Implementing 'Transforming Care' - The first two years of a pilot service for autistic adults experiencing mental health crisis warranting psychiatric admission.

Journal: Research in developmental disabilities

Volume: 147

Issue: 

Year of Publication: 2024

Affiliated Institutions:  South London & Maudsley NHS Foundation Trust, London, UK; Department of Psychology, Sport and Geography, University of Hertfordshire, Hatfield, UK. South London & Maudsley NHS Foundation Trust, London, UK. South London & Maudsley NHS Foundation Trust, London, UK; Central and North-West London NHS Foundation Trust, UK. South London & Maudsley NHS Foundation Trust, London, UK. Electronic address: Adanna.onyejiaka@slam.nhs.uk.

Abstract summary 

Autistic adults are at increased risk of mental health difficulties; however Adult Mental Health Services (AMHS) often struggle to offer appropriate support to this group. Within England, Government initiatives, such as the 'Transforming Care' programme which included 'Building the Right Support' (NHS England, 2015) have promoted the need for AMHS to consider how they can better provide autism-informed support to autistic adults.Here, we describe the first two years of work of the Transforming Care in Autism (TCA) Team; a specialist service that supports autistic adults, without a moderate or severe intellectual disability or presenting significant risk to others, experiencing a mental health crisis. The service model is described, and descriptive data is presented over the two years of the service operation.Between February 2019 and February 2021, 110 referrals were received; 52 (47%) were accepted. Support offered to autistic adults included psychoeducation, psychological interventions, family-focused interventions, and consultation with professionals about specific individuals. Seventy autism training sessions were delivered to professionals working in medical health settings, AMHS, social care and residential services.Developing more autism-informed community and inpatient AMHS is vital for improving care. Further research about the experiences and needs of autistic adults using AMHS is needed, along with improved awareness of autism and provision of tailored intervention within these settings.Autistic people have mental health problems more often than people who are not autistic. When autistic people need help from mental health services, often these services do not know how to help autistic people. The Government says mental health services must do more to help autistic people. In this paper we write about a new team, called the Transforming Care in Autism team. In its first two years the team was asked to help 110 people and worked with 52 of them. Help included talking to autistic people about how autism affects them and offering therapy. We also worked with families and professionals supporting autistic adults and offered 70 training sessions. More work is needed to make sure mental health services work well with autistic people. We also need to ask autistic people about their experiences of getting help from mental health services.

Authors & Co-authors:  Allahdad Gluyas Spain Blainey Doswell Onyejiaka

Study Outcome 

Source Link: Visit source

Statistics
Citations : 
Authors :  6
Identifiers
Doi : 10.1016/j.ridd.2024.104700
SSN : 1873-3379
Study Population
Male,Female
Mesh Terms
Adult
Other Terms
Adults;Autism;Autism spectrum disorder (ASD);Building the right support;Crisis;Mental health;National health service;Neurodevelopmental disability;Transforming care
Study Design
Study Approach
Country of Study
Publication Country
United States