The need for ongoing adult mental health services for young people with attention deficit hyperactivity disorder (ADHD) in the UK was determined by a follow-up study of 102 young people with ADHD who were on medication and treated at a pediatric neurodisability clinic in Sheffield. Over 50% patients were well controlled, 71% had at least one comorbid condition, 46 received intervention from child and adolescent mental health services, 17% had committed criminal offenses, and 37% were likely to need transition to adult mental health services. Management of ADHD by specialist nurses working with a medical practitioner or adult mental health professional was considered ideal care for young patients transitioning from pediatric to adult clinics. 
COMMENT. In the US, treatment of children with chronic neurologic disorders past adolescence and during college often poses problems. The young adult care of myelomeningocele, cerebral palsy and muscular dystrophy is particularly difficult to arrange. ADHD is a lesser problem, but those patients with persisting symptoms as young adults need specialized attention and supervision during the transition period. The nurse practitioner working closely with the pediatrician, pediatric neurologist or child psychiatrist is an ideal person to supervise this transitional care.
TV/Video game exposure and attention deficits in children and young adults
A large sample (1323) of middle childhood participants and a smaller sample (210) of late adolescent/early adult participants were assessed during a 13-month period for television and video game exposure. The association of screen media and attention problems was similar across media type (TV or video games) and age (middle childhood or late adolescent/early adult).  Environmental factors, in addition to genetic, are important in the cause or exacerbation of ADD.