Access to autism assessments for children and young people with at-risk mental states or suspected psychosis: A review

Literature demonstrating that children and young people with autism represent a special population within the psychosis at-risk cohort is reviewed. There are national discrepancies in access and waiting times between psychosis ‘at-risk mental state’ or ‘suspected first episode psychosis’ pathways and autism diagnostic services for children and young people. The consequences of discrepancies in care for young people with suspected autism and psychosis is considered, demonstrating the case for parity in access to specialist assessments. The article discusses the associated professional and ethical dilemmas for supporting children, young people, and families in this area. Three models of potential service delivery are considered: An inclusive adaptation model; a within-service autism screening offer; and an autism assessment prioritisation approach.