More psychiatric intrusion = bad news...
On 17 May 2006 at 12:13, Colin Revell wrote:
> Psychiatric services for people with autistic-spectrum disorders: A new
> report; May 16, 2006, 01:36, Reviewed by: Dr. Venkat Yelamanchili
>
> British Journal of Psychiatry:-
> http://www.rxpgnews.com/psychiatry/learning-disabilities/article_4287.shtml
>
> Psychiatric services for people with autistic-spectrum disorders: A new
> report
> Embargoed until 10 May 2006:- Press Release
>
> http://www.rcpsych.ac.uk/pressparliament/pressreleases-1/pr789autisticmay2006.aspx
>
>
> The Royal College of Psychiatrists has published a new report entitled
> Psychiatric services for adolescents and adults with Asperger syndrome and
> other autistic-spectrum disorders.
>
>
> It is a consensus view of a working party of experts convened by the College
> to address the complex issues facing professionals and patients with these
> disorders.
>
> The report is aimed at psychiatrists, stakeholders in the development of
> autistic-spectrum disorders services, and commissioners of adolescent and
> adult services, across all the psychiatric specialties.
>
> Autistic spectrum disorders are a complex group of developmental disorders,
> affecting a wide range of physiological systems and with a variety of
> symptoms. Possible signs of the disorders are:
> difficulties with personal relationships (social isolation)
> problems in communication
> absorbing or narrow interests
> begins in childhood and is lifelong.
>
> These disorders often require psychiatric involvement in their diagnosis,
> and need to be addressed by all the psychiatric specialties. However,
> psychiatric services are only one component of the wider provision needed by
> people with autistic-spectrum disorders.
>
> Treatment requires a flexible approach from a multidisciplinary,
> multi-agency range of services that is comprehensive enough to encompass the
> complex needs of people with the disorders. This wider service is the
> subject of a proposed strategy by the National Autistic Society, as well as
> of Health and Social Service planning in Wales, Scotland and Northern
> Ireland.
>
> The report describes the syndrome, other problems associated with it, and
> its epidemiology. Diagnosis is distinguished from broader, multidisciplinary
> assessment. The report addresses the problem of people with the disorders
> who are too old for adolescent services, and too able for learning
> disability services.
>
> Psychiatric provision needs to bridge this gap with a combination of
> training, better liaison between its specialties, and the development of
> specialist and tertiary services. As psychiatric services are overstretched,
> any improvement requires service commissioners to recognise the shortfall,
> encourage change and support further developments.
>
> The report includes sections on how autistic-spectrum disorders are
> diagnosed and who should be responsible. Psychiatric management and drug
> treatments are discussed, as are psychiatric services in the community,
> psychiatric treatment units and psychiatric specialties, and recommendations
> made.
>
> The report stresses the need for psychiatrists to work together with both
> the statutory and the independent sectors to ensure adequate psychiatric
> input into autistic-spectrum services.
>
> For those cases where diagnosis is less straightforward, or where clinical
> management is more complex, there also needs to be access to local
> specialist expertise and, where necessary, to tertiary specialist services.
>
> The report encourages research into the impact of autistic-spectrum
> disorders on adolescence and adulthood as it affects clinical psychiatry.
>
> Psychiatric services for adolescents and adults with Asperger syndrome and
> other autistic-spectrum disorders (CR136) costs £10.00 and is available from
> from Book Sales, Royal College of Psychiatrists, 17 Belgrave Square, London
> SW1X 8PG. Tel: 020 7235 2351 ext. 146; www.rcpsych.ac.uk/publications.
>
> May 2006
>
> --------------------------------------------------------------------------------
>
> For further information, please contact Deborah Hart or Thomas Kennedy in
> the External Affairs Department.
> Telephone: 020 7235 2351 Extensions. 127 or 154
> E-mail: [log in to unmask] or [log in to unmask]
>
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