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  1. Aug 28, 2013 · 1.1.4. Local autism teams should ensure that every child or young person diagnosed with autism has a case manager or key worker to manage and coordinate treatment, care, support and transition to adult care in line with the NICE guideline on autism in children and young people (covering identification and diagnosis). 1.1.5.

  2. Management of autism in children and young people: summary of NICE and SCIE guidance. Tim Kendall,1 2 3 Odette Megnin-Viggars,1 Nick Gould,4 5 6 Clare Taylor,1 Lucy R Burt,1 Gillian Baird,7 on behalf of the Guideline Development Group. 1National Collaborating Centre for Mental Health, Royal College of Psychiatrists, London E1 8AA, UK 2Sheffield ...

  3. children and young people with autism, their carers and guideline methodologists after careful consideration of the best available evidence. It is intended that the guideline will be useful to clinicians and service commissioners in providing and planning high-quality care for children and young people with autism while also

  4. 1.5 Interventions for life skills. 1.5.1 Offer children and young people with autism support in developing coping strategies and accessing community services, including developing skills to access public transport, employment and leisure facilities. 1.6. Interventions for autism that should not be used in.

    • KEY ISSUES ADDRESSED BY THE GUIDELINE
    • Box 2 Antipsychotic medication for behaviour that challenges
    • Box 3 Sleep problems
    • WHAT DO I NEED TO KNOW?
    • Box 4 What do I need to inform the families in my care?

    ▸ Access to health and social care services All children and young people with – autism should have full access to ser-vices, including mental health services, regardless of intellectual ability or coex-isting diagnosis. ▸ Knowledge and competence of health and social care professionals All professionals working with children – and young people wit...

    Medication should always be: prescribed by a paediatrician or psychiatrist ▸ started at a low dose and using the minimum effect-▸ ive dose needed used with appropriate informed consent as currently ▸ prescribed off licence monitored with respect to effectiveness and side ▸ effects after 3–4 weeks and then, using an identified target behaviour, stop...

    Identify and assess the nature of the problem, including: ▸ bedtime routine sleep environment ▸ comorbidities, for example, hyperactivity, physical ▸ illness or discomfort individual factors, for example, problems at school ▸ the impact of sleep and behavioural problems on the ▸ family loud snoring, choking or pauses in breathing: ▸ refer to a spec...

    What should I not do? ▸ Do not use antipsychotics, antidepressants, anticon- vulsants or exclusion diets (eg, gluten or casein-free diets) to manage the core features of autism. Do not use neurofeedback or auditory integration training to manage speech and language problems in autism. Do not routinely use a pharmacological intervention to aid sleep...

    Provide ongoing tailored information, with details about: local and national organisations that provide peer ▸ support autism courses ▸ leisure activities ▸ social support including access to benefits ▸ educational support ▸ local services and treatments ▸ transition to adult services. ▸ Offer flexible support during times of increased need, for ex...

    • 343KB
    • Belinda H A Crowe, Alison T Salt
    • 4
    • 2015
  5. Aug 28, 2013 · Autism occurs in approximately 1% of children and young people,1 though the diagnosis is made less commonly in girls2 and anyone with severe intellectual disability.1 It is one of the most important causes of lifelong disability, with support and lost productivity costs estimated at more than £28bn (€32bn, $43bn) annually in the UK.3 Individual presentations vary widely, as do associated ...

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  7. Total score is 3–7; Administer the follow-up (second stage of M-CHAT-R/F) to get additional information about at-risk responses. If the M-CHAT-R/F score remains at 2 or higher, the child has screened positive. Action required: Refer child for diagnostic evaluation and eligibility evaluation for early intervention.

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