Note - this is not an NHS England produced presentation.

1. Transforming Care
Autsim
30th September 2016

2. 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

3. 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.

4. Overview
 Autism!
 Co-existing difficulties – the impact on mental
health
 Post diagnosis support; children, adults, families
 Routes into services – risk of admission
 Moving on – keeping well – avoiding hospital
admission

5. Autism!

6. 6
The ‘triad’ vs dyad
 1) Patterns of communication
 and
 2) Reciprocal social interactions
 3) Restricted, repetitive and stereotyped behaviours
and interests
 And sensory difficulties

7. 7
 Sensory issues
 Cognitive processing
 Motor difficulties – dyspraxia
 Other sypmtoms – anxiety, tics, obsessional symptoms

8. 8
Strengths of ASD
Attention to Detail
Focus
Determination

9. The Individual
 Understanding assessment
 Understanding the purpose of assessment
 Considering co-existing difficulties, including life
 Understanding the impact on presentation
 Understanding the person!
9

10. The Individual
 Once you have met one person with autism …
 You have met one person with autism!
10

11. Co-existing difficulties
– the impact on mental health

12. • Anxiety
• ADHD
• OCD
• Mood disorders
• Psychosis
• Alcohol/ drug self medication
• Attachment
• Eating disorders
• Gender dysphoria
• Personality
12
Co‐existing difficulties

13. The Individual
 Understanding assessments
 Understanding the purpose of assessment
 Considering co-existing difficulties, including life
 Understanding the impact on presentation
 Understanding the person!
13

14. Post diagnosis support; children,
adults, families

15. What is out there?
 Commissioned services – few
 Specialist education or support – for some
 Specialist teams – overstretched
 Voluntary sector support
15

16. Routes into services
– risk of admission

17. Admission to hospital
 ‘Behaviours that challenge’
 Risk presentations and vulnerability
 Offending – Court/ prison transfer
 Acute MH difficulties
 Acute crisis
17

18. Admission to hospital
 Children and adults
 Generic services
 Specialist services
 Geographical location
 Getting stuck!
18

19. Moving on
– keeping well
– avoiding hospital admission

20. Moving on …
 Inpatient ‘treatment
 Community ‘treatment’
 Ongoing intervention and support
 The right environment
 Crisis support

21. Thank you!