Dear List
 
A challenge for the individual and the employer. I am currently dealing with 3 individuals. Each of them very different from the other. One had a diagnosis of social anxiety disorder - he now has a diagnosis of Aspergers.
Can I mention the following web page -a good place to start for an assessment. Can you get it on the NHS - probably but within the workplace you just can't wait that long.
 
http://www.adrc.co.uk/contact/
 
Very through assessment  and a clear diagnosis. But that is just the start of the journey.
 
Jean
 
-----Original Message-----
From: liz cooper <[log in to unmask]>
To: OCC-HEALTH <[log in to unmask]>
Sent: Thu, 13 Dec 2012 18:33
Subject: Re: [OCC-HEALTH] Aspergers

Hi Carr

My son has Asperger's and he quite often makes inappropriate comments quite innocently, without any realisation of the impact it may have on others. The other issue with this syndrome is the inability to read social cues and body language, so he will probably have no idea that what he is saying is not acceptable unless someone directly tells him. Without this inherent ability, individuals with Asperger's don't tend to have skills to develop scenarios in their minds so repeat things they have seen or experienced. For example, my son will play out scenes from tv programmes, when he gets to the end of the 'episode' he breaks off the game, he also becomes very agitated when others try to introduce other elements to the game because they are not part of the known experience.

The Asperger's Syndrome Foundation have some good information leaflets about the common traits for these individuals, and may be able to offer some help in this case (http://www.aspergerfoundation.org.uk/).

Hope this is of some help.

Kind regards

Liz

From: Carr Barnes <[log in to unmask]>
To: [log in to unmask]
Sent: Thursday, 13 December 2012, 17:54
Subject: Re: [OCC-HEALTH] Aspergers

That would be great thanks Karen. I have managed to find something that says that they may attempt to repeat behaviors they have experienced through sexual abuse or exposure to pornography as they often have no normal standard to judge by and do not realize that the acts they are performing are illegal/offensive so that could possibly fit.

Read more at Suite101: Asperger's Syndrome and Criminal Behavior and Offences | Suite101 http://suite101.com/article/aspergers-syndrome-and-criminal-behavior-and-offences-a301977#ixzz2ExJd0ad5 
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On 13 December 2012 17:50, Karen Coomer <[log in to unmask]> wrote:
HI Carr
I don’t have an answer to your question but I had a very similar case in relation to Tourette’s syndrome a few years ago – a young man exposing himself to customers and making sexual comments. I could find nothing in the usual literature about this at the time, GP not useful, and so in the end wrote to an expert in this area (I paid for the report) to ask if this was a manifestation of the syndrome, I got a comprehensive reply which was a yes and probably saved this lads job but with obvious adjustments, I might add he had an extremely supportive employer.
 
Maybe this is a way forward if there is no obvious link, I can suggest a few people to contact if that helps.
Regards
Karen  
 
From: [log in to unmask] [mailto:[log in to unmask]] On Behalf Of Carr Barnes
Sent: 13 December 2012 17:31
To: [log in to unmask]
Subject: [OCC-HEALTH] Aspergers
 
Hi all
 
I have a case next week as follows:
"Bob" is in his 40s in customer interacting logistics based role.
 
Up on conduct investigation at present due to complaints from colleagues and customers about making inappropriate comments about customers and colleagues including very sexually inappropriate comments.
 
Referred to OH and it was decided to write for a GP report as Bob was a poor historian and but did make comments about having been on antidepressants in the past and having therapy. Union rep at this point raises concerns that there may be previously unrecognised Asperger's in play.
 
GP report received and outlines:
- Bob first attended surgery about behavioural issues 8 years ago when he had wrecked the house and had thoughts about killing his mother. Rx anti depressants and attended CBT Anger Management... turned up in GPs again 3 years ago with further complaints of feeling angry all the time... Rx Antidepressants again. GP agrees has indicators for Asperger's and has obtained funding for assessment so has made referral for same. I am reviewing the case to discuss the GP report with Bob and make recommendations.
 
D./W manager today and there are no alternative roles away from customers so redeployment is a complete no no. Employee is currently on paid suspension pending outcome of the investigations.
 
I have all the advice about possibly accessing a job coach, doing sensitivity training etc ready to go but suspect this is going to go medical capability as the Employer is not willing to let him near customers again. 
 
The question I haven't been able to find an answer too is whether Asperger's could really contribute to some of the behaviours described to me... mainly the comments ... some of which were of a sexual nature about children they were driving by.
 
Has anyone come across such socially inappropriate behaviour in this context before?
 
Please note I am NOT looking for advice about adjustments etc.. just about the socially inappropriate issues.

With thanks 

Carr
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