关键词: Adults Autism Autism spectrum disorder (ASD) Building the right support Crisis Mental health National health service Neurodevelopmental disability Transforming care

Mesh : Adult Child Humans Mental Health Autistic Disorder / therapy Hospitalization Child Development Disorders, Pervasive England

来  源:   DOI:10.1016/j.ridd.2024.104700

Abstract:
BACKGROUND: 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.
OBJECTIVE: 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.
RESULTS: 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.
CONCLUSIONS: 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.
UNASSIGNED: 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.
摘要:
背景:自闭症患者的心理健康问题风险增加;然而,成人心理健康服务(AMHS)经常难以为这一群体提供适当的支持。在英格兰,政府倡议,例如“转变护理”计划,其中包括“建立正确的支持”(NHS英格兰,2015)促使AMHS需要考虑如何更好地为自闭症成年人提供自闭症知情支持。
目标:这里,我们描述了自闭症转化护理(TCA)团队的头两年工作;这是一项支持自闭症成年人的专业服务,没有中度或重度智力残疾或给他人带来重大风险,经历心理健康危机。描述了服务模型,并提供了两年服务运营期间的描述性数据。
结果:在2019年2月至2021年2月之间,收到了110次转诊;52次(47%)被接受。为自闭症成年人提供的支持包括心理教育,心理干预,以家庭为中心的干预措施,并与专业人士就特定的个人进行咨询。向在医疗健康环境中工作的专业人员提供了70次自闭症培训课程,AMHS,社会护理和住宿服务。
结论:发展更多的自闭症社区和住院患者AMHS对于改善护理至关重要。需要进一步研究自闭症成年人使用AMHS的经历和需求,同时提高了对自闭症的认识,并在这些环境中提供了量身定制的干预措施。
自闭症患者比非自闭症患者更容易出现心理健康问题。当自闭症患者需要心理健康服务的帮助时,这些服务往往不知道如何帮助自闭症患者。政府表示,精神卫生服务必须做更多的工作来帮助自闭症患者。在本文中,我们写了一个新的团队,称为自闭症转化护理团队。在最初的两年里,该团队被要求帮助110人,并与其中52人合作。帮助包括与自闭症患者谈论自闭症如何影响他们并提供治疗。我们还与支持自闭症成年人的家庭和专业人员合作,并提供了70次培训课程。需要做更多的工作来确保心理健康服务与自闭症患者良好合作。我们还需要询问自闭症患者从心理健康服务中获得帮助的经历。
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