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      Assessing the complexity of adult ASD cases across three areas in Southern England: a service evaluation

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      Advances in Autism

      Emerald Publishing Limited

      Complexity, ASD, Diagnosis, Complex needs, Comorbidity, mGAF

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          Abstract

          Purpose

          Over the last few years increasing numbers of Autism Spectrum Disorder (ASD) services have been established across the country. The different services use varying models and the level of complexity seen in each is unclear. The paper aims to discuss this issue.

          Design/methodology/approach

          In order to facilitate the development of the next phase of service provision the three geographical areas covered by SABP ASD services were compared. Modified Global Assessment of Functioning (mGAF) scores were calculated for 75 patients from each area before being compared across various domains to identify the complexities in each area covered.

          Findings

          Overall high levels of complexity were seen, with 85 per cent presenting with a serious or major functional difficulty based on, mGAF scores.

          Originality/value

          This has planning implications both for commissioners and future service development as previously not identified at a time when services are continuing to expand.

          Related collections

          Most cited references 9

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          Autism spectrum disorders.

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            Comparing rates of psychiatric and behavior disorders in adolescents and young adults with severe intellectual disability with and without autism.

            Eight males and four females with an Autism Diagnostic Interview-Revised (ADI-R) diagnosis of autism (mean age of 16.3 years) and severe intellectual disability (IQ < 40) were individually matched to controls on the basis of chronological age, gender, and nonverbal IQ. The dependent measure was the Diagnostic Assessment for the Severely Handicapped-II, which is used to screen for psychiatric and behavior disorders in lower-functioning individuals. Participants with autism showed significantly greater disturbances as measured by the Diagnostic Assessment for the Severely Handicapped-II total score and seven of 13 subscales. They also averaged 5.25 clinically significant disturbances compared with 1.25 disturbances for participants without autism. Specific vulnerabilities to anxiety, mood, sleep, organic syndromes, and stereotypies/ tics were found in the participants with comorbid autism.
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              The Modified Global Assessment of Functioning Scale: Addendum

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                Author and article information

                Contributors
                Journal
                AIA
                10.1108/AIA
                Advances in Autism
                AIA
                Emerald Publishing Limited
                2056-3868
                02 January 2018
                : 4
                : 1
                : 2-9
                Affiliations
                Adult Neurodevelopmental Services, Surrey and Borders Partnership NHS Foundation Trust, Epsom, UK.
                Author notes
                Raja A.S. Mukherjee can be contacted at: raja.mukherjee@sabp.nhs.uk
                Article
                604246 AIA-09-2017-0020.pdf AIA-09-2017-0020
                10.1108/AIA-09-2017-0020
                © Emerald Publishing Limited
                Page count
                Figures: 1, Tables: 3, Equations: 0, References: 20, Pages: 8, Words: 4285
                Product
                Categories
                research-article, Research paper
                cat-HSC, Health & social care
                cat-LID, Learning & intellectual disabilities
                Custom metadata
                yes
                yes
                JOURNAL
                included

                Health & Social care

                mGAF, Comorbidity, Complex needs, ASD, Diagnosis, Complexity

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