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Autism – diagnosis in York. Under 5s – paediatric service 5+ - CAMHS. Multi-disciplinary. Paediatrician Speech and language therapist SEN specialist teacher Clinical psychologist Child and adolescent Psychiatrist Educational Psychologist. Information gathering. Parents School / nursery
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Autism – diagnosis in York Under 5s – paediatric service 5+ - CAMHS
Multi-disciplinary • Paediatrician • Speech and language therapist • SEN specialist teacher • Clinical psychologist • Child and adolescent Psychiatrist • Educational Psychologist
Information gathering • Parents • School / nursery • Other relatives (eg grandparents) • Other professionals (eg SALT, educational psychologist)
The Autism Forum • Meets monthly in York • Multi-agency • A professionals discussion forum • Uses ICD 10 criteria and information gathered from several sources to decide on diagnosis • Options include review by the forum at a later date
“Triad of Impairment” • 1) Social interaction • 2) imagination and communication • 3) Repetitive behaviour / routines
Social interaction • eye contact / facial expressions • peer relationships • Understanding emotions • Showing and sharing interest
Imagination and communication • language delay (without gesture compensation) • Conversation skills • Repetitive language • Pretend play
Repetitive behaviour / routines • Encompassing preoccupation • Compulsive routines • Mannerisms • Sensory interests
What are the outcomes? • 1) No diagnosis made (about 50%) • 2) Autism • 3) Atypical Autism • 4) Aspergers syndrome • 5) No diagnosis currently – for review