3. Tobar More complex referrals Service Users with ID & Autism with behaviours that challenges Increased to 36 service users No new staff Challenges for both staff and service users

4. Autism Project APP Training Services MDT Steering Group Three distinct phases Service within an existing service Bespoke Staff Training Rotation of staff Ongoing training, supervision and support from APP 1 day per week Family Involvement Psychology Psychiatry Social Work Occupational Guidance ID Services

5. A Phased Approach 1 Assessment, ASD awareness/simulation activities Bespoke Training, Read the person- PBS plan, Sensory Training, ASD Environment, 2 Skills / Capacity Building, Centre Reintegration All Staff working with trainees 3 Community Integration

6. Service Users Limited staff awareness of their individual needs Autism UNFRIENDLY Environment High Levels of AnxietyLow engagement/Isolation Families No suitable service for their sons/daughters with behaviours that challenge Limited engagement with services Poor communication Negative previous experiences Staff No new staff/ more complex service users High rate of absenteeism /sick leave High stress levels and burnout Assault Limited Understanding of Autism

7. Service Users Autism Friendly Environment Individualised skill building plans Bespoke staff training regarding service users unique needs Individualized Positive Behavior Support plans (PBS) Peer Buddy System Families Tailored Formal daily communication system 3/ 6 monthly Review meetings Monthly informal meetings with Social work Staff Intensive bespoke staff training Third party expertise 1 day a week Rotation of staff Specific protocols and procedures Understanding of Autism- simulation activities

8. View the ASD Friendly Environment and Skills-BuildingASD Friendly Environment and Skills-Building

9. Overcoming Staff Challenges -High staff stress levels when working with ASD service users with behaviors that challenge -Frequent staff absenteeism -Staff burnout -Small group of ASD staff identified who received intensive bespoke training- -ASD coordinator established -All staff received bespoke training, shadowing/mentoring provided from ASD staff group -ALL staff now working with service users -Staff report increase job satisfaction

10. Project- Collaborating with the Men’s Shed View the Sound Board InsulationSound Board Insulation

11. Decrease in behaviours that challenge

12. A brief case study- Service User A Before High levels of inappropriate touching and masturbation Fatigue – sleeping within the centre Staff avoidance of this service user Peer avoidance Significant rituals Limited engagement in group activities Antagonistic behaviour After No masturbation, appropriate interactions Increased energy levels (no sleeping) All staff working with this service user Positive peer relationships, peer ‘buddies’ Reduction in rituals Engagement in all group activities Reduction in antagonistic behaviour, increase in mischievous / playful interactions

13. Individualised Behaviour Support Strategies View individualised behaviour supports documentsindividualised behaviour supports

14. Feedback from Service Users’ Families- Taken directly from monitoring report by Occupational Guidance Service *Names have been changed ‘Excellent communication’ between staff and the family John is ‘more relaxed, calm at home’ since the project started Brendan is ‘more relaxed’ staff are beginning to ‘tap into his potential’ The environmental changes, the effort and approach taken in the programme is benefitting C’

15. Staff Highly Trained Staff Flexible Staff Rotas Formal Communication system between day and respite / residential services Formal Communication system with families Structures Internal Service Policy, protocols and procedures in responding to behaviors that challenge Autism friendly surroundings Holistic behaviour support strategies and plans Strength focused

16. Implementing New Directions in the ASD Pilot Project in Tobar Training Centre Formal Communication system between day and respite / residential services Before After