considered suicide 38 25 12 5.68 2.55 1.16-5.60 .017 Attempted suicide 9 921 3 1.26 2.4 0.5-11.3 NS Hospitalized 7 1.68 3.70 0.45-30.61 NS extent, the severity of ADHD in childhood made significant contributions to risk for suicidality. With this exceptionally limited background of research in mind, we present the results for the UMASS Study of clinic-referred adults. As in the Milwaukee Study at age-21 follow-up, we asked participants whether they had ever consid- ered suicide or attempted it prior to age 18 years of age and also after age 18

Huge rates suicidal thinking, attempts & hospitalization rates of teens and adults with ADHD

Doctors are not properly trained on ADHD so often we go underdiagnosed or misdiagnosed with depression or anxiety

Will you require that ALL California doctors have

#MandatoryCMECoursesOnADHD?

The majority of adults with ADHD are misdiagnosed with depression and anxiety or underdiagnosed

Many doctors are Not properly trained on ADHD

Politicians don't care about us

Very few people with ADHD will ph/email their politicians & demand all doctors get #MandatoryCMECoursesOnADHD

BCNDP govt is violating BC's Medicare Protection Act on ADHD diagnosis and treatment. Violating sections on: Public administration. "The plan is publicly funded and operated on an accountable basis." No. Defacto privatized ADHD assessments in many cases to private Nurse Practitioner companies charging $3-600 for an assessment, $80 to adjust meds via neglect & refusal to require All doctors to have #MandatoryCMECoursesOnADHD. Comprehensiveness. "All medically required services provided by enrolled medical practitioner." No. So many are defacto privatized to Nurse Practitioners, instead of requiring them to bill MSP so we don't have to pay. Universality. "The plan applies to 100% of beneficiaries on uniform terms and conditions." No. So many can't find a doctor or psychiatrist properly trained on ADHD. So many are defacto privatized to Nurse Practitioners, instead of requiring them to bill MSP so we don't have to pay. Accessibility. "The plan provides benefits on uniform terms and conditions on a basis that does not impede or preclude reasonable access to benefits by beneficiaries." Hell no. That is the main problem. We ADDers often can't access competent diagnoses and treatment in BC.

BC Governments's Medicare Protection Act. BCNDP govt is violating BC's Medicare Protection Act on ADHD diagnosis and treatment. Public administration Violating sections on Public administration, comprehensiveness, universality and accessibility 5.2 The plan is publicly funded and operated on an accountable basis. Comprehensiveness https://www.bclaws.gov.bc.ca/civix/document/id/complete/statreg/96286_01 5.3 The plan includes as benefits (a) all medically required services provided by enrolled medical practitioners, (b) all required services provided by enrolled health care practitioners and prescribed as benefits under section 51, (c) benefits that are performed in approved diagnostic facilities, and (d) any benefits that are performed by practitioners in a health facility that has entered into an agreement with one or more regional health boards designated under the Health Authorities Act or with the Provincial Health Services Authority, in accordance with the agreement. Universality Portability 5.4 The plan applies to 100% of beneficiaries on uniform terms and conditions. 5.5 The plan applies to the following individuals: (a) beneficiaries who are temporarily absent from British Columbia or moving to another province; (b) eligible individuals who are moving to British Columbia; (c) eligible individuals visiting British Columbia from another province that has entered into a reciprocal agreement with British Columbia for medical and health care services, in accordance with that agreement. Accessibility 5.6 The plan provides benefits on uniform terms and conditions on a basis that does not impede or preclude reasonable access to benefits by beneficiaries.

Impact-of-Untreated-and-Undertreated-ADHD-treated-ADHD.-The-Economic-Costs-of-ADHD-By-Dr.-Margaret-Weiss

33% of methadone users had ADHD 35% of cocaine users had ADHD 33% of alcoholics had ADHD 65% of drug users had ADHD 47% of teen prescription opioid abusers and 21% of heroin addicts had ADHD 70% of crystal meth inpatients had ADHD Only 8-10% of kids & 5% of adults have ADHD https://addcoach4u.com/adhd-addictions-articles/

This is a big thing that Carney should focus on

Tribalistic Nurse & Doctors lobbies making it harder for nurses & doctors to move from 1 province to another

AND he should demand ALL Doctors & Nurse Practitioners should have #MandatoryCMECoursesOnADHD vs keep violating the Canada Medicare Act

30% of Teenage Cannabis Users in Outpatient Study had ADHD - Adult ADD Strengths Here’s yet another example of what happens when you don’t diagnose and treat ADHD, many of them will find other ways of treating it and one popular way is self medication via drugs and alcohol. In the...

30% of Teenage Cannabis Users in Outpatient Study had ADHD.

ROI of Medical & Therapeutic Malpractice by underdiagnosing & misdiagnosing ADHD & resulting self-medication w/ drugs

Ask your politicians to require ALL doctors to have #MandatoryCMECoursesOnADHD

adultaddstrengths.com/2008/12/02/3...

"I've put to rest a dozen cousins in the last 5 years." (from the toxic drug supply) Wade Grant #LPC #VancouverQuada

Why we need more #Insite like Supervised Consumption sites, both inhalation & injection

Detox on demand

Treatment on Demand

#MandatoryCMECoursesOnADHD for all doctors

#cdnpoli

33% of methadone users had ADHD 35% of cocaine users had ADHD 33% of alcoholics had ADHD 65% of drug users had ADHD 47% of teen prescription opioid abusers and 21% of heroin addicts had ADHD 70% of crystal meth inpatients had ADHD Only 8-10% of kids & 5% of adults have ADHD https://addcoach4u.com/adhd-addictions-articles/

Does Stimulant Medication Cause Addiction? Explains what the title says. One day we'll see articles saying things like does not taking ADHD medication increase the chance of your son or daughter or adult child instead self-medicating with booze, tobacco and illegal drugs to get the dopamine from them they'd otherwise get with ADHD medications? Children on Methylphenidate Less Likely to Abuse Drugs, Study "Pre-teens who have been treated with methylphenidate may develop an aversion to abusable drugs, according to a team of researchers from Harvard Medical School. The Harvard study also rebuts arguments that treating children with stimulants such as Ritalin, Concerta or other medications containing methylphenidate may lead to later substance abuse." Does Stimulant Therapy of ADHD Beget Later Substance Abuse? A Meta-analytic Review of the Literature. By the Clinical Research Program in Pediatric Psychopharmacology, Massachusetts General Hospital, Boston, Harvard Medical School, Pediatrics. Conclusion? No. They found it actually reduced the risk of later substance abuse. ADHD Medication and Substance-Related Problems. It Reduced Them. Study of 2,993,887 “Substance use disorders are major contributors to excess mortality among individuals with attention-deficit/hyperactivity disorder (ADHD), yet associations between pharmacological ADHD treatment and substance-related problems remain unclear. This study investigated concurrent and long-term associations between ADHD medication treatment and substance-related events. Method The authors analyzed 2005-2014 commercial healthcare claims from 2 993 887 (47.2% female) adolescent and adult ADHD patients. Within-individual analyses compared the risk of substance-related events (i.e., substance-use-disorder-related emergency-department visits) during months in which patients received prescribed stimulant medication or atomoxetine relative to that during months in which they did not. Results In adjusted within-individua…

46% of female prisoners in Rhode Island met criteria for childhood ADHD. • Swedish study showed 40% of adult male longer-term prison inmates had ADHD. • The overall prevalence of ADHD in young male prisoners according to DSM-IV was 45% • Half of the male prisoners in Iceland (50%) were found on screening to have met criteria for ADHD in childhood • Studies show that at least 25% of prisoners in the United States have ADHD. • Diagnosable ADHD was found to occur in 25.5% of the adult male inmates, and major depression occurred in 25.5 % of the inmates. A significant relationship between ADHD and depression was found to exist. • Rates of arrests and types of crime • Follow up study using arrest records showed significantly more people with ADHD than comparisons had been arrested (47% vs. 24%), convicted (42% vs. 14%), and incarcerated (15% vs. 1%). • Follow up study using arrest records showed people with ADHD had significantly higher rates of felonies and aggressive offenses than non adders • The ADHD symptomatic group had significantly higher rates of total, acquisitive and violent offending than other prisoners, as well as greater regular heroin use. • For violent offending, ADHD symptoms were the strongest predictor followed by alcohol dependence. • Hyperactive subjects had significantly higher juvenile (46% versus 11%) and adult (21% versus 1%) arrest rates. Juvenile and adult incarceration rates were also significantly higher. Childhood conduct problems predicted later criminality,

Teens with ADHD in Jail and comorbidities / co-existing conditions Only 2 out of 30 Swedish prison inmates confirmed with ADHD had received a diagnosis of ADHD during childhood Addicted delinquents with ADHD showed worse social environment and a higher degree of psychopathology, including externalizing and internalizing behavior, compared to addicted delinquents without ADHD. Hyperactive children are at risk for both juvenile and adult criminality. The risk for becoming an adult offender is associated with conduct problems in childhood and serious antisocial behavior (repeat offending) in adolescence. Children with impulsive ADHD were more likely to commit impulsive crimes such as theft. Children with inattentive ADHD were more likely to engage in premeditated crimes, such as burglary and selling drugs. Significant increase of emotional and internalizing problems in the ADHD group compared to delinquents without ADHD or ADHD history. ADHD delinquents scored higher on the personality dimension neuroticism and showed lower scores on the dimensions agreeableness and consciousness Follow up study using arrest records showed the development of an antisocial or substance use disorder in adolescence completely explained the increased risk for subsequent criminality for ADHD inmates Even in the absence of comorbid conduct disorder in childhood, ADHD increases the risk for developing antisocial and substance use disorders in adolescence, which, in turn, increases the risk for criminal behavior in adolescence and adulthood. Comorbidities / co-existing conditions of adult ADHD inmates Women with ADHD were more likely to be inconsistently employed, recently homeless, lifetime incarceration of more than 90 days, current smokers and ever used marijuana regularly Offenders with ADHD were more likely to report problems with emotional and social functioning and to have higher suicide risk scores Offenders with ADHD had higher rates of mood, anxiety, psychotic, somatoform, antisoci…

How do we stop crime before it happens asks Singh?

I'll answer. 21-45% of prisoners have ADHD

20-40%+ of people with SUD have ADHD

Require ALL doctors to have #MandatoryCMECoursesOnADHD so they don't self medicate with illegal drugs

adultaddstrengths.com/2011/01/12/a...

#cdnpoli #EnglishDebate

List of studies showing that adults and teens with ADHD have higher rates of substance use disorder

Study showing that if people with ADHD are properly diagnosed and treated with ADHD meds and reduces their rates of substance used dis

I’ve been sending out a list of people who can diagnose and treat ADHD in Metro Vancouver for 20 years thousands of times. Long waits

Will #BCGreens demand that BCNDP requires all family doctors to have #MandatoryCMECoursesOnADHD?

So less of us self medicate drugs and die?

#bcpoli

Good. 20-40%+ of people with Substance Use Disorder Have ADHD

27% of homeless people have ADHD

21-45% of prisoners have ADHD

Why won't bcndp MLAs take action on reducing demand for illegal drugs? Demand ALL doctors have #MandatoryCMECoursesOnADHD

#bcpoli #DTES