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Article
Publication date: 2 June 2022

Eddie Chaplin, Jane McCarthy, Samuel Tromans and Verity Chester

125

Abstract

Details

Advances in Autism, vol. 8 no. 3
Type: Research Article
ISSN: 2056-3868

Article
Publication date: 2 May 2017

Verity Chester, Anthony Scott Brown, John Devapriam, Sharon Axby, Claire Hargreaves and Rohit Shankar

There is increasing emphasis on caring for people with intellectual disabilities in the least restrictive, ideally community settings. Therefore, the purpose of this paper…

Abstract

Purpose

There is increasing emphasis on caring for people with intellectual disabilities in the least restrictive, ideally community settings. Therefore, the purpose of this paper is to explore the risk factors considered by clinicians involved in discharging people from secure services.

Design/methodology/approach

The views of five senior clinicians were sought in semi structured interviews. Data were analysed thematically.

Findings

Themes related to risk assessment, risk management, and multidisciplinary and multiagency working. Illustrative quotes are used to evidence themes.

Practical implications

This study described the risk assessment and management factors considered during the discharge of patients from secure to community services, which are of direct relevance to multiple stakeholders post-Winterbourne.

Originality/value

Challenges when facilitating discharge were highlighted, such as ongoing risk management issues, or unexpected discharge from tribunals, and how these were addressed, via the development of extensive risk assessment and management processes, and interdisciplinary and interagency working.

Details

Advances in Mental Health and Intellectual Disabilities, vol. 11 no. 3
Type: Research Article
ISSN: 2044-1282

Keywords

Content available
Article
Publication date: 3 August 2021

Verity Chester

131

Abstract

Details

Advances in Autism, vol. 7 no. 3
Type: Research Article
ISSN: 2056-3868

Content available
Article
Publication date: 13 October 2022

Verity Chester and Samuel Tromans

Abstract

Details

Advances in Autism, vol. 8 no. 4
Type: Research Article
ISSN: 2056-3868

Content available

Abstract

Details

Advances in Autism, vol. 5 no. 3
Type: Research Article
ISSN: 2056-3868

Article
Publication date: 8 July 2020

Samuel Tromans and Verity Chester

The purpose of this paper is to provide a commentary on “being diagnosed with autism in adulthood: a personal case study”.

107

Abstract

Purpose

The purpose of this paper is to provide a commentary on “being diagnosed with autism in adulthood: a personal case study”.

Design/methodology/approach

A commentary on an individual’s personal experiences of being referred to autism assessment services and subsequently receiving a diagnosis of autism in adulthood.

Findings

Many individuals are not diagnosed with autism until their adult life, and as a result, miss the benefits of timely introduction of sources of support, such as during their schooling. Receiving an autism diagnosis can come as a relief and promote self-understanding, but availability of high-quality post-diagnostic support services and accommodating employers are both highly important.

Originality/value

A commentary on an original viewpoint is published in this special edition on gender and diversity.

Details

Advances in Autism, vol. 7 no. 3
Type: Research Article
ISSN: 2056-3868

Keywords

Content available
Article
Publication date: 28 February 2019

Verity Chester

1903

Abstract

Details

Advances in Autism, vol. 5 no. 1
Type: Research Article
ISSN: 2056-3868

Article
Publication date: 11 March 2021

Bethany Driver and Verity Chester

Autistic women and girls have received comparatively less attention within clinical practice and research. Research suggests women tend to be diagnosed later than men, and…

1017

Abstract

Purpose

Autistic women and girls have received comparatively less attention within clinical practice and research. Research suggests women tend to be diagnosed later than men, and are more likely to experience misdiagnosis.

Design/methodology/approach

This paper aims to report a narrative literature review that examines research on the presentation, recognition, and diagnosis of autistic women and girls.

Findings

Findings suggest that autistic females present differently to males and highlight low recognition of the female presentation of autism among the general public, in social spheres, educational, clinical and forensic settings. This lack of recognition appears to affect the likelihood of females being referred for diagnosis, the reliability of diagnostic assessments and subsequent access to support.

Originality/value

Recommendations for clinical practice focus on initiatives to increase awareness of the female presentation of autism, improving the diagnostic process for females, increasing female representation within autism training and for future research to support these goals.

Article
Publication date: 30 June 2020

Samuel Tromans, Verity Chester, Eli Gemegah, Kristian Roberts, Zoe Morgan, Guiqing Lily Yao and Traolach Brugha

The purpose of the paper is to review autism identification across different ethnic groups. Diagnosis of autism may be missed or delayed in certain ethnic groups, leading…

Abstract

Purpose

The purpose of the paper is to review autism identification across different ethnic groups. Diagnosis of autism may be missed or delayed in certain ethnic groups, leading to such groups being underserved relative to their needs. This can result in members of such groups being effectively denied essential avenues of support that can substantially improve the quality of life of autistic persons as well as those whom care for them.

Design/methodology/approach

A literature search for articles reporting autism identification across ethnic groups was undertaken. Data are compared, with a special focus on possible explanations for any inter-group variation.

Findings

Autism identification appears to be generally lower in minority ethnic groups relative to the majority population. Individuals presenting with autism from minority groups appear to have more severe forms of the condition.

Originality/value

There are a multitude of potential explanations for inter-ethnicity variation in autism identification, including health care-related factors, broader environmental influences, cultural factors and possible biological differences. Implications for clinical practice and public health include a need to look at means of ensuring equitable access to relevant autism diagnostic and support services across ethnic groups. Further work is required to better understand the belief systems that operate within specific ethnic groups, how this may potentially impact upon autism identification and measures to address the concerns of such groups.

Details

Advances in Autism, vol. 7 no. 3
Type: Research Article
ISSN: 2056-3868

Keywords

Article
Publication date: 3 October 2016

Regi Alexander, Peter E. Langdon, Verity Chester, Magali Barnoux, Ignatius Gunaratna and Sudeep Hoare

Individuals with diagnoses of autism spectrum disorder (ASD) within criminal justice settings are a highly heterogeneous group. Although studies have examined differences…

1002

Abstract

Purpose

Individuals with diagnoses of autism spectrum disorder (ASD) within criminal justice settings are a highly heterogeneous group. Although studies have examined differences between those with and without ASD in such settings, there has been no examination of differences within the ASD group. The paper aims to discuss these issues.

Design/methodology/approach

Drawing on the findings of a service evaluation project, this paper introduces a typology of ASD within forensic mental health and intellectual disability settings.

Findings

The eight subtypes that are described draw on clinical variables including psychopathy, psychosis and intensity/frequency of problem behaviours that co-occur with the ASD. The initial assessment of inter-rater reliability on the current version of the typology revealed excellent agreement, multirater Kfree =0.90.

Practical implications

The proposed typology could improve understanding of the relationship between ASD and forensic risk, identify the most appropriate interventions and provide prognostic information about length of stay. Further research to refine and validate the typology is ongoing.

Originality/value

This paper introduces a novel, typology-based approach which aims to better serve people with ASD within criminal justice settings.

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