GP's Reaction to me asking for a referral...
I think bjcirceleb is talking about a different UK to the one I come from. I've lived in many places around the UK and the only support I ever got was the false label of depression and a prescription to all the antidepressants I could eat. Anyone who has actually lived in the UK knows that there is very little, if any, provision for people with Aspergers. The best you can hope for is for an actual diagnosis so you can get access to the financial help available, otherwise you are on your own.
For kids it's entirely different: a friend of my sister has 4 kids (eldest being 13, IIRC) and they're all Autistic, but there's plenty of active support.
For us 'missed generation' crew, mis-diagnosis and an endless supply of antidepressants is about as good as it gets. Apparently because we've coped for so long we must be Ok, really.
Well actually no, I was not Ok really. That's why I sought help.
DLA (Disability Living Allowance) is for care needs, not a diagnosis, so it's practically impossible to get for AS as an adult.
JSA (Job Seekers Allowance) is given on the condition that you are able and available for work. (a rather neat Catch-22 situation)
HB (Housing Benefit) - nil, because owning my property outright means I don't pay rent.
While I accept the need for funding limitations, up to a point, it would have made more sense with some sort of support network and something more useful than an overworked and not very Autism-aware psychologist who was accessible more often than once every 3 months or so. If I was lucky. And appointments were tightly timed, of course.
And even this thin level of support is all being cut back further.
So yeah - "you are on your own" about sums it up for an adult.
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Giraffe: a ruminant with a view.
The situation may be changing though in some respects here in the UK in the mid-term at least. As the autism act 2009 is eventually going to come into force. The statutory guidane for local authorities was released just before xmas. If you want to have a read of what it says your local authorities will have to do.
The only problem I have with this (shared by other professionals) the language is far too wishy washy. It suggests it doesn't demand. It leaves it up to each council, borough, county, trust how it goes about doing things.
Department of health link below to document
Statutory Guidance Link
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"Tall people can be recognized by three things: generosity in the design, humanity in the execution and moderation in success"
For those of you that can't be arsed heres a quick summary copy n pasted.
This guidance sets a clear direction for how health and social care services should implement the autism strategy, Fulfilling and Rewarding Lives. The points here summarise what the guidance means for adults with autism, and what they can expect from NHS bodies and local authorities. This will enable adults with autism, their families and carers, and autism representative groups to hold services to account and assess whether changes are taking place.
As well as the guidance, the government has also identified 7 quality outcomes and 3 service ambitions that will help evaluate progress towards the vision set out in Fulfilling and Rewarding Lives. These go beyond health and social care, covering also employment, housing and overall satisfaction with public services. Above all, they make it clear that each local area is expected to assess the needs of adults with autism locally, so it can make informed and transparent decisions about service provision for adults with autism.
It is important to recognise that while each local area has to take forward these actions, change will take time and each local area will progress at its own pace.
Our priority is that there is a clear progression, and that adults with autism, their families and carers – as well as service providers themselves – understand the direction of travel and the outcomes identified.
The government will review progress, and can update the guidance if progress is too slow or certain aspects are not being fulfilled.
Adults with autism, their families and carers can expect that:
• staff working in health and social care have had some autism awareness training
• staff in roles which have a direct impact on access to services for adults with autism – such as GPs, community care assessors and commissioners/service planners – have received specialist autism training
• staff working in health and social care are able to identify potential signs of autism and understand how to make reasonable adjustments in their behaviour, communication and services for adults with autism
• their local authority has a named lead professional responsible for the development of diagnostic and assessment services for adults with autism in their area
• there is a clear pathway to diagnosis in their local area
• if an adult is diagnosed with autism, they will be offered a community care assessment, regardless of their IQ, and their carers will be informed of theircarer’s assessment
• if an adult is diagnosed with autism, they will be given access to information about autism and details of potential sources of support such as local voluntary groups annational representative groups
• there is a local commissioning plan for services for adults with autism, based on locally gathered data about the numbers and needs of adults with autism in the area
• the views of adults with autism and their carers are taken into account in the
• if they need care services, they will be able to make choices about the services they receive, and are able to use a personal budget to pay for the services they want (if they are eligible for a personal budget)
• no decision about them is made without them.
addition, young people with autism can expect that:
• they will receive transition support as they move from into adulthood
they and their parents/carers will be informed of their right to a community care
• they are involved in transition planning and support and that no decision about them
assessment, regardless of their IQ, and their carers will be informed of theircarer’s assessment
•
autism and details of potential sources of support such as local voluntary groups annational representative groups
locally gathered data about the numbers and needs of adults with autism in the a
development of services locally
receive, and are able to use a personal budget to pay for the services they want (if they are eligible for a personal budget)
In
•
assessment for adult services, and their carers will be informed of their right to acarer’s assessment
is made without them.
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"Tall people can be recognized by three things: generosity in the design, humanity in the execution and moderation in success"
Closer, but still no cigar.
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Giraffe: a ruminant with a view.
I think it will be similair in some respects to the Disability Discrimination Act. A foot in the door but its still going to take people to actually hold local authorities and services to account for it to actually have any power and/or benefit.
The post code lottery is basically going to come down too what kind of local groups (parent, asperger, voluntary etc) exist in your local area that are able to lobby and hold the executive to account on what they deliver.
Theres going to be a conferance later on this month in London about implementing the autism act. It will be interesting to compare and contrast which areas are ahead and which are really far behind.
I suspect a lot of the London Boroughs are going to be caught with their pants down
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"Tall people can be recognized by three things: generosity in the design, humanity in the execution and moderation in success"
Thanks for posting that. I've been out of the UK for the last couple of years and didn't know about this particular Act of Parliament. I've pulled it up and am going to read it properly when I have more time. A quick look at it makes me believe it's what is called an enabling Act. It isn't supposed to set out the law regarding it's subject but to set out a framework for future law, which won't have to go through Parliament. It's basically an Act to devolve power.
I am certainly aware of people in some local authorities in the UK that are receiving services on the basis of aspergers and who are adults.
You are all aware well and truley that in the UK it all depends entirely on where you live, as well as what type of support you want and need. Some local authorities are great and others are s**t. To say that things are appauling all over the UK simply does not add up to anyone anywhere and even the NAS would say that. They themselves say that it depdends entirely on where you live and the same is true for children needing specail educational services and the like. Sure they have a mandated responsiblity to provide support, but what that is differs from place to place. Some put a kid in a classroom with an hour of aide time a week and the same kid in a different area provides them with a place in a special autism school at a cost of in excess of !00,000 per year. It is like many places in the world the lottery game.
As for accesing psychology services that is not something I know about. The person I have communicated with needed help to live at home due to sensory issues. Whether the local authority pays for psychology or not I do not know. In Australia we get no psychology services for autism as adults or aspergers as adults. IF you have a mental illness you can get a referral from a GP to a pscyhologist for up to 12 sessions each calander year. Disability services will provide day to day support services, attendent care, help with food preperation, cleaning, etc, but for those that want psychological support, well that is deemed a mental health and the so called health system is responsible for that. And yes most GP's here are told that everyone needs to be on antidepressents first. That has nothing to do with a lack of services to people on the spectrum, that has more to do with the lies and crap that pharmaceuitcal companies have managed to pull about their magic pills.
The pharmacuetical companies make out that these are lifestyle pills that they actually do a specific thing and fix a specific condition, when the fact is they do not. If you give a guy viagra they get an errection, if you take an antibiotic you get rid of bacterail infections. The problem is at most these medications have a very small percentage of people and they certainly do not make them happy. They claim they cure social phobia, anxiety, etc, etc, etc. The fact is everyone buys the crap they buy and the mental health systems throughout the world and run by these people. There is and never has been any evidence of serotinon levels being low in people with depression and the latest antidepressents are actually not serotinon but melotonin, so how they intend to explain that away is beyond me.
Sure services suck everywhere, and we all know that
O.Kaaaaaaay! Wow! Someone's got a bit rattled by all this, haven't they?
No, 1... Nobody is looking for compensation or payment for a disability but it would be nice to be diagnosed correctly so that I can live the rest of my life in the knowledge that I was right all along and when I was misdiagnosed 35 years ago (when you were approximately TWO) they were wrong! Yes, anyone can make a mistake but a string of doctors and psychiatrists going into double figures and over 30 years of therapy for the wrong thing? You can also add another 20 years onto that for all the missed yet obvious 'clues' that were there since I was born. I think I'm entitled to a correction from them on their part but I doubt I'll get an apology.
No, 2... I too have been unable to get married and have the children I desperately wanted due to my misdiagnosis and the complications that ensued, the reason for which I don't wish to go into further on here.
No 3... I'm looking for peace of mind, which is a rare and wonderful gift in my world. As for work and money I have worked on and off for 40 years since I was 15 and have certainly paid my dues. I've also taken part in research projects for various conditions and diseases over the years and have never accepted a penny. What a diagnosis would do for me is give me that peace of mind and justification for all the times I was treated with contempt and disbelief by the medical profession in my country. Just because I'm verbal doesn't mean I was heard.
If you're one of those people who can see the glass half full, good luck to you - it's nice to be optimistic. But I happen to be one of those who not only sees the glass half empty but as soon as I reach out for it some b*stard comes along and knocks the rest of it over! C'est la vie!
Finally, a diagnosis is important to me because it is. And that should be good enough.
Tiffinity.
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The biggest Aspie-distra in the world...
Verdandi
Veteran
Joined: 7 Dec 2010
Age: 55
Gender: Female
Posts: 12,275
Location: University of California Sunnydale (fictional location - Real location Olympia, WA)
Oh, I'm looking for (and already receive) payments for my disabilities. This doesn't mean I see the glass as half empty, and I admit I get kind of tired about assumptions regarding people who try to get disability benefits. For some they might be a nice thing to have, and for others they might be survival.
I never said there was anything wrong with seeking a diagnosis. If it is important then do it, but if it is going to cause you to risk your life over it, then I for one would not be bothered. I have been misdiagnosed with things in the past, I do know what that is like and while I accepted the treatment for a while it did not feel right and so I did not continue with it. I am a person and maybe that is just me that if a doctor says I have something I want some proof for that, and I do not believe that any doctor can diagnose anything with a pen and paper sitting 4 foot away from me and this is exactly how mental illnesses are diagnosed. I do have mental illnesses, but I want the symptoms to fit and I want some reason as to why I am being give this diagnosis, not just because I said so. And I want benefit from the treatment. If the treatment makes me feel like s**t, well I sure as hell am not going to continue to take it. It never ceases to amaze me how many people say I took these pills for decades they made me feel like s**t, never did anything at all for me, but the doctor said I had to. I for one would tell the doctor where to go. That is not possible if you are on forced treatment orders, but the vast majority are not. No it is not always easy to get a second opinion, but you still do not have to accept treatment that makes you feel like s**t.
I also never said there was anything wrong with getting benefits. What I did say was that I do not believe that anyone gains from sitting at home and doing nothing for life and from what I see, hear and experience, the vast majority of people on disability benefits do that. They are incredibly isolated, rarely if ever walk out the front door and are not being introduced to other services that could possibly help them. I also stated, which is correct that a diagnosis alone will not get you any benefits at all, it is going to be on the disabling aspects of that condition or any condition for that matter. Disability benefits are paid on the symptoms and what has been done to try to allevaite those symptoms. There are people on this forum that have posted questions asking what benefits they can get if and when they get diagnosed, even though they have been working for the last 30 years, are married, have children, etc. When it was pointed out to them, and not by me, that you actually had to be disabled by the condition they wanted to know why?
And do not for one second tell me about hardship. I was raped by my parents as a way to "cure" my autism. I was beaten black and blue and left for dead, way too many times. I ended up on the streets and in a refuge at the age of 16. I have had to work bloody darm hard to get where I am, and I have done it all alone. It has only been in the last 12 months that I have had any support at all. I was refused access to many refuges, because of the autism and because I was not verbal. Disability services at the time did not consider autism to be a disability, it was classified as a mental illness and so they refused to help me and mental health services would not help as I was not a risk to myself or others. To this day I have ver few people who even know if I am alive or dead and all of them are paid. So yeah, I know what hardship is, more than any of you will ever know. My parents have never been charged, after all I was just a deranged child and if you had a child like that you would do the same. I never got one cent of crimes compensation as you cannot hurt someone that has autism they do not have feelings, and I was not entitled to any counselling services as my autism meant they did not know how to deal with me. I have permanent phsyical injuries as a result of the abuse and severe PTSD, but I get no help at all with any of them. And yes I do my best to try and stay positive and make the most of the s**t existence that I was born with. Do not tell me how hard your life is, you would not know it if your life depended on it. I have never had and nor will I ever have anyone ever say the words to me "I love you". I will never ever know what it is like to be loved, I will never know what it is like to have a friend, to sleep through the night without nightmares or constant pain because of the injuries I still bare. And you tell me that my life has been privilleged. Thanks, but I think I will take any of your lives any day of the week.