The document discusses transforming care for people with autism and learning disabilities. It aims to improve services through empowering individuals, providing the right care in the right place, focusing on workforce and regulation, and using data. The goals are to provide more choice and say for people and families, more community-based care through personalized support from health teams, innovative services and personal budgets matching individual needs, early intensive support to help people stay in their community, and in-patient care only as long as needed.

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