Saturday, 23 February 2019

Treatment of families with ASD by childrens services

There is very little out there about parents with ASD, there are many many articles around the "stress and pressures" of raising an autistic child and transitioning that child to adulthood. However many people don't see their autism as a negative thing, there are many positive factors of autism and indeed it can lead to particular career paths. The past view of autism as "low functioning" and "high functioning" are slowly being eradicated with the diagnosis being changed to ASD and getting rid of "Aspergers" diagnosis. However, many people, especially the medical profession and children's services see ASD as a "condition" or "illness" categorised by low functioning, sometimes mute individuals unable to sustain Independence, much less be parents.

The fact is that there are many wonderful parents out there who are ASD, many received an adult diagnosis of ASD due to the medical professionals blinkered view towards ASD and belief that you have to have significant "problems" such as being non verbal to gain an ASD diagnosis.  This systemic abliesm is also partly behind the constant threats of FII against parents trying to get diagnosis for children who may not present as stereotypically autistic.

I undertook a self selecting survey in order to show the experiences of families with autistic parents and/or children when going through the Children's Services system. The results were predictably poor.

As we have seen repeatedly, many of those dealing with the sometimes horrific consequences of children's services intervention and monitoring came into the system by asking for help.
Have yo had child services involvement?
Yes asked for help 40.6%
Yes referred by school 18.8%
Yes referred by medical professional 12.5%
Yes referred by someone else 28.1%
Forms response chart. Question title: Have you had childrens services involvement? . Number of responses: 96 responses.
A large proportion of the parents who believed themselves to be autistic, had avoided assessment due to fear of negative consequences 
"If either parent suspects they are ASD why do they not have a diagnosis?" 
Don't want a diagnosis 18.6%
Scared of negative reactions to my diagnosis 34.9% 
Refused an assessment 9.3%
Awaiting assessment 9.3%
Haven't got round to it yet 27.9%
Forms response chart. Question title: If either parent suspects they are ASD why do they not have a diagnosis? . Number of responses: 43 responses.
This fear of negative treatment seems well founded as in many cases parental ASD is treated negatively or raised as a concern

Families are more likely to self refer to children's services by asking for help if they have both parents and children with ASD 

Families who have both parents and children with ASD  seem more likely to ask for help and have social services intervention, but also more likely to have children taken into foster care. Out of those families with both ASD parent(s) and child(ren) 22.5% were taken into care, in those with only ASD children it was 16%


Advocacy services for parents with ASD dealing with childrens services seems very sparse, most parents with/suspected of ASD felt disadvantaged by the system. Only 1 (one) parent received advocacy support




All children with a social worker are entitled to an advocate, we see in Fiightback the vast majority of cases are given no advocacy, refused advocacy or given very poor, not independent "advocacy" services. In this survey only 16.7% were allowed an advocate and 13.5% were actually refused advocacy services.




Generally families report poor outcomes after dealing with social services, with the majority reporting their family situation is worse, but families with parents with/suspected of ASD are more likely to experience poor outcomes

Awareness and education is desperately needed by medical, educational and social services professionals on the spectrum of ASD. Lately the government has promised to enforce training for all professionals, I only fear that after an hours lecture these professionals may then decide they are experts on ASD. I also wonder what exactly the content will be that is delivered and if it will further perpetuate the systemic ableism within these professions



3 comments:

  1. This is just what I needed ... can I ask how large the sample was please? I'm a psychology student standing for election to the students union who has been through much of what you describe. One of my key policies if elected is to push the university for introduction of training in hidden disabilities especially autism and the ways these differ from but may present similarly yo, safeguarding issues. Surveys like yours may be the best supporting material we can get as official statistics are not kept or tend to be skewed. Many thanks for your brilliant analysis.

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    1. Hi i had 96 respondents from the survey being shared on facebook and twitter. In Facebook groups for parents of kids with ASD, parents with disabilities and parents who have dealings with childres services

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