Is it worth having a carer's assessment?

I'm not sure whether or not to have a carer's assessment.  My adult son's needs remain unchanged.  He's extremely withdrawn, reverse sleeps, lives in one room, no friends, no connection with the outside world other than to do a little grocery shopping and will not engage with services.  To be fair, it's gone really badly in the past.  The "help" from mental health services was quite damaging and also, since we pushed for this "help" (cos all of the advice is, of course, to "seek help"), eroded any trust he had in us as parents.  Moreover these services appeared to have no knowledge of autism - if they had, I'm sure my son would have been diagnosed and we'd have thought about our own neurodivergence and the implications at a much earlier stage.  Plus the mental health assessment we endured was, quite frankly, frightening, with the threat of hospitalisation and very basic, one-size -fits all meds/therapy.  

Against this background we are left on our own to cope with issues like managing benefits and finances generally, very poor hygiene (don't know how to get a very withdrawn adult to bathe or clean their teeth)  and the impact on us psychologically.  I am constantly anxious and worried but, in a similar pattern to my son, have given up on NHS services.  They have little to no autism awareness and no non pathologising model of neurodivergence embedded in their approaches.  I don't trust them.

At the same time, I feel desperate and need some support, advice and guidance.  Would it be worth having a carer's assessment?  What might be provided?  Would I have to be very careful about what I said to services to avoid triggering another damaging mental health assessment for my son?  Can I proceed without involving him at all, instead relying on paperwork from our past engagement with services?  

Anyone out there who's experienced this and got anything helpful to their caring for a young adult in an extreme "hikikomori" state? 

Parents
  • are u saying your son has not been seen by a professional psychologists and doesn't have a diagnosis ? i could be picking this up wrong.

    if this is true then u're son may be more than autistic.

    i think you should ring the helplines  to discuss things in more  detail because it just appear to be sliding to out-of-control.

    I could be so wrong her  but I think u need help. i think ur son needs help.

    I'll add the helpline link..... before u ring, check their working hours 

    www.autism.org.uk/.../help-and-support

Reply
  • are u saying your son has not been seen by a professional psychologists and doesn't have a diagnosis ? i could be picking this up wrong.

    if this is true then u're son may be more than autistic.

    i think you should ring the helplines  to discuss things in more  detail because it just appear to be sliding to out-of-control.

    I could be so wrong her  but I think u need help. i think ur son needs help.

    I'll add the helpline link..... before u ring, check their working hours 

    www.autism.org.uk/.../help-and-support

Children
  • He was seen by the crisis team, then by several psychiatrists, psychologists and CPNs linked to the Early Intervention in Psychosis team for around 3 1/2 years before eventually being discharged by the last psychiatrist who said that there was no evidence of mental illness, only of autism (Asperger's).  This was then reviewed a year later by another mental health team, triggered when I sought help for myself, and suggestions around psychosis and hebephrenia were made, in addition to autism.  They agreed, however, that our previous engagement with services hadn't helped (it basically pushed our son deeper into himself and away from us as he no longer trusted us not to get the "men in white coats" round) and that pursuing things for him would be tantamount to harrassment.  One CPN with over 30 years experience said that he'd never known anyone engage so little. 

    However, since our son now refuses to engage with services at all (including for a full autism assessment) and he is deemed to have capacity, I need support for myself and advice or guidance for us as a whole family in order to help us to help him.  In the meantime (it's over 3 years later already!) both myself and my older son have been diagnosed with autism and, given that it runs in our family (my dad, cousins, aunts etc) we think that autism is the main diagnosis.  Other issues, we believe, have crept in due to very late identification of our autism, problems at school and college with bullying, isolation and lack of acceptance or accommodations.  

    I tried the helpline a couple of years ago but, given our son's age (now 26), it was felt that we needed to accept his autonomous decisions (which include lack of engagement with menatl health services and the DWP).

    I am actually at my wit's end with all of this.  What I need to know (I think) is how to help someone to come out of a state of deep autistic burnout or, failing that, how to get help with basic things such as cleaning, personal hygiene and help with personal finances for a person who basically won't participate with this process.  Plus, after all of our experiences with MH services, I want to do this without triggering a MH assessment (which would only lead to more useless meds, psychologists who have no specialism in neurodivergence and possibly even coercion, which experience has shown will set our son back).  

    So, yes, a quagmire basically.