Martyn King

@archmarty.bsky.social

Grumpy Field Archaeologist. Warhammer, MESBG, DnD player. Frustrated Leftist.

Remember Streeting's review into whether young people are being overdiagnosed with ADHD, autism, and mental health issues? Well, the interim report is out, and there's a reason the media are silent on it (spoiler: it proves what a lot of us have been saying all along)

In others, notably ADHD and autism, rising diagnoses and referrals appear to exceed changes in underlying epidemiological prevalence and are likely to reflect a combination of:

improved recognition
changing help-seeking behaviour
institutional incentives
pressures within existing service pathways
Across both ADHD and autism, best currently available population-based estimates remain relatively stable, while administrative diagnoses, self-identification and recorded service demand have increased substantially. In autism, the evidence also points to particularly rapid growth in identified need within educational systems, including increasing identification among girls and among young people without learning disability.These patterns suggest that rising demand is not simply the result of increasing prevalence, but of several processes operating simultaneously, including:

real increases in distress in some groups
improved recognition of previously unmet need
changing expectations about support
systems that frequently rely on formal diagnosis as the primary route to assistance
Across the system, support is too often accessed through pathways that are slow, fragmented and heavily dependent on diagnostic categorisation. While diagnosis remains essential for some forms of clinical decision-making, the evidence suggests that current arrangements do not always provide the most effective or efficient way of identifying and responding to need. In particular, where access to support depends heavily on formal diagnosis, demand for diagnostic assessment can increase more rapidly than systems are able to respond, generating long waiting times, duplication of assessment and pressure on specialist services.

The next phase of the review will therefore focus on clarifying the relationship between distress, diagnosis and need, and on examining how systems might respond more effectively to these patterns. A central objective will be to identify opportunities for developing more coherent, evidence-informed care pathways that enable support to be provided earlier and more proportionately, while ensuring that specialist services are available in a timely and appropriate manner for those whose needs are most complex.

My memoir, A Mind Of My Own is now available in paperback which means it’s cheaper. Hurrah! If you’d like a dedicated copy repost this and I’ll do a random pick of five winners in the next couple of days. If you’ve already bought/read or listened to the audible version thank you! ♥️📚

Photo of my memoir A Mind of my Own is now available in paperback. Repost for the chance to win a signed copy.

The racism we're seeing across the right today is vile and dangerous but it's also a sign of desperation. Three parties all fighting over the votes of aging authoritarians.

What if being with the person you love came with a huge price tag? Rebecca is British. David is Ugandan. They've 2 children but live thousands of miles apart Not because they are divorced but because Rebecca, like half the country, doesn’t earn £29,000 — and David’s income doesn’t count

“Two adults and two children sit on grass in a garden, playing with water and buckets in a blue plastic tub. There is a tear in the pic between father and his children to signify separation

Anyone looking for a digital archaeologist or digital ethicist - I’m looking for contract work. Hit me up. Paid work only, please. My dogs don’t get fed on exposure or cool networking opportunities.

The biggest story in the world right now is that the president of the United States is a demented old man who takes pleasure in torturing and killing people and is committing crimes with impunity. And yet most legacy media outlets are too cowardly to tell it like it is.

So, about those Eid prayers in London... "What's the highest thing in Trafalgar Square?" "Nelson's column, innit?" "And the highest thing on the column?" "Nelson." "And on Nelson?" "His hat." "And the highest thing on his hat?" "That bit that sticks up." 1/8

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And don’t get me started on the Osborne decision to abolish maintenance grants. The poorest students now borrow the most, carry debt longest, and subsidise the richest families who can pay it off quickly. Sounds like a sensible tax system!

Worth remembering when looking at the horrific scenes in the US right now that both Reform and the Tories have pledged to bring in ICE-style organisations to the UK if they win power