The Liverpool Asperger Team
Chris Austin, Andrew Barlow
& Stuart Clensy
Liverpool Asperger Team
• High profile people with complex
• Problem of mental health v learning
• Demands on clinical services
• Public raising of the needs of people
with Asperger Syndrome in the city
History of the team
1999 increased referrals
Cross agency meetings
2001 steering group formalised
User and carer involvement
2002 finalisation of structure
• Registrars doing elective placement
(currently do not have one on placement).
• Trainee Psychologist (carrying out
What do we offer ?
• Assessment and diagnosis
• Person centred approach
• Specialist knowledge , information and
• Awareness training
• Clinical interventions – either from the
team or the Managed Care Pathway
• Age 18 years of age
• 16-18 year olds , dependent on individual
• Resident in Liverpool , or registered with a
• A diagnosis of Asperger syndrome,
according to Gillberg’s or ICD 10
Managed Care Pathway
FURTHER & HIGHER
ASPERGER SYNDROME –
MULTI DISCIPLINARY TEAM
VOLUNTARY / NON
CENTRAL POINT OF ACCESS FOR
ASSESSMENT & DIAGNOSIS
SERVICE USER /
CO-ORDINATING ROLE WITHIN
DAY CARE SERVICES
ACCESS TO SPECIALIST
Of 407 referrals so far ………….
• 245 have had full assessment
• 108 have not been assessed
• 54 are in progress
• 296 were male
• 111 were female
• 17 have children
(As of Oct’ 2007)
The MDT Operation
• All professional team members are or will be DISCO assessors.
• Nurse – behavioural approach
• Social Worker – Care brokerage
• Psychology – Psychological therapies (solution Focused Therapy,
for e.g.), multiple assessment and Psychometrics, lead for evidence
based practice / ongoing research projects.
• Support Workers – hands on needs led support as assessed by the
above and demonstration of care packages for brokerage.
• All work person centred and take on liaison with other agencies and
most importantly with each other. Being in the same office makes
this much easier.
Common Themes identified
Work / Meaningful occupation
Advocacy and ‘interpretation’
Non compliance due to ‘social phobia’ or
denial of needs or diagnosis (if from
• Carers needs and support.
• Support with home management.
What’s worked well
Service user involvement
Support for carers
“An Asperger Life” DVD
Flexibility of staff
Planning and reflection
Full time members of the team
Gaps in service
• No specific Sheltered Housing scheme
locally for people with AS.
• No coherent Community Care budget or
access to it for people with AS.
• No specific centre based service for
people with AS (controversial!).
• No RMO attached to Liverpool Asperger
• No specialist employment advisers.
• People living in safe sheltered housing
• Employers recognising and accommodating
people with Asperger syndrome and recognising
their own needs for support in the work place.
• A place to go and socialise which is safe,
predictable, secure and undemanding.
• Easy access to support and Psychiatry if
• Post Code lottery
Come to our conference,
“The Liverpool Asperger Team
five years on”
at Aintree Race Course