4 Background High profile people with complex needs Problem of mental health v learning disabilitiesDemands on clinical servicesPublic raising of the needs of people with Asperger Syndrome in the city
5 History of the team 1999 increased referrals Cross agency meetings 2001 steering group formalisedResearch projectConsultation meetingsUser and carer involvement2002 finalisation of structureDISCO trainingFundingManager2003 Recruitment
8 And also…Registrars doing elective placement (currently do not have one on placement).Trainee Psychologist (carrying out research)
9 What do we offer ? Assessment and diagnosis Person centred approach Specialist knowledge , information and adviceAwareness trainingClinical interventions – either from the team or the Managed Care Pathway
10 Eligibility Age 18 years of age 16-18 year olds , dependent on individual needResident in Liverpool , or registered with a Liverpool GPA diagnosis of Asperger syndrome, according to Gillberg’s or ICD 10 classification
12 Of 407 referrals so far …………. 245 have had full assessment108 have not been assessed54 are in progress296 were male111 were female17 have children(As of Oct’ 2007)
13 The MDT OperationAll professional team members are or will be DISCO assessors.Nurse – behavioural approachSocial Worker – Care brokeragePsychology – 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.
14 Common Themes identified Supported HousingRelationshipsWork / Meaningful occupationIdentityAdvocacy 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.
15 What’s worked well Service user involvement Support for carers “An Asperger Life” DVDFlexibility of staffGroupsResearchPlanning and reflectionFull time members of the teamPsycho-social model
17 Gaps in serviceNo 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.
18 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
19 Come to our conference, “The Liverpool Asperger Team five years on” at Aintree Race Course Liverpool