Referral Criteria – Autistic Spectrum Disorder

The Autism Spectrum Assessment Service is a diagnostic service for children and young people up to 18 years of age suspected of being on the Autism Spectrum.

We’ll help to identify the difficulties children and young people referred to us face and work with them and their families and carers to ease those difficulties.

Exclusion criteria

A request for service will not be accepted if there is not clear evidence that the child or young person has signs or symptoms that are expected for ASD or when a Paediatrician or Psychiatrist does not support the request.

Diagnostic Assessment

The diagnostic assessment will be performed. This contains:

  • Detailed Paediatric and or Psychiatric assessment (including physical and medical investigations)
  • Developmental, Diagnostic and Dimensional Interview (3di) .A detailed structured interview with parents focusing on the CYP current presentation and developmental history .
  • Autism Diagnostic Observation Schedule (ADOS) usually done by two clinicians working with the child in a series of guided play, storytelling activities. The actual activities vary according to the age of the child.

Further Assessments

The following assessments may be used if more information is required and will depend on individual needs of the child/young person:

  • Individual speech and language profile/assessment
  • Individual cognitive assessment
  • Educational Psychology assessment
  • Observation of CYP across different settings, including school, home and clinic settings
  • More detailed developmental/ social history.
  • Review of information across health, education and social care
  • Consideration of sensory processing needs

Formulation of the diagnosis is done at a multi-disciplinary team meeting where all aspects of the assessment process are considered before an outcome is agreed.  The outcome is then discussed with the family and also with the child/young person where appropriate.  It is usual that a school meeting is arranged to discuss the outcome of the assessment and recommendations for support.  The assessment aims to comply with NICE Guidance.

Pathway

Click here for more information on the Autism Assessment Pathway.

Making a referral

When sending in a request for service form, please complete relevant forms (found to the right of this page) and send in with any supporting documents, for example Speech and Language reports, Team Around the Family minutes, Paediatrician letters and any school based interventions.

Exclusion criteria

A request for service will not be accepted if there is not clear evidence that the child or young person has signs or symptoms that are expected for ASD or when a Paediatrician or Psychiatrist does not support the request.

Supporting documentation

Please review the list below and ensure that you have the appropriate documentation available to submit with your request (items in bold are required):

  • Completed Request for Services form (to be completed by requester)
  • Completed Devon ICS Information Sharing Consent Form (to be completed by parent/carer/young person)
  • Completed Devon ASD Screener (to be completed by school staff or parent/carer as required)
  • Early Help Assessment
  • In addition all children/young people being considered for an ASD assessment will require a medical assessment, which will be undertaken by a paediatrician or psychiatrist, depending on the primary needs of the child/young person
  • Where children are already supported by level 3 services (including a Statement of Special Educational Needs or Education and Health Care Plan (EHCP)) we require copies of their existing statement/plan, previous assessments undertaken, analysis of the impact achieved from any interventions Implemented to date together with the name of the child’s lead professional (or key worker).

This is in order to:

  • Make informed decisions regarding the need for specialist assessment
  • Ensure that children do not receive repeat assessments unnecessarily
  • Ensure that outcomes from specialist assessments feed into the support network/ plan currently in place for the child and their family

What is the process?

Contacts

Children and Family Health Devon
Single Point of Access Team
1a Capital Court
Bittern Road
Sowton Industrial Estate
Exeter EX2 7FW

t: 0330 0245 321