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The Liverpool Asperger Team. Chris Austin, Andrew Barlow & Stuart Clensy Liverpool Asperger Team. April 2008. PAST. Background . High profile people with complex needs Problem of mental health v learning disabilities Demands on clinical services

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the liverpool asperger team

The Liverpool Asperger Team

Chris Austin, Andrew Barlow & Stuart Clensy

Liverpool Asperger Team

April 2008

background
Background
  • High profile people with complex needs
  • Problem of mental health v learning disabilities
  • Demands on clinical services
  • Public raising of the needs of people with Asperger Syndrome in the city
history of the team
History of the team
  • 1999 increased referrals
  • Cross agency meetings
  • 2001 steering group formalised
  • Research project
  • Consultation meetings
  • User and carer involvement
  • 2002 finalisation of structure
  • DISCO training
  • Funding
  • Manager
  • 2003 Recruitment
and also
And also…
  • Registrars doing elective placement (currently do not have one on placement).
  • Trainee Psychologist (carrying out research)
what do we offer
What do we offer ?
  • Assessment and diagnosis
  • Person centred approach
  • Specialist knowledge , information and advice
  • Awareness training
  • Clinical interventions – either from the team or the Managed Care Pathway
eligibility
Eligibility
  • Age 18 years of age
  • 16-18 year olds , dependent on individual need
  • Resident in Liverpool , or registered with a Liverpool GP
  • A diagnosis of Asperger syndrome, according to Gillberg’s or ICD 10 classification
of 407 referrals so far
Of 407 referrals so far ………….
  • 245 have had full assessment
  • 108 have not been assessed
  • 54 are in progress
  • 296 were male
  • 111 were female
  • 17 have children

(As of Oct’ 2007)

the mdt operation
The MDT Operation
  • All professional team members are or will be DISCO assessors.
  • Nurse – behavioural approach
  • Social Worker – Care brokerage
  • Psychology – Psychological therapies (solution Focused Therapy, for e.g.), multiple assessment and Psychometrics, lead for evidence based practice / ongoing research projects.
  • Support Workers – hands on needs led support as assessed by the above and demonstration of care packages for brokerage.
  • All work person centred and take on liaison with other agencies and most importantly with each other. Being in the same office makes this much easier.
common themes identified
Common Themes identified
  • Supported Housing
  • Relationships
  • Work / Meaningful occupation
  • Identity
  • Advocacy and ‘interpretation’
  • Non compliance due to ‘social phobia’ or denial of needs or diagnosis (if from childhood).
  • Carers needs and support.
  • Support with home management.
what s worked well
What’s worked well
  • Service user involvement
  • Support for carers
  • “An Asperger Life” DVD
  • Flexibility of staff
  • Groups
  • Research
  • Planning and reflection
  • Full time members of the team
  • Psycho-social model
gaps in service
Gaps in service
  • No specific Sheltered Housing scheme locally for people with AS.
  • No coherent Community Care budget or access to it for people with AS.
  • No specific centre based service for people with AS (controversial!).
  • No RMO attached to Liverpool Asperger Team.
  • No specialist employment advisers.
the future
The future
  • People living in safe sheltered housing
  • Employers recognising and accommodating people with Asperger syndrome and recognising their own needs for support in the work place.
  • A place to go and socialise which is safe, predictable, secure and undemanding.
  • Easy access to support and Psychiatry if needed.
  • Post Code lottery
slide19

Come to our conference, “The Liverpool Asperger Team five years on”21 -08-08 at Aintree Race CourseLiverpool