The ACT government has made a significant decision to stop taking on new adult patients for Attention Deficit Hyperactivity Disorder (ADHD) assessments. This move comes as soaring demand competes directly with extensive waitlists already burdening the public mental health system in the territory.
Understanding ADHD and the Service Shift
Attention Deficit Hyperactivity Disorder is a lifelong neurodevelopmental condition that can significantly impair an individual's ability to concentrate, organise tasks, control impulses, and regulate emotions. It is important to note that ADHD is not classified as a mental health issue but is associated with challenges including poorer academic and employment outcomes, reduced life expectancy, and higher rates of incarceration.
A government spokesperson confirmed that Adult Community Mental Health Services formally stopped accepting referrals for adult ADHD assessments on October 1, 2025. However, individuals already on the waiting list through the Access Comprehensive service will still receive their assessments.
Pilot Program Offers a New Pathway
In response to the access crisis, a pilot program announced in mid-2025 allows specially trained General Practitioners in Canberra to assess and prescribe medication for ADHD patients. This initiative is expected to provide a more affordable and accessible alternative to seeing a psychiatrist or paediatrician, which has traditionally been the standard pathway.
Data Reveals Pressure on the System
A ministerial brief from May 2025, released under freedom of information laws, highlighted the strain. In April 2025, 27 of the 330 people on a waitlist for moderate mental illness were specifically waiting for an ADHD assessment. The document stated that wait times exceeded 24 months and that focusing resources on ADHD assessments came at the expense of individuals with acute mental illnesses.
The brief argued that "ADHD assessments alone do not meet the public mental service threshold in terms with respect to clinical priority or risk." Canberra Health Services recommended halting the assessments, aligning with the approach of every other state and territory except Western Australia.
Rising Demand and Medication Trends
Demand for adult ADHD assessments has surged in recent years. Pharmaceutical Benefit Scheme data shows an elevenfold increase in medications dispensed for ADHD treatment between 2004-05 and 2023-24. Notably, in 2023-24, more females than males over the age of 18 were prescribed ADHD medication.
The ministerial brief noted a "significant increase in adult diagnosis of ADHD" and mentioned some divergence in clinical opinion regarding the efficacy and methods of treating ADHD in adults. It also acknowledged significant developments in the private system for diagnosing and treating adults with the condition.
Broader Implications and Community Concerns
The decision has raised concerns about support for neurodivergent individuals. In a submission to an ACT Legislative Assembly inquiry into men's suicide, the Australian Medical Association ACT branch linked a lack of support for neurodivergent people to suicide risk. One doctor noted, "No public support services for neurodivergent in the ACT," while another highlighted challenges for neurodivergent or gender-divergent males in accessing appropriate support.
The government spokesperson stated that extensive consultation with external stakeholders, including General Practitioners, preceded the decision. Individuals contacting mental health services via the Access Mental Health phoneline for an ADHD assessment are provided with information and advice.
Services for Children Remain Available
While adult assessments have ceased, the ACT government continues to offer ADHD assessments for children. Services are available for children up to age 12 through Enhanced Child Health Services and up to age 16 through the Community Paediatric and Child Health Service. However, as of March 2024, the approximate wait time for all government-provided ADHD support was around 40 weeks.
For those seeking assistance, the ADHD National Australian Helpline can be contacted at 1300 393 919.
