UK - NHS ASC Failures: Please tell me your stories

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aspiesandra27
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07 Mar 2013, 7:29 am

whirlingmind wrote:
peterainbow wrote:
yes : Did you have a fight to get your GP to agree to refer you?
yes : Did you get sent to the wrong department - e.g. general mental health services not qualified to assess?
yes : Did you see a clinician who told you there is no way you could have an ASC for ridiculous reasons?
yes : Were you misdiagnosed?
yes : Did you face resistance to being given a diagnosis for any reason?
yes : Did the clinician ignore bone fide supportive evidence you gave?
no : Did you get a failed diagnosis and have to invoke a complaint?

worst thing is that having gone through all of that to get a diagnosis, barnet mental health trust say that they will no longer deal/help people with ASD, so i am on my own again and even though in crisis i'm expected to harass my gp to then harass the main trust to get funding to go to the maudsley, i am lost....


Did you know that there ia a UK autism strategy? Also, the NHS NICE guidelines that are supposed to be adhered to. If you have had an assessment that failed to diagnose you, you are entitled to ask for a second opinion.

http://www.autism.org.uk/Working-with/A ... ategy.aspx
http://www.nice.org.uk/CG142

If they are scared you are going to expect NHS resources and this is the reason they are fobbing you off, you could say that you just need the correct diagnosis because you will need reasonable adjustments from your employer (current or future). If you aren't currently working, this will show you want to work and contribute in that way to society but are being prevented from doing so by having an unrecognised disability.

I'm so sorry this has happened to you.


This is exactly y story. I *am* working though, and am off with depression (again) and still battling to get a diagnosis. I am being told by this new GP that it's all pending on the funding. My last GP at the previous surgery did the referral for the Maudsley and then said wouldn't request the funding. I waited months for nothing. Now the process started again, from January and to this day I am still being fobbed off by GP. In the meantime they just want to gave me anti-psychotics which I refuse to take. It's a constant battle. I am so tired and not just that I am seriously depressed and live on my own with no close family by.



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07 Mar 2013, 7:49 am

My GP agreed to refer me. He (on the advice of his trainer - he's a trainee GP) refereed me to CMHT. (community mental health) They screened me, told me there's a high chance I have ASC and discharged me. I found out months later that I wasn't assessed properly. He then admitted "I have no idea who can assess you". Have had to now put in a complaint about this.

Was told that there's nowhere that can assess me. GP spoke to the child development centre to see if they have any ideas and they don't.

One GP I saw refused to refer me on the basis that they know I've got ASC; (ok, my sister who is a trainee psychologist can tell you that) but because you've either got it or you haven't, they won't do anything more. Is it wrong for me to want an actual diagnosis, rather than "on the spectrum somewhere"?

My parents had to fight to get my brother diagnosed. They were told there's nothing wrong, it's their fault (they have 3 children and one turned out normal...) and that he has Schizophrenia.



whirlingmind
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07 Mar 2013, 8:07 am

OMG. Keep these stories coming guys. I'm starting to feel like petitioning someone in government.


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peterainbow
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07 Mar 2013, 9:16 am

oh it's worse than that after 2 years i finally forced them to pay for the assessment at the maudsley

which sadly for me said i was ASD

the irony now is that i can no longer get ANY help from the barnet mental health trust as i am ASD

so i have nowhere to go other than once again trying to ge my GP to hassle the main trust to pay for treatment at the Maudsley, which is never going to happen and certainly not in the short term

once again i am off work sick with the usual bullying/depression/anxiety and getting no help from anyone and that include the NAS

it's a shame as i'm good at what i do ( software ) and so a waste whilst i sit at home trying to not kill myself...



whirlingmind
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07 Mar 2013, 9:20 am

peterainbow wrote:
oh it's worse than that after 2 years i finally forced them to pay for the assessment at the maudsley

which sadly for me said i was ASD

the irony now is that i can no longer get ANY help from the barnet mental health trust as i am ASD

so i have nowhere to go other than once again trying to ge my GP to hassle the main trust to pay for treatment at the Maudsley, which is never going to happen and certainly not in the short term

once again i am off work sick with the usual bullying/depression/anxiety and getting no help from anyone and that include the NAS

it's a shame as i'm good at what i do ( software ) and so a waste whilst i sit at home trying to not kill myself...


:( That's awful. How did you force them to pay for your Maudsley assessment?

The NAS are useless, I've contacted them before and they do nothing.


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Last edited by whirlingmind on 07 Mar 2013, 12:47 pm, edited 1 time in total.

The_Walrus
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07 Mar 2013, 11:08 am

whirlingmind wrote:
Scenarios might be any of the following (but this is not exhaustive):

Did you have a fight to get your GP to agree to refer you?
Did you get sent to the wrong department - e.g. general mental health services not qualified to assess?
Did you see a clinician who told you there is no way you could have an ASC for ridiculous reasons?
Were you misdiagnosed?
Did you face resistance to being given a diagnosis for any reason?
Did the clinician ignore bone fide supportive evidence you gave?
Did you get a failed diagnosis and have to invoke a complaint?

No, no, no, no, no, no, no.

I was diagnosed aged 7 after a recommendation from my teacher. I then received some sort of counselling from CAHMS.

Aged 15, I had something of a breakdown and needed to see CAHMS again. However, they noted that they had discharged me nearly a decade previously and so passed me on to someone like social services, which just wasn't what I needed. I had to go private (where my old psychotherapist was now working), get referred for another assessment (it was suspected that I may have schizophrenia), and then after a few months of meetings with a psychologist, I got referred for therapy on the NHS. It took nearly a year instead of the month at most it should have taken.



Wandering_Stranger
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07 Mar 2013, 11:43 am

peterainbow wrote:

the irony now is that i can no longer get ANY help from the barnet mental health trust as i am ASD.


Yet, if you have an IQ above 70, you're classed as mental health and not learning disability.



peterainbow
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07 Mar 2013, 12:12 pm

seems like the NAS now have a conflict of interest as they seem to be involved in providing services for the councils/nhs

so i wonder who in the UK is now fighting for our rights

i could be wrong as i freely admit i am not in a good place mentally and feel all are against me, which of course in many cases is true, so i could be wrong about the NAS...



whirlingmind
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11 Mar 2013, 12:52 pm

bump.


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Panddora
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11 Mar 2013, 9:35 pm

Despite a life of being seen as a bit wierd and unable to maintain friendships, it never occurred to me that I could have AS. Then a couple of years ago something terrible happened and I got in a very bad state mentally. I asked for help, including turning up in A&E in what I would now identify as meltdown. I was treated as scum. I complained and received an apology eventually after following up the complaint on several occasions. My GP practise was condescending in the main but here it is very difficult to get an appointment, especially with the same GP. On one occasion I had a full blown meltdown with a GP who clearly hadn't listened to what I was telling her. On another I got very upset with a receptionist who again treated me as if I was scum. I left in tears. I even tried the Samaritains who told me I wasn't talking about how I felt (I thought I was). About 18 months after asking for help I had to see someone who was a sort of gatekeeper for counselling and then finally saw a counsellor who did not know what to do with me and offered me a place at a psychotherapy unit specialising in people with PD. I would not have gone there under any circumstances!
However, in the meantime, I was dealing with a person with AS in a professional capacity and did some research into AS to help me understand and found a list of female AS traits and it was a real thunderbolt moment.
From there everything changed. The counsellor was able to refer me direct with permission from a psychologist and I got an appointment with the specialist unit within a couple of months. Had an interview with a lovely psychologist and got a diagnosis.
I am aware, however, from the work I was doing, that there are no specialist services for adults with AS in my area depite the autism act and strategy. I have been offered specialist counselling from the unit which is a very long way from home but this is subject to funding being agreed.
If I had not met the person with AS and done my homework, I would now be adrift, having rejected what mental health services had to offer and being very upset that I could have a personality disorder.



MissMoneypenny
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12 Mar 2013, 7:15 am

I had no problems with the GP, he was lovely and very understanding. I had taken along a lot of test data to show him - the Aspie quiz, another online test I had done, various personality tests and my WAIS-IV that a career advice psychologist had done etc. The GP agreed to refer me straight away and even dictated the referral letter into his dictaphone while I was there in the room.

The psych at the primary care trust asked me a lot of questions in an hour long interview, and at the end of it, she told me that it looked like I was definitely on the higher functioning end of the autistic spectrum, "probably Asperger's", although she thought that I would probably need specialist testing to confirm the diagnosis and determine exactly where on the spectrum I reside. I have no complaints about her either, she admitted that she was new to the borough and didn't know exactly how things worked, and she recommended that I go back to my GP and ask for a specialist referral, which I did.

After I had phoned up and chased the GP's surgery a number of times, I suddenly got a copy of a letter from the senior consultant at the primary care trust to the GP's surgery saying that the diagnosis had been confirmed and that our health authority had no provision for ASC's as none were commissioned.

So far as diagnosis and testing is concerned I'm happy to leave it at that, as my workplace have now got what they wanted to see to refer me to the occupational health. Specialist testing would also involve my parents, and it is unlikely that they would co-operate as my mother is still strung out on this idea that my issues arose from physical damage due to childhood illness, and she thinks the doctor has made a mistake.

The NAS have been worse than useless in providing advice, possibly because the nature of my query was due to the employment law aspect rather than purely a request for information about ASC's.



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12 Mar 2013, 7:35 am

I don't have anything too negative to say about the NHS, in relation to my daughter's diagnosis. The only thing that was a problem was that, after first being fobbed off by the school, I went to my GP and he said that she was just really clever. He had no intentions of following up on my concerns, but advised me to do everything via the school, if we were still concerned. So, then I went back to the school, and this time they agreed that she probably was on the spectrum (this was just a few months after the first time I spoke to them about it) and the assessment process started. Not knowing the process for assessment, I thought the GP could have helped, but, had I been relying on him, my daughter wouldn't have gotten assessed.

Since the assessment and diagnosis, there has been no services whatsoever. If we feel we need any, we have been advised to ask via our GP. So far, we've not asked for any services, but OT wouldn't go amiss, I think. So, watch this space.


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whirlingmind
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12 Mar 2013, 7:58 am

Panddora wrote:
Despite a life of being seen as a bit wierd and unable to maintain friendships, it never occurred to me that I could have AS. Then a couple of years ago something terrible happened and I got in a very bad state mentally. I asked for help, including turning up in A&E in what I would now identify as meltdown. I was treated as scum. I complained and received an apology eventually after following up the complaint on several occasions. My GP practise was condescending in the main but here it is very difficult to get an appointment, especially with the same GP. On one occasion I had a full blown meltdown with a GP who clearly hadn't listened to what I was telling her. On another I got very upset with a receptionist who again treated me as if I was scum. I left in tears. I even tried the Samaritains who told me I wasn't talking about how I felt (I thought I was). About 18 months after asking for help I had to see someone who was a sort of gatekeeper for counselling and then finally saw a counsellor who did not know what to do with me and offered me a place at a psychotherapy unit specialising in people with PD. I would not have gone there under any circumstances!
However, in the meantime, I was dealing with a person with AS in a professional capacity and did some research into AS to help me understand and found a list of female AS traits and it was a real thunderbolt moment.
From there everything changed. The counsellor was able to refer me direct with permission from a psychologist and I got an appointment with the specialist unit within a couple of months. Had an interview with a lovely psychologist and got a diagnosis.
I am aware, however, from the work I was doing, that there are no specialist services for adults with AS in my area depite the autism act and strategy. I have been offered specialist counselling from the unit which is a very long way from home but this is subject to funding being agreed.
If I had not met the person with AS and done my homework, I would now be adrift, having rejected what mental health services had to offer and being very upset that I could have a personality disorder.


I cannot believe that all the professionals involved were so ignorant that no-one suggested AS as a possibility and put you through all that. It's staggering. I would really recommend you try to make contact with Lorna Wing and Dr Judith Gould as they are condemning of the NHS attitude towards females on the spectrum. The more stories they get hold of the more they can petition the government on our behalf.

http://www.facebook.com/NationalAutisti ... 1155619192
http://www.autism.org.uk/our-services/d ... ychol.aspx
http://www.autism.org.uk/our-services/d ... psych.aspx

I find it disgusting that people are being treated like this. The short-sightedness beggars belief, when you could end up costing mental health services more in the long run through depression and anxiety etc. because of not having support for the AS.


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whirlingmind
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12 Mar 2013, 8:04 am

MissMoneypenny wrote:
I had no problems with the GP, he was lovely and very understanding. I had taken along a lot of test data to show him - the Aspie quiz, another online test I had done, various personality tests and my WAIS-IV that a career advice psychologist had done etc. The GP agreed to refer me straight away and even dictated the referral letter into his dictaphone while I was there in the room.

The psych at the primary care trust asked me a lot of questions in an hour long interview, and at the end of it, she told me that it looked like I was definitely on the higher functioning end of the autistic spectrum, "probably Asperger's", although she thought that I would probably need specialist testing to confirm the diagnosis and determine exactly where on the spectrum I reside. I have no complaints about her either, she admitted that she was new to the borough and didn't know exactly how things worked, and she recommended that I go back to my GP and ask for a specialist referral, which I did.

After I had phoned up and chased the GP's surgery a number of times, I suddenly got a copy of a letter from the senior consultant at the primary care trust to the GP's surgery saying that the diagnosis had been confirmed and that our health authority had no provision for ASC's as none were commissioned.

So far as diagnosis and testing is concerned I'm happy to leave it at that, as my workplace have now got what they wanted to see to refer me to the occupational health. Specialist testing would also involve my parents, and it is unlikely that they would co-operate as my mother is still strung out on this idea that my issues arose from physical damage due to childhood illness, and she thinks the doctor has made a mistake.

The NAS have been worse than useless in providing advice, possibly because the nature of my query was due to the employment law aspect rather than purely a request for information about ASC's.


OMG I can't believe you got your diagnosis so easily! Although I am sure the diagnosis is correct, you have been very lucky compared to others. It reads as if they couldn't be bothered to pay for you to get the specialist to do a full assessment, they just decided to give you a letter to stop you chasing up for it as they realised that in the long run they'd be paying for a specialist to confirm what was already highly likely to be the case. Considering how some doctors won't even diagnose without childhood history and input from people that knew you, you are very, very fortunate. I'm glad you didn't have to fight, it's nice to hear an exception to the rule, a shame on the whole though that most people, particularly females are struggling to get an assessment let-alone a correct diagnosis.


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Panddora
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12 Mar 2013, 11:00 am

whirlingmind wrote:

I find it disgusting that people are being treated like this. The short-sightedness beggars belief, when you could end up costing mental health services more in the long run through depression and anxiety etc. because of not having support for the AS.


It is ok for children but as an adult, professionals are just not aware of AS. The diagnosis did not exist for most of my life so I am seen as a dotty old attention seeking woman. The psychologist I saw said that my PCT was just copping out sending people to another city for diagnosis and they need to be made to understand the importance of dealing with ASDs. Many people could not make the journey for diagnosis and specialist support not only because it is unfamiliar but also the cost, even if the cost is reimbursed, you have to have the petrol money or train/bus fare to get there. Thank you for the links, I will look at them later.



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12 Mar 2013, 11:34 am

whirlingmind wrote:
I'm particularly interested in stories of failures involving your assessment.

Scenarios might be any of the following (but this is not exhaustive):

Did you have a fight to get your GP to agree to refer you?
Did you get sent to the wrong department - e.g. general mental health services not qualified to assess?
Did you see a clinician who told you there is no way you could have an ASC for ridiculous reasons?
Were you misdiagnosed?
Did you face resistance to being given a diagnosis for any reason?
Did the clinician ignore bone fide supportive evidence you gave?
Did you get a failed diagnosis and have to invoke a complaint?

Edited to add another possible scenario: Were you a female that was told you couldn't have AS because of being female/female presentation characteristics were ignored and you were told you didn't meet the diagnostic criteria?


I am one of the lucky ones who can answer no to all the above.

I went to my GP who agreed with no problem to refer me to someone who could do an assessment. She referred me to an Adult Mental Health psychiatrist who had a special interest in adults on the autism spectrum. I met him 3 times over a 3 month period - a total of about 4.5 hours, and he diagnosed me as having an Autism Spectrum Disorder.

A year later when my mental health had significantly deteriorated (partly due to ASD difficulties), I received another assessment from an autism specialist associated with the local autistic society which was paid for by the NHS and confirmed that I had Autism Spectrum Disorder (Asperger Syndrome).

I was also assessed while I was an inpatient in psychiatric hospital for two weeks where the psychologist & rest of treatment team identified my comorbid mental health issues along with confirming my diagnosis of Autism Spectrum Disorder.

So I had not one but 3 assessments paid for by the NHS but none at a specialist ASC centre (there is none anywhere near where I live). The first was the most thorough I think and both the first and second at least were done by people with the appropriate experience.


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