Service for Complex Autism & Associated Neurodevelopmental Disorders (SCAAND)

Location: Maudsley Hospital
Mode: Outpatients

  • Referrals are accepted from: NHS Consultant Psychiatrists
  • NHS Consultant Paediatricians
  • NHS Consultant Psychologists
  • Other multidisciplinary team members

NB: The SCAAND service is commissioned by NHS England and it is a requirement that all referrals have been through a local assessment/care pathway for ASD before referrals can be accepted.

Key areas: Autism Spectrum Disorders, Social and Communication Disorders, Neurodevelopmental Disorders, Learning Disability, Challenging Behaviours, Intellectual Disability

SCAAND is comprised of three teams each dealing with the assessment and management of complex autism/ASD in children and young people.  Each team has a specialist area of expertise, allowing us to offer a wide range of expertise:

  • Autism and Related Disorders Team (Consultants: Prof. Patrick Bolton, Prof. Tony Charman)
  • Neuropsychiatry and Challenging Behaviour Team (Consultants: Prof. Emily Simonoff, Dr. Iris Rathwell)
  • Learning Disabilities Team (Consultant: Dr. Sarah Bernard).

The three Teams, which work as one service and are multidisciplinary, are able to ensure that the needs of the child and their family are assessed and managed in a comprehensive manner.   The purpose of this multidisciplinary service is to assess and/or manage children and young people with suspected or known autism spectrum disorders, when local CAMHS teams believe additional expertise is required than cannot be provided by the local services.  A range of interventions are provided.  SCCAND aims to work with local services as flexibly as possibly.   As the service is specialist commissioned, the contracting and funding responsibilities are met centrally rather than by your local commissioning group.  As long as the child or young person has been through a local assessment/care pathway for ASD, the case will be accepted automatically.  We value co-working with local services although, if this is not feasible, this is not essential.  The exception to this is if the child is likely to require emergency interventions or if there are major risk or safeguarding concerns as co-working is then important.  When SCAAND accepts a referral the local CAMHS (or Child Health) service must keep cases open to allow for appropriate shared care arrangements, for example for dealing with emergencies or transition planning.

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