{"id":3717,"date":"2022-05-03T11:47:20","date_gmt":"2022-05-03T10:47:20","guid":{"rendered":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/autismspectrumdisordercamhs\/"},"modified":"2023-09-14T13:43:33","modified_gmt":"2023-09-14T12:43:33","slug":"autismspectrumdisordercamhs","status":"publish","type":"page","link":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/childandadolescentmentalhealthcamh\/autismspectrumdisordercamhs\/","title":{"rendered":"Autism Spectrum Disorder (CAMHS)"},"content":{"rendered":"\nAutism Spectrum Disorder (CAMHS)<\/title>\n\n\n\n<h4 class=\"wp-block-heading\">Problem<\/h4>\n\n\n\n<p>Autism Spectrum Disorder<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Description<\/h4>\n\n\n\n<p>Children with ASD (or who require assessment) will likely present with significant and pervasive difficulties in social interaction and understanding, social communication, inflexibility of thinking and repetitive behaviours\/interests. <br>These difficulties must be viewed within the context of a child\u2019s circumstances.<br>Evidence of the following issues impacting significantly on everyday functioning would support a referral for an ASD assessment:<br>\u2022 Significant delay in acquiring appropriate communication and social skills<br>\u2022 Significant difficulties with the child\u2019s peer relationships in normal settings<br>\u2022 Unusual or very fixed interests and bizarre or unusual behaviours impacting on function<br>\u2022 Marked preference for detailed routine and difficulties in adapting to everyday change <br>\u2022 Difficulties must be significantly impacting on functioning at home or school<br>CAMHS also see children and young people who have an existing diagnosis of ASD and require assessment or treatment for mental health disorders such as depression, anxiety, ADHD, OCD. <br>These referrals should come after consultation with the existing professional network<\/p>\n\n\n\n<div class=\"wp-block-getwid-tabs\" data-active-tab=\"0\"><ul class=\"wp-block-getwid-tabs__nav-links\"><\/ul>\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Referral Guidelines<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p>Early assessment and intervention with neurodevelopmental disorders is helpful. In Edinburgh\u00a0<a rel=\"noreferrer noopener\" href=\"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/speechandlanguagetherapychildrenyp\/\" data-type=\"URL\" data-id=\"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/speechandlanguagetherapychildrenyp\/\" target=\"_blank\">Children’s Speech and Language Therapy<\/a>\u00a0(SALT) &\u00a0<a href=\"\/refhelp\/guidelines\/CommunityChildHealth\" data-type=\"URL\" data-id=\"\/refhelp\/guidelines\/CommunityChildHealth\" target=\"_blank\" rel=\"noreferrer noopener\">Community Paediatrics<\/a>\u00a0CCH coordinate to provide these assessments and inputs for children under 7yrs.<br>Once of school age, Edinburgh CCH, SALT & CAMHS coordinate to meet assessment and intervention needs. CAMHS leads some of these assessments.<br>However, families with children with developmental and behavioural problems may already receive assessment, advice and intervention from other professionals, such as CCH, SALT and education.<br>Therefore CAMHS referral should come\u00a0<strong>after<\/strong>\u00a0liaison \/ consultation with any existing professional network (e.g. GIRFEC).<br>Lothian CAMHS follows a multi-disciplinary framework agreed by NHS Lothian when assessing ASD<\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Primary Care Management<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p>Children and young people with ASD may present with increased worries and at times may show challenging behaviours throughout their development. If a mental health disorder is not the cause, the child\/YP is often best supported by those who know them best e.g. parents, family members and teaching staff. It is helpful to remind those involved, to review any ASD informed parenting, self-coping and teaching support strategies which were previously helpful, particularly at times of transition and change.<br>For children and families with ASD who do not meet the criteria for CAMHS you may wish to direct them to:<\/p>\n\n\n\n<p><strong>Healthy reading scheme<\/strong>, available in all Lothian libraries.<br><strong>Lothian Autistic Society<\/strong> <br>Davidson House<br> 57 Queen Charlotte Street<br>Edinburgh EH67EY<br>Tel 0131 661 3834<br><a href=\"mailto:office@lothianautistic.org\" target=\"_blank\" rel=\"noreferrer noopener\">office@lothianautistic.org<\/a><\/p>\n\n\n\n<p>See – <a href=\"\/files\/sites\/2\/Paeds-ASD-assessment-Diagnosis-leaflet-GPs-Mar16.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">GP  Assessement and Diagnosis of ASD in Children and Young People  Leaflet<\/a><\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Resources and Links<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<h4 class=\"wp-block-heading\"><a href=\"\/files\/sites\/2\/CAMHS-Resource-Websites-for-Children-and-Adolescent-with-MH-difficulties-May-2019.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">CAMHS Resource-Websites for Children and Adolescent with MH difficulties May 2019.pdf<\/a><\/h4>\n\n\n\n<p>The above is a PDF document listing resources and contacts that can be printed off<\/p>\n\n\n\n<p><strong>National Autistic Society<\/strong>\u00a0offers information and support<br><a rel=\"noreferrer noopener\" href=\"https:\/\/www.autism.org.uk\/\" data-type=\"URL\" data-id=\"https:\/\/www.autism.org.uk\/\" target=\"_blank\">www.autism.org.uk<\/a>\u00a0<br><strong>Lothian referrers information leaflet<\/strong><br><a rel=\"noreferrer noopener\" href=\"https:\/\/www.autism.org.uk\/advice-and-guidance\/what-is-autism\/asperger-syndrome\" data-type=\"URL\" data-id=\"https:\/\/www.autism.org.uk\/advice-and-guidance\/what-is-autism\/asperger-syndrome\" target=\"_blank\">www.aspergersyndrome.org<\/a>\u00a0<\/p>\n\n\n\n<p><strong>Number 6<\/strong><br>Number 6 is a service for autistic adults who fit the following criteria: 16 and over, do not have a learning disability and live in the Lothians or the Scottish Borders.<br>24 Hill Street<br>Edinburgh<br>EH2 3JZ<br>Tel  0131 220 1075<br><a href=\"mailto:number6@aiscotland.org.uk\" target=\"_blank\" rel=\"noreferrer noopener\">number6@aiscotland.org.uk<\/a><\/p>\n\n\n\n<p><strong>Tailor Ed Foundation<br><\/strong>11 Maritime Street Leith<br>Edinburgh<br>EH6 6SB <br>Tel  0131 624 8970<br><a href=\"http:\/\/tailoredfoundation.co.uk\/\" target=\"_blank\" rel=\"noreferrer noopener\">tailoredfoundation.co.uk<\/a><\/p>\n\n\n\n<p><a href=\"mailto:contact@tailoredfoundation.co.uk\" target=\"_blank\" rel=\"noreferrer noopener\">contact@tailoredfoundation.co.uk<\/a><\/p>\n\n\n\n<p><strong>The Yard:<\/strong> <a href=\"http:\/\/www.theyardscotland.org.uk\/\" target=\"_blank\" rel=\"noreferrer noopener\">www.theyardscotland.org.uk<\/a> adventure playground in Edinburgh but open to all of the Lothians<br>SIGN 145: <a href=\"https:\/\/www.sign.ac.uk\/\" target=\"_blank\" rel=\"noreferrer noopener\">Assessment, diagnosis and interventions for Autism spectrum<\/a><\/p>\n<\/div><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Autism Spectrum Disorder (CAMHS) Problem Autism Spectrum Disorder Description Children with ASD (or who require assessment) will likely present with significant and pervasive difficulties in social interaction and understanding, social communication, inflexibility of thinking and repetitive behaviours\/interests. These difficulties must be viewed within the context of a child’s circumstances.Evidence of the following issues impacting significantly<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":3788,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"categories":[378],"class_list":["post-3717","page","type-page","status-publish","hentry","category-autismspectrumdisordercamhs"],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"NHS Lothian","author_link":"https:\/\/apps.nhslothian.scot\/refhelp\/author\/nhs-lothian\/"},"rttpg_comment":0,"rttpg_category":" <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/category\/mentalhealthcamhs\/autismspectrumdisordercamhs\/\" rel=\"tag\">Autism Spectrum Disorder (CAMHS)<\/a>","rttpg_excerpt":"Autism Spectrum Disorder (CAMHS) Problem Autism Spectrum Disorder Description Children with ASD (or who require assessment) will likely present with significant and pervasive difficulties in social interaction and understanding, social communication, inflexibility of thinking and repetitive behaviours\/interests. These difficulties must be viewed within the context of a child’s circumstances.Evidence of the following issues impacting significantly","_links":{"self":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/3717","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/comments?post=3717"}],"version-history":[{"count":6,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/3717\/revisions"}],"predecessor-version":[{"id":15572,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/3717\/revisions\/15572"}],"up":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/3788"}],"wp:attachment":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/media?parent=3717"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/categories?post=3717"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}