A digital platform for ADHD assessment and management: stakeholder-informed development and clinical implications

Abstract

Attention deficit hyperactivity disorder is a common neurodevelopmental disorder presenting to Child and Adolescent Mental Health Services (CAMHS) in Ireland, where variability in assessment, monitoring, and follow-up persists despite established standards of care. The ADMiRE clinical pathway was developed to improve consistency in care delivery, but its paper-based format limited scalability and increased administrative burden. This perspective describes the development of a digital platform to operationalise the ADMiRE pathway in routine clinical practice. The system was developed through an iterative, stakeholder-informed process involving clinicians and service stakeholders. The platform includes structured referral management, standardised diagnostic and monitoring tools with automated scoring, medication and case management, longitudinal monitoring, and automated clinical documentation. These features aim to support more consistent, guideline-informed care and reduce administrative burden while improving continuity across services. The experience highlights opportunities and challenges in translating structured clinical pathways into scalable digital systems within CAMHS.