Attention Deficit Hyperactive Disorder (ADHD) is a complex condition for Aboriginal communities, requiring careful consideration in its identification, assessment, diagnosis and management, and can have significant impact.
Until 2025, people seeking assessment and diagnosis for ADHD were typically referred by their GP to a specialist paediatrician or psychiatrist for both diagnosis and prescribing. The NSW Health ADHD reforms aim to increase access to care by supporting more holistic, accessible, culturally-safe care in primary care settings while freeing up specialist appointments for new and complex cases.
Stage 1 of the NSW ADHD prescribing reforms begun on 1 September 2025, enabling GPs to apply to be continuation prescribers, and prescribe ongoing psychostimulant medication for patients aged 6 years and over who have an existing ADHD diagnosis and are stable on treatment. Uptake has been high- as of 27 January 2026, there are 749 continuation prescribers in NSW, with 41% practices outside of metro Sydney.
Stage 2—allowing GPs to diagnose ADHD and initiate medication, is to start in early 2026 for eligible trained GPs. These endorsed GP prescribers will be authorised to initiate psychostimulants for patients with newly diagnosed ADHD.
All interested ACCHOs could ask their GPs to apply as positions are limited. The EOI portal for endorsed prescribers is now open and is accessible here:
Further information and Resources on ADHD:
While medication can play an important role in managing ADHD, it is not the only treatment measure. Many individuals benefit from a multimodal approach to help improve emotional regulation, time management, and daily functioning—especially when tailored to the individual’s age, environment, and co-existing conditions.
- ADHD and Aboriginal and Torres Strait Islander People: An AADPA evidence-based practice guideline fact sheet
- AADPA information sheets for families and individuals: Information sheets to promote understanding and awareness
- ADHD in children & teenagers | Raising Children Network
- ADHD Foundation: Offers support, education, and referral pathways ADHD Foundation
- Australasian ADHD Professionals Association (AADPA) Prescribing Guide: A comprehensive resource for clinicians managing ADHD across age groups.
Please email publichealth@ahmrc.org.au for any questions, feedback, and suggestions about these ADHD reforms.






