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Adult Neurodevelopmental Service (ANDS)

  

Assessment, diagnosis & post-diagnostic support for Adult ASD and Adult ADHD


Update April 2021

The Adult Neurodevelopmental Service have seen a significant demand (above their have capacity to provide) for diagnostic assessments for Autism and ADHD.

Waiting time for new referrals coming into the service may exceed 3 years.

The service do communicate this waiting time information to patients on receipt of referral however it may be important for their GP to discuss this at the point of referral.

In addition, the team do not have any prioritisation criteria, and therefore any requests to expedite appointments cannot be considered.

MIND Community Adult Autism Support Service (CAASS)

The MIND  Community Adult Support Service is available to people with or without a diagnosis and may provide them with the support they need rather than seeking a diagnostic assessment.  Can all referrals to the service please be sent direct to the team Cwp-tr.adultneurodevelopmental@nhs.net or Addressed to Adult Neurodevelopmental Team, Paybody, Stoney Stanton Road, Coventry.

 

 


CWPT delivered multi-disciplinary diagnostic assessment, focused post-diagnostic support and signposting for neurodevelopmental disorders.

Interventions include psycho-educational (ASD, emotional regulation, communication and sensory processing) and via group and individual therapy where necessary.

Specialist interventions will be time limited and appropriate in meeting the needs of specific individuals with neuro-developmental disorders.

Includes post-diagnostic support in accordance with NICE guidance for better outcomes and mitigating the risk of admission

Further Information

Click here for pathway information

 GP Referral Process

 a) ASD

  • Adult > 16 years 6months
  • Registered with Coventry or Rugby GP
  • No previous diagnosis of Autism Spectrum Disorder (ASD)
  • Not currently under the care of Acute or Community Mental Health Services
  • No known Learning Disability
  • AQ10 Autism Questionnaire score > 6 with referral: click or see right  Link to AQ10

b) ADHD

  • Adult > 16 years 6months
  • Registered with Coventry or Rugby GP
  • No previous diagnosis of ADHD
  • Not currently under the care of Acute or Community Mental Health Services
  • No known Learning Disability
  • Completed ADHD Self Report Scale Form with referral Link to Adult ADHD Self Report Scale ASRSv1.1
  • patient to complete part A & B of symptom checklist
  • part A: score >4 highly consistent with adult ADHD and further investigation warranted
  • part B: frequency scores provide further symptom sensitivity
  • GP referral to include narrative on impact on function

Completed referrals should be sent to CWPT at:

Adult Neurodevelopmental Service Single Point of Entry
Paybody Building
Stoney Stanton Road
Coventry, CV1 4FS
Tel: 024 7696 1355
Email: cwp-tr.adultneurodevelopmental@nhs.net

Required Referral Information

Referrals should include information about presenting difficulties along with a brief description of concerns, in addition to any other factors that may impact on the patient participating in a telephone screening.

ASD Referrals ADHD Referrals
Significant functional impairment in two or more areas (family life, work, education, self care, social life)

One or more of the following:

  • Persistent difficulties in social interaction
  • Persistent difficulties in social communication
  • Stereotypic (rigid & repetitive) behaviours, resistance to change, restricted interests

 

Plus one or more of the following:

  • Problems in obtaining or sustaining employment or education
  • Difficulty in initiating or sustaining social relationships

 

 

 

 

 

Significant functional impairment in two or more areas (family life, work, education, self care, social life, risk taking)

Inattention

(eg forgetfulness, difficulty listening, disorganisation, distractibility, poor attention, poor concept of time, poor attention to detail, procrastination, loses important things, poor finisher completer)

and / or

Hyperactivity

(eg fidgety, restless, excessive talking, over scheduling, poor sleep)

Impulsivity

(eg blurting out answers , difficulty waiting a turn, interrupting, poor frustration tolerance, prone to addiction, reckless driving, ending jobs / relationships abruptly, anger)

Symptoms must have been present in childhood into adulthood. Impairment must be in 2 domains i.e. education / employment, relationships and friendships

Clinic Information

Waiting times are currently 12 months plus due to referral demand

The provider asks that referrals are only made for patients where assessment and/or diagnosis will improve functioning and that functional impact is detailed in the referral

Case management is NOT provided

Limited intervention is only provided for patients referred for assessment without a previous diagnosis

Allocation of an assessment is based on date of referral with no prioritisation possible (expediting of appointments is not accepted)

If there are mental health concerns refer to the appropriate mental health service and NOT the Neurodevelopmental Service

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