Assessing the complexity of adult ASD cases across three areas in Southern England: a service evaluation

Abstract

Purpose: Over the last few years increasing numbers of Autism Spectrum Disorder (ASD) services have been established across the country. The different services use varying models and the level of complexity seen in each is unclear. The paper aims to discuss this issue. Design/methodology/approach: In order to facilitate the development of the next phase of service provision the three geographical areas covered by SABP ASD services were compared. Modified Global Assessment of Functioning (mGAF) scores were calculated for 75 patients from each area before being compared across various domains to identify the complexities in each area covered. Findings: Overall high levels of complexity were seen, with 85 per cent presenting with a serious or major functional difficulty based on, mGAF scores. Originality/value: This has planning implications both for commissioners and future service development as previously not identified at a time when services are continuing to expand.