To what extent are sleep problems assessed, recorded and treated in ADHD assessments within routine clinical practice, and how is variation in documentation associated with important clinical characteristics?

Sleep problems are reported in up to 75% of children with attention deficit hyperactivity disorder (ADHD); they can impact the child’s health and wellbeing, and affect family members in the home.

Research has found that clinicians often do not prioritise sleep problems in children’s mental health services, and there are no national guidelines on how sleep problems should be treated in young people with ADHD. We will use real-world clinical notes to explore how sleep problems are being assessed and recorded in the health record. We will also explore how they are being treated in the absence of clinical guidelines.