06 Aug ADHD Reforms Must Prioritise Holistic Support
The recent ADHD reforms introduced in New South Wales represent a significant and much-needed shift in how children and their families access diagnosis and treatment for Attention Deficit Hyperactivity Disorder. For years, many families have faced long wait times and high costs just to get an initial diagnosis, let alone ongoing support. The reforms aim to empower general practitioners (GPs) to identify and manage ADHD more effectively, which could reduce these barriers significantly.
As a paediatric occupational therapist working closely with children affected by ADHD, I welcome these changes, but with a note of caution. While the potential to slash wait times and reduce costs is a positive step, it’s vital that these reforms do not come at the expense of comprehensive, multidisciplinary care. ADHD is a complex neurodevelopmental condition that rarely exists in isolation. Many children also experience sensory processing difficulties, motor skill challenges, emotional regulation issues, and developmental delays. Simply prescribing medication is not enough.
“It’s vital that we ensure access to multidisciplinary care, rather than relying solely on medication or pharmacological solutions,” I shared with Peninsula Living. Occupational therapy plays a critical role in addressing many of these additional challenges. Through tailored interventions, occupational therapists help children build the skills they need to succeed academically, socially, and emotionally. Therapy can include support for fine and gross motor skills, sensory integration, self-regulation strategies, and functional skills for everyday life.
While quicker access to treatment is important, a narrow focus on medication alone risks missing the broader picture of each child’s unique needs. Behavioural strategies, family education, school-based support, and therapies must remain accessible components of care. A truly holistic approach leads to better, more sustainable outcomes and supports the whole child — not just their symptoms.
These reforms are a promising start, but let’s make sure they result in well-rounded, effective support that improves the quality of life for children and families living with ADHD.
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