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Routes to A.S.D diagnosis for children and young people

Routes to A.S.D diagnosis for children and young people. Adrienne Shaw, Nici Sandison, Dr Alison Kay PAC Team. HISTORICAL OVERVIEW. 1980’s - Scottish Centre for Autism at Yorkhill Hospital 2000 - 2005 Local Teams in Cumbernauld / South Lanarkshire

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Routes to A.S.D diagnosis for children and young people

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  1. Routes to A.S.D diagnosis for children and young people Adrienne Shaw, Nici Sandison, Dr Alison Kay PAC Team

  2. HISTORICAL OVERVIEW • 1980’s - Scottish Centre for Autism at Yorkhill Hospital • 2000 - 2005 Local Teams in Cumbernauld / South Lanarkshire • 2005 - 2014 Lanarkshire Autism Diagnostic Service LADS • 2014 – Current model

  3. INFLUENCING FACTORS • SIGN Guidelines 2007 • Autism Strategy 2011 • GIRFEC • Consultation with Service Users 2012 • Paediatric Service Re-design 2013 • Increased Expertise in A.S.D. across NHSL • Economy

  4. THE LANARKSHIRE MODEL • LADS and the need for change. • Trust Wide / one team • Highly Specialist Staff • Waiting List / initiative

  5. CURRENT MODEL • Community Autism Service (CAS) Community Paediatrician, Specialist SLT, other agencies • Paediatric Autism Consultancy Team PAC2 Highly Specialist SLTs, 1 Lead Dr • CAMHS when additional mental health problem

  6. DIAGNOSTIC ASSESSMENT Case History School Nursery Visit Clinical Assessment Give The Diagnosis / Report Post Diagnostic Follow Up

  7. CASE HISTORY • Community Paediatrician • Specialist SLT • Detailed Developmental • Autism Spectrum Focussed

  8. SCHOOL / NURSERY VISIT • Observation in social setting • Useful Information from education staff • Secondary age children

  9. CLINICAL ASSESSMENT • Language & Communication • Social Competence • Imagination /Flexibility /Play • Other – Sensory / Motor etc. • Formal / Informal tools

  10. GIVING A DIAGNOSIS Emotional Support Sign Posting to post diagnostic services Practical Advice / strategies Report Follow Up / Links

  11. Potential future benefits • Reduced waiting times / more seamless service for families • Betterlinks and relationships between professionals • Data collection will allow for research/audit • Staff skill development

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