Autism
Overview
Autism is a neurotype (brain functioning style) which influences how someone:
- thinks
- communicates
- moves their body
- interacts with others
- processes the sensory world
Autistic people may have differences in their:
- social communication
- interaction style
- attitude to routine and sameness
- sensory experiences
We live in a neurodiverse world. This means there are lots of different brain functioning styles or neurotypes. Being autistic is a form of neurodivergence. This means autistic people experience the world in a vastly different way from the neuromajority. Neuromajority is the most common brain type.
Some elements of being autistic can be challenging. This may include sensory overwhelm or difficulty regulating emotions. However, there are also many strengths that autistic people may share.
Common strengths for autistic people include:
- Deep and passionate interests
- Knowledgeable and observant
- Truthful and trustworthy
- A strong sense of fairness and justice
- Ability to hyper-focus
- Deep and strong feelings
- Thriving on routine and consistency
- Enjoying movement and other sensory experiences
- Communicating in a way that is comfortable for them
Common difficulties for autistic people include:
- Finding friends they can connect with
- Knowing what to do when things change or are unpredictable
- Senses get overwhelmed
- Focusing on things they are not interested in
- Expressing their needs and feelings in a way that others understand
- Knowing whether their friends are joking or not
- Hard for them to notice when they are annoyed, sad or hungry
- Body may react quickly before they have decided about what they want to do
- Making eye-contact or doing small talk
The right changes and accommodations can help minimise challenges experienced by autistic people. This will allow them to feel comfortable, safe and their strengths can come to the fore. This will enable them to thrive.
There are common characteristics which allow us to identify autism. However, every autistic person is different. The autism spectrum is not linear from high to low. It varies in every way that one person might vary from another.
A lot of the above information is from a NHS East Sussex Healthcare leaflet. You can find out more by reading the leaflet online:
We also recommend watching this YouTube video on neurodiversity called Amazing Things Happen:
Please note, some services also refer to autism as:
- Autism Spectrum Condition (ASC)
- Autism Spectrum Disorder (ASD)
Pathological Demand Avoidance (PDA)
PDA is widely regarded as a profile of Autism. It does not currently appear in diagnostic manuals. For this reason and for a PDA profile, NHS professionals in East Sussex do not:
- Make this separate diagnosis, or
- Carry out separate assessments.
However, we may assess a child for Autism who presents recognisable or reported elements of a PDA profile. If this is the case, we will describe this within the child’s assessment report.
We have created a position statement. The statement outlines this position and also aims to empower parent/carers, children and schools to:
- Explore the demand avoidance a child is demonstrating, and
- Put in place approaches to meet the child’s needs.
To find out more, read the PDA East Sussex Position Statement (December 2023) PDF.
Autism Assessment and Diagnosis
Assessment - Community Paediatrics
Community Paediatrics is a specialist multidisciplinary team consisting of:
- Paediatricians,
- Nurses,
- Psychologists, and
- Therapists.
They contribute to the assessment and management of children and young people with possible neurodivergence. This includes:
- Autism (up to 11 years of age)
- Global Developmental Delay / Delayed milestones
- Developmental Co-ordination Disorder (up to 16 years of age)
- Physical disability, such as Cerebral Palsy (up to 18 years of age)
You can find out more about community paediatrics on the NHS website:
There are different referral routes to community paediatrics depending on age and difficulties.
The referral route for primary school children with possible neurodivergence is from:
- Schools, if the child is having difficulties at school
- GPs, when there are no difficulties at school
The referral route from pre-school age children is from:
- GPs,
- Health Visitors, or
- Education professionals.
You can find out more about referrals on the NHS website:
Assessment - Child and Adolescent Mental Health Services (CAMHS)
The CAMHS Neurodevelopmental Service provides diagnostic assessments of neurodevelopmental conditions in children.
They have assessment teams in East Sussex, West Sussex and Brighton & Hove. They undertake the assessment and diagnosis of:
- Autism for ages 11-18
- Attention Deficit Hyperactivity Disorder (ADHD) for ages 6-18
This is known as the Neurodevelopmental Team (NDT). For young people aged 18 and over, visit the NHS website for more information:
The NDT includes:
- Psychiatrists
- Psychologists
- Nurses
- Social Workers
- Occupational Therapists
- Mental Health Practitioners
- Assistant Psychologists
- Prescribers
- Speech and Language Therapists
- Managers and Admin staff
You will see a combination of these professionals during treatment.
You can find out more about CAMHS Neurodevelopmental Service on the NHS website:
NHS Right to Choose (RTC) Framework
Services for people seeking assessment and related care for Autism in Sussex are provided by:
- four local NHS providers, and
- a range of independent sector providers with NHS contracts under the national NHS RTC Framework.
The national NHS RTC Framework allows NHS patients to select their healthcare provider. This happens during an initial / first appointment when receiving a referral from:
- a GP, or
- another designated professional.
The RTC applies when the referral is for a clinically appropriate physical or mental health service.
Find out more by visiting the Sussex Health & Care website:
Diagnosis
The NHS website outlines the steps taken in diagnosing autism. It also explains what happens during an assessment:
Waiting for an Autism Assessment or Diagnosis
Assessment and diagnosis of autism can include a long wait. It can take years to receive an assessment in East Sussex.
During this time, your child may still need support.
Your child should receive support in their education setting based on their experiences and needs. They do not need a diagnosis for this support and it does not change during the wait for assessment.
Support for your child should be ongoing and include The Graduated Approach. This is also known as Assess, Plan, Do, Review.
We have created a PDF that brings the contact information for a range of support services together in one place. It also covers common areas of concern you may have about your child’s health and wellbeing as they grow up:
Your child does not need a diagnosis or an Education, Health and Care Plan (EHCP) to access the services in this document. These services are open to you before, during and after an assessment of needs.
The NHS offer social communication and neurodevelopment support. This is for children and young people with Autism or ADHD. The child or young person does not need to have a diagnosis to access support from this pathway.
This is a multi-disciplinary pathway. It involves:
- Speech and Language Therapy
- Occupational Therapy, and
- Physiotherapy.
It also includes a skill mix of therapists and integrated therapy assistants.
They deliver provision within this pathway across:
- Workshops for parents and professionals
- Individual sessions (including telehealth)
- Group sessions
Children and young people can access this pathway from 3 years old to 18 years old. This extends to 19 if they are in full time education.
You can visit the NHS East Sussex Children website to find out more:
Additional Help and Support
Parent Groups and Befriending (Amaze)
Amaze are a local charity. They support families of children and young people with Special Educational Needs and Disabilities (SEND).
Amaze run:
- Kids Squad – for parent carers of children with Autism up to 10 years old
- Escape – for parent carers of children aged 11+
You can find out more by visiting the Amaze website:
Amaze also have a fact sheet of information relating to autism. Parents and carers can read it online:
Neurodevelopmental Pathway (NDP) Family Training and Navigation Service
Amaze also offer the NDP Family Training and Navigation Service. This service supports families at each stage along the neurodevelopmental pathway. They help to manage the challenges that children and young people face. This service is for families in Brighton & Hove and East Sussex.
As well as Autism, the service also covers:
- Attention Deficit Hyperactivity Disorder (ADHD)
- Tics/Tourette Syndrome
- Fetal Alcohol Spectrum Disorders (FASD)
- Learning Disabilities / Developmental Delay
- Social Communication Differences
- Sensory Processing Differences
Please visit the Amaze website to find out more:
They have also created a PDF for parent carers with neurodivergent children and young people. This includes those awaiting assessment. The document has lots of useful information and links to training:
CLASS+
CLASS+ works across East Sussex. They support families/carers of Autistic children and young people. They provide guidance and training. They enable families/carers to build:
- their understanding of strengths and challenges faced by Autistic children and young people
- their confidence in how to support the child or young person:
You can learn more about CLASS+ on our directory and our Facebook:
Spectrum
Spectrum is a free, county-wide service. It helps Autistic children and young people ‘aged 5–18’ to join in activities in their local community. It also allows them to:
- develop their independence
- build confidence
- develop key life skills
You can find out more about Spectrum on our directory:
- Find out more about Spectrum on 1Space
- View Spectrum service terms and conditions
- View the Spectrum referral form | East Sussex County Council
Amaze SENDIASS
Amaze SENDIASS (Special Educational Needs and Disabilities Information Advice and Support Service) are a local charity. They offer free, independent, and impartial advice for all matters relating to SEND. This includes Autism. Contact Amaze SENDIASS by:
- Phone - 01273 772 289
- Email - sendiass@amazesussex.org.uk
Visit the Amaze SENDIASS web page.
East Sussex Local Offer directory of services
You can visit our SEND-specific online directory, hosted on East Sussex 1Space. The directory lists many different services both throughout the county and online. Services cover many topics, including:
- Advice, Guidance and Support Groups
- Activities and Events
- Mental Health and Wellbeing Support
Visit the East Sussex Local Offer directory.
NHS - Health A to Z
The East Sussex Local Offer aims to provide as much information as possible. There may be some conditions that aren't covered in thorough detail. The NHS website has pages that list all conditions. These pages provide information and advice on how to get extra support:
Visit the NHS Health A to Z web page.
Glossary of East Sussex SEND Terms
We explain some of the terms used on this website on our page, Glossary of East Sussex SEND Terms.