Transforming Care

Autsim

30th September 2016

Transforming Care

30/11/2016 Dr Helen Pearce 2

to improve services for people with learning disabilities and/or autism, who display behaviour that challenges, including those with a mental health condition.

empowering individuals

right care, right place

workforce

regulation

data

Transforming Care

30/11/2016 Dr Helen Pearce 3

more choice for people and their families, and more say in their care;

providing more care in the community, with personalised support provided by multi-disciplinary health and care teams ;

more innovative services to give people a range of care options, with personal budgets, so that care meets individuals’ needs;

providing early more intensive support for those who need it, so that people can stay in the community, close to home;

but for those that do need in-patient care, ensuring it is only for as long as they need it.

Overview

Autism!Co-existing difficulties – the impact on mental

healthPost diagnosis support; children, adults, familiesRoutes into services – risk of admissionMoving on – keeping well – avoiding hospital

admission

Autism!

6

The ‘triad’ vs dyad

1) Patterns of communication and

2) Reciprocal social interactions

3) Restricted, repetitive and stereotyped behaviours and interestsAnd sensory difficulties

7

Sensory issues

Cognitive processing

Motor difficulties – dyspraxia

Other sypmtoms – anxiety, tics, obsessional symptoms

8

Strengths of ASDAttention to Detail

Focus

Determination

The Individual

Understanding assessment

Understanding the purpose of assessment

Considering co-existing difficulties, including life

Understanding the impact on presentation

Understanding the person!9

The Individual

Once you have met one person with autism …

You have met one person with autism!

10

Co-existing difficulties – the impact on mental health

• Anxiety

• ADHD

• OCD

• Mood disorders

• Psychosis

• Alcohol/ drug self medication

• Attachment

• Eating disorders

• Gender dysphoria

• Personality12

Co‐existing difficulties

The Individual

Understanding assessments

Understanding the purpose of assessment

Considering co-existing difficulties, including life

Understanding the impact on presentation

Understanding the person!13

Post diagnosis support; children, adults, families

What is out there?

Commissioned services – few

Specialist education or support – for some

Specialist teams – overstretched

Voluntary sector support

15

Routes into services – risk of admission

Admission to hospital

‘Behaviours that challenge’

Risk presentations and vulnerability

Offending – Court/ prison transfer

Acute MH difficulties

Acute crisis

17

Admission to hospital

Children and adults

Generic services

Specialist services

Geographical location

Getting stuck!

18

Moving on – keeping well – avoiding hospital admission

Moving on …

Inpatient ‘treatment

Community ‘treatment’

Ongoing intervention and support

The right environment

Crisis support

Thank you!