CAMHS ASD Screening Form – terrified of writing the wrong thing

Hi, I wonder if anyone has any friendly help / advice etc. with a form we’ve been asked to fill in? Our 15-year old daughter has PDA. For years we’ve never been able to get a diagnosis or any professional support, because she masks her symptoms so well at school, and our GP is not interested. She only lets her guard down when around people she’s comfortable with, which is her parents and older sister. However, over the last year, with the disruption to school routines caused by the pandemic, and remote learning, she has really struggled, and her teachers have now come to realise she does indeed have major issues.

She recently was seen by a special needs coordinator at her school, and we’ve discussed with them the issues that she has at home, and our belief that she has PDA. After a few sessions, she was referred on to a person from “Healthy Minds”, a Wellbeing Service for North Staffordshire, and crucially this person was not told in advance what our suspected diagnosis was, so as to get an independent opinion. This person quickly came to the same conclusion independently, and has now referred our daughter to CAMHS for an ASD assessment, which is really good news.

We’ve just received a form from CAHMS to fill in, which they call a “screening process to provide additional information to determine if a full ASD assessment is required and completion does not guarantee that your child will be assessed for Autism Spectrum Disorder”.

For information, here’s a link to a blank copy of the form I’ve scanned in and placed on DropBox: https://www.dropbox.com/s/9tpjba80qzot82l/Camhs%20form.pdf?dl=0

We have huge concerns over this form. We were originally under the impression that an assessment would definitely be done, and that perhaps the only obstacle was a long waiting list. But suddenly, it feels to me that despite professionals referring her to CAMHS, they appear to be looking for excuses to not do an ASD assessment for her. We’re happy of course to provide as much information to them as we can to help with the diagnosis, but we’re really uncomfortable that the information they require is not to help with their assessment, but instead may perhaps give them an excuse to not do an assessment at all. Suddenly, there is a huge amount of pressure on us, as parents, to get the answers just right so that they tick the boxes required by The System to pass this screening test. If they read the form and then tell us they won’t do an assessment, we will have failed our daughter, and that’s something we will need to live with for the rest of our lives. We’re absolutely terrified of writing the wrong thing. Is this really fair on parents to be put under this kind of pressure?

I’m not sure what, specifically, I’m asking on this forum. Obviously people can’t help with specifics as you don’t know our daughter, and I need to ensure that everything I write down on the form is truthful, but I wonder if anyone has any ideas about what kinds of things to emphasise or play down, if that’s even ethical? The boxes on the form are so small, and the questions are very specific – there’s no spaces for us to write general descriptions of all her symptoms and issues that fall outside their limited questions. And the form is geared up for the more common ASD symptoms, which can differ quite significantly in children with the PDA presentation of autism. And many of the questions relate to when she was 5, which was 10 years ago, and we can’t remember details from back then!

Anyway, partly asking for advice, partly venting our frustrations, partly just looking for a bit of support and understanding – thanks so much for reading!

Rich + Zoe.

  • Thanks Graham - we're crossing fingers.

  • This screening is a standard thing. We did it for our grandson and it isn't as daunting as it first seems. They are NOT looking for excuses, in our experience, far from it.

    With the forms, and indeed any subsequent stuff, just be honest. Don't embellish or down play ... just honest.

    I would strongly suggest you start andd keep up a diary that records the issues and challenges you see each week, as this can be submitted as evidence when you get to the main assessment and can speed up the process.

    Good luck.

  • Thanks for the replies everyone. For reference, and with my daughter's permission, I'm posting a link to the relevant completed section of the form, in case it's useful to anyone else. (If you can read my writing!)

    [Removed by moderator due to link containing identifying information, which breaks the online community Rule 2. Further information on our rules can be found on https://community.autism.org.uk/p/rules. No further action will be taken]

    Edited by Anna Mod

  • Hi Martin,

    Many thanks for this - that's really very helpful indeed. I had drafted the responses to each of the questions already, but I've now gone through these ASC diagnostic criteria and expanded on / emphasised various answers in my draft form to correspond with the criteria. I think I've covered each of the points!

    thanks,
    Rich.

  • Hi Alisha, many thanks for the reply. That's very reassuring, and has put my mind at rest a little. I've drafted up the responses to each of their questions, and I think there's plenty of autistic traits I've listed, so if that form isn't enough to convince them to do an assessment, nothing will. My daughter has seen the form and has helped suggest things Slight smile

    I believe they have also sent a form to the school to fill in, and the original referral came from the school as a result of heightened difficulties she's been having with the pandemic.

    thanks,

    Rich.

  • Hi Blue, thank you for the reply! We have looked into private diagnostics, but the cost has always been prohibitive. When we went to our GP, he basically shooed us out of the door within about 60 seconds of entering, without even speaking to our daughter, and said "what use would a diagnosis be" then gave us an irrelevant leaflet. I submitted a letter of complaint, but it was ignored. We did attempt to self-refer her to CAMHS a few years ago, but they rejected it out of hand because it didn't come from the school or a GP. She masks her condition quite effectively in a school environment, and no teacher sees her for long enough to know her, as it's a secondary school. Disappointed

  • Go through the ASC diagnostic criteria. Then go through your child's behavioural traits and history and fit them into the criteria. The more information you give, the better. The criteria are broken down into two main sections, and to be diagnosed a person needs to have problems with both: 1) Persistent difficulties with social communication and social interaction, and 2) Restricted and repetitive patterns of behaviours, activities or interests (this includes sensory difficulties). There is also a requirement for the condition to have a negative impact on the person's daily life.

  • Hi, I don't think Camhs are looking for an excuse not to diagnose your daughter, they just have to look at all possibilities which I do agree can be annoying. Don't worry too much that the information you give them will give them an excuse to not do the assessment because from my experience as long as there are some autistic traits they will do an assessment regardless of any other information.

    You mentioned that some of your daughter's teachers have noticed things, I don't know whether it is something you could request or not but you may as well ask; Camhs gave me a form (request for information from schools- neurodevelopmental assessment) which I gave to a couple of my teachers which helped me get my diagnosis. 

    As for the form you have received, I would suggest that you let your daughter help you fill it out, that way she will feel part of the process, also she might think of answers that you wouldn't have thought of. 

    if you have any questions about the diagnostic process then feel free to ask

    Alisha

  • You are aware that CAMHS is not your only option, you can pay for private and you can request for another service to diagnosis your daughter like autism services and their are organisation that provide private diagnosis through the right to choose scheme meaning that the NHS pays a private company to assess your child for free.