Can a Nurse provide a Autism Diagnosis? (Adult)

I've got a draft of a report and I'm sorting out mistakes (for which there is many). I'm just wondering if a Nurse can diagnose autism or not?

I've been assesed by a Specialist Registrar, Clinical Nurse Specialist, 2xCommunity Nurses and a Higher Assistant Psychologist. I've never seen the Consultant Psychiatrist.

The report is written by a community nurse. Is this normal?

Top and bottom of this is unless I get a developmental interview conducted by someone who knew me aged 4/5 they won't say either way. Despite me telling them I didn't want my parents involved at the start (and them telling me that was ok).

I was also promised a feedback session at the end of assesment period regardless of outcome. This now seems to be convieniently forgotten about now I have "difficult" questions. 

Parents
  • Hi

    I saw a consultant psychologist for the first interview when the decision was made to refer me on for a diagnosis. The diagnostic interview itself was carried out by a nurse practitioner. It lasted a bit over an hour and the resulting report was of no use to me apart from stating that I am autistic. No cognitive or other tests were done and I've had to work out for myself the areas where I have problems, such as working memory.

    The relevant NICE guidance says:

    1.2.5 A comprehensive assessment should:
    be undertaken by professionals who are trained and competent
    be team-based and draw on a range of professions and skills
    where possible involve a family member, partner, carer or other informant or use
    documentary evidence (such as school reports) of current and past behaviour and
    early development.

    So knowledge of your early years is not mandatory for an assessment. It wasn't possible in my case as my parents have been dead for a long time.

    I do find the insistence on having anecdotal evidence of you as a child puzzling. Its like seeing someone lying in the road, surrounded by smashed glass and a wrecked car and then saying that you couldn't say they'd gone through the windscreen because you didn't see it happen.

    I hope you get this sorted out and make them see sense.

Reply
  • Hi

    I saw a consultant psychologist for the first interview when the decision was made to refer me on for a diagnosis. The diagnostic interview itself was carried out by a nurse practitioner. It lasted a bit over an hour and the resulting report was of no use to me apart from stating that I am autistic. No cognitive or other tests were done and I've had to work out for myself the areas where I have problems, such as working memory.

    The relevant NICE guidance says:

    1.2.5 A comprehensive assessment should:
    be undertaken by professionals who are trained and competent
    be team-based and draw on a range of professions and skills
    where possible involve a family member, partner, carer or other informant or use
    documentary evidence (such as school reports) of current and past behaviour and
    early development.

    So knowledge of your early years is not mandatory for an assessment. It wasn't possible in my case as my parents have been dead for a long time.

    I do find the insistence on having anecdotal evidence of you as a child puzzling. Its like seeing someone lying in the road, surrounded by smashed glass and a wrecked car and then saying that you couldn't say they'd gone through the windscreen because you didn't see it happen.

    I hope you get this sorted out and make them see sense.

Children
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