Adapting complex emotional needs treatments for clients with co-occurring autism spectrum condition: two case studies of structured clinical management

Purpose There is scant evidence for the treatment of complex emotional needs (difficulties consistent with a diagnosis of personality disorder), when an autism spectrum condition is also present. However, this is an increasingly common clinical picture for mental health services. Design/methodology/approach This paper reports two case studies in which Structured Clinical Management (SCM) was offered to two clients with these co-occurring difficulties. Findings For these clients, following detailed collaborative formulations including informal sensory profiles, evidence-based adaptations were made to standard SCM treatment. This approach resulted in positive quantitative outcomes, and similarly positive qualitative feedback. These case studies provide promising preliminary support for offering SCM, with appropriate adaptations, to this client group. Originality/value The authors understand that these are the first case studies to explore the use of SCM with clients with co-occurring autism, adding to a limited evidence base considering the use of psychological treatments for clients with complex emotional needs and autism.