1. Autism – diagnosis in York  Under 5s – paediatric service  5+ - CAMHS

2. Multi-disciplinary  Paediatrician  Speech and language therapist  SEN specialist teacher  Clinical psychologist  Child and adolescent Psychiatrist  Educational Psychologist

3. Information gathering  Parents  School / nursery  Other relatives (eg grandparents)  Other professionals (eg SALT, educational psychologist)

4. The Autism Forum  Meets monthly in York  Multi-agency  A professionals discussion forum  Uses ICD 10 criteria and information gathered from several sources to decide on diagnosis  Options include review by the forum at a later date

5. “Triad of Impairment”  1) Social interaction  2) imagination and communication  3) Repetitive behaviour / routines

6. Social interaction  eye contact / facial expressions  peer relationships  Understanding emotions  Showing and sharing interest

7. Imagination and communication  language delay (without gesture compensation)  Conversation skills  Repetitive language  Pretend play

8. Repetitive behaviour / routines  Encompassing preoccupation  Compulsive routines  Mannerisms  Sensory interests

9. What are the outcomes?  1) No diagnosis made (about 50%)  2) Autism  3) Atypical Autism  4) Aspergers syndrome  5) No diagnosis currently – for review