08. what is autism
TRANSCRIPT
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Transforming Care
Autsim
30th September 2016
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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
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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.
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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
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Autism!
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The ‘triad’ vs dyad
1) Patterns of communication and
2) Reciprocal social interactions
3) Restricted, repetitive and stereotyped behaviours and interestsAnd sensory difficulties
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Sensory issues
Cognitive processing
Motor difficulties – dyspraxia
Other sypmtoms – anxiety, tics, obsessional symptoms
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Strengths of ASDAttention to Detail
Focus
Determination
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The Individual
Understanding assessment
Understanding the purpose of assessment
Considering co-existing difficulties, including life
Understanding the impact on presentation
Understanding the person!9
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The Individual
Once you have met one person with autism …
You have met one person with autism!
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Co-existing difficulties – the impact on mental health
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• Anxiety
• ADHD
• OCD
• Mood disorders
• Psychosis
• Alcohol/ drug self medication
• Attachment
• Eating disorders
• Gender dysphoria
• Personality12
Co‐existing difficulties
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The Individual
Understanding assessments
Understanding the purpose of assessment
Considering co-existing difficulties, including life
Understanding the impact on presentation
Understanding the person!13
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Post diagnosis support; children, adults, families
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What is out there?
Commissioned services – few
Specialist education or support – for some
Specialist teams – overstretched
Voluntary sector support
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Routes into services – risk of admission
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Admission to hospital
‘Behaviours that challenge’
Risk presentations and vulnerability
Offending – Court/ prison transfer
Acute MH difficulties
Acute crisis
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Admission to hospital
Children and adults
Generic services
Specialist services
Geographical location
Getting stuck!
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Moving on – keeping well – avoiding hospital admission
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Moving on …
Inpatient ‘treatment
Community ‘treatment’
Ongoing intervention and support
The right environment
Crisis support
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Thank you!