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Autism and Intellectual Disability Intensive Intervention Team (AID-IIT)

How our service can help you

AID-IIT is a Tier 4 national and specialist outpatient CAMHS team covering the London area. We are based at the Maudsley Hospital and work closely with the Service for Complex Autism and Neurodevelopmental Disorders (SCAAND)

Our aim is to reduce or prevent where possible inpatient CAMHS admissions for children and young people with Intellectual Disabilities (ID) and Autism. We offer assessment, consultation, intervention, advice and support to services, families, and young people to try to best meet the needs of young people in the community with Intellectual Disabilities, Autism and complex mental health needs including challenging behaviour.

  • Service Type: Child and Adolescent Mental Health Services (National and Specialist) Service Borough Covers: National (Child and Adolescent services) Treatment type: Outpatient
  • Contact the service

    Site Location: Maudsley Hospital Known As: SCAAND AID-IIT Email: AIDIIT@slam.nhs.uk Fax Number: 020 3228 2547
  • Address: Michael Rutter Centre,
    De Crespigny Park,
    London,
    SE5 8AZ
  • Business Hours/Visiting Hours: Monday to Friday, 9am to 5pm
  • Other essential information

  • Conditions: autism, aspergers, complex mental health, neuro-disability, learning disability

More Info

Sometimes hospital admission is the only option for a young person. When this happens, AID-IIT aims to reduce the chance of a prolonged admission by working in collaboration with the inpatient and local CAMHS team, and other agencies to help an admission be as useful as possible, and to support a timely and successful discharge.

Once a young person is discharged, AID-IIT aim to work with local services to support adolescents, their families and carers in order to prevent re-admission to inpatient care.

Our team puts flexibility and multi-disciplinary perspectives at the core of our work. We offer multi-disciplinary assessment and consultation across London. This may include outreach work to the young person’s home, or in-reach work on an inpatient ward. Our service includes the following disciplines:

  • Clinical Psychology
  • Child and adolescent psychiatry
  • Nursing
  • Occupational therapy
  • Speech and language therapy
  • Specialist teacher
  • Social worker
  • Project manager
  • Administration support

The AID-IIT service within SCAAND has close links with the specialist outpatient component of SCAAND, as well as a number of specialist Outpatient CAMHS services including the Mental Health of Intellectual Disabilities service. Additionally, we have links with other teams within National and Specialist CAMHS, within SLaM more broadly, King’s Health Partners and the Institute of Psychiatry, Psychology and Neuroscience.

Our team specialises in complex presentations of intellectual disability and autism, which may include significant challenging behaviour, self-harm or self-injurious behaviour, severe depression and anxiety, psychosis and aggression.

We provide comprehensive assessments to inform individual care planning to meet the needs of adolescents with these complex presentations, comprehensive consultations about how to implement these care plans in local community services and briefer pieces of specialist intervention which can be handed over to local services to continue. Our service is typically involved for around a three-month period to support inpatient and community services in their work with young people and their families.
 

If this was not what you were looking for:

The SCAAND services see young people who have, or might have, neurodevelopmental disorders like autism, attention deficit hyperactivity disorder or learning disability with additional mental health or behaviour problems, as well as young people with psychological problems associated with head injury, functional conditions or genetic conditions. Our teams work together and refer between services as necessary.

This page relates to the NHS England funded AID-IIT service to support young people with Intellectual Disability and Autism Spectrum Disorder from across London who are at risk of hospital admission.

For young people who do not have a complex autism presentation, you may be looking for our specialist outpatient teams who see young people with a range of neurodevelopmental presentations:

Interventions

Diagnostic and standardised assessments of social communication alongside co-morbid conditions:

  • Psychiatric formulation and diagnosis
  • Cognitive and neuropsychological assessment
  • Functional assessment of behaviour problems
  • Motor, sensory and adaptive skills assessment
  • Social communication and language assessment
  • Physical examination with an emphasis on neurological examination

Individually tailored care planning and interventions from a multi-disciplinary team:

  • Psychoeducation for parents and the young person
  • Behavioural management
  • Medication management and advice in collaboration with local prescriber
  • Evidence based psychological therapies, such as cognitive behavioural therapy (CBT), adapted for neurodevelopmental differences
  • Recommendations and interventions based on sensory integration theory
  • Specialised speech and language intervention
  • Educational advice and consultation
  • Individualised emotional literacy
  • Care planning and liaison with local services

Eligibility criteria

  • Children and young people below 18 years of age who have been referred by local consultant child and adolescent psychiatrist or paediatrician or team member
  • Evaluated by local child and adolescent mental health services (CAMHS) or child health service responsible for local assessment and care pathway for autism spectrum disorders (ASD) and felt to need an expert service for assessment and/or management of ASD or associated neurodevelopmental or mental health problems
  • Referral questions may include uncertainty about an ASD diagnosis; uncertainty about additional complex neurodisability, mental health/psychiatric or behavioural disorders; and seeking management/treatment assistance and advice for complex cases that are managed by local CAMHS

Exclusion

  • Children and young people who have not received a diagnostic assessment involving a local ASD diagnostic care pathway as recommended by NICE guidelines
  • Child or young person or parent self-referral or primary care referral without the knowledge and agreement of local CAMHS or child health service
  • Child and family not known to their local Tier 3 CAMHS or child health services
  • 18 years or older (or unable to be seen until 18 years or older)
  • Inpatient assessment and management is not provided by this service

Outcomes

Our outcomes include:

  • Better understanding of diagnoses, transdiagnostic traits and behaviours
  • Reduced challenging behaviours including aggression, self-harm or inappropriate behaviours
  • Greater parental confident in behaviour support and strategy use
  • Better emotional literacy and regulation skills, leading to fewer emotional outbursts
  • Improved understanding of sensory processing behaviours and needs
  • Better participation at a developmentally appropriate level (in education or the community)
  • Increased functioning where feasible including optimised academic attainment and adaptive skills
  • Improved wellbeing and quality of life

Care Options

Care option: Outpatient assessment

Unit: Per assessment

A full multidisciplinary assessment to address the specific referral question. This may include diagnostic assessments, assessments of mental state or assessments to inform intervention planning. Typical components of these comprehensive assessments include:

  • Thorough review of previous reports 
  • Psychiatric history with parents/carers
  • Standardised assessments with the young person
  • Physical examination
  • Mental state assessment
  • Analysis of questionnaires
  • A face-to-face feedback of the assessment results with the family and, optionally with the young person
  • A comprehensive report summarising the above in detail

Care option: Outpatient Treatment

Unit: Per unit

All forms of multidisciplinary treatments are funded in the same manner, in units of up to one hour per professional.

Care option: Consultation

Unit: Per contact

Consultation is offered as for complex case discussions between professionals. This will be the referring team and senior member of SCAAND.

Our experts

Prof Emily Simonoff, Professor of Child and Adolescent Psychiatry - read more

Dr Iris Rathwell, Consultant Psychiatrist - read more

Prof Tony Charman, Honorary Consultant Clinical Psychologist - read more

Dr Sarah H Bernard, Consultant Psychiatrist Child and Adolescent Intellectual Disability - read more

Dr Nicoletta Adamo, Consultant Child and Adolescent Psychiatrist - read more

Dr Kevin Tierney, Principal Clinical Psychologist - read more

Dr Matthew Hollocks, Clinical Psychologist - read more

Tina Bang-Andersen, Specialist Occupational Therapist - read more

Dr Laura Wilby, NAS Specialist Autism Education Lead - read more

Dr Sarah Thompson, Principal Clinical Psychologist - read more

Dr Jennifer Breen, Clinical Psychologist - read more

Dr Josephine Church, Clinical Psychologist - read more

Natasa Momcilovic, Clinical Behaviour Therapist - read more

Gillian Davies, Specialist Speech and Language Therapist - read more

Dr Sarah Carman, Principal Clinical Psychologist - read more

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