Services and Interventions. A brief description of the services the client is receiving, or will receive, which addresses the identified problem and/or need and whose aim is to meet the stated goals and objectives. It will include the service, type of provider, the start date, the frequency, quantity, and duration of the service, the payment source, and signature of the case manager authorizing or documenting the service (e.g., attendant care, Home Health Agency [HHA], hours per day, times per week, for number of months and the case manager’s signature).
Services and Interventions. People with intellectual disability and ASD are likely to need input from a range of services at some point during or throughout their lives (Department of Health, 2001b; Department of Health, 2010b). There is recognition that access to services is more limited once individuals reach adulthood (National Audit Office, 2009b). However with low levels of employment and many people being unable to live independently, the need for support increases as individuals approach 18 (Department of Health, 2009b; Xxxxxxx, 2009). As set out in government policy, adults with intellectual disability and ASD should be able to access the same range of health services as the rest of the population. Intellectual disability services provide support for people to access mainstream mental health services where possible. However, it is acknowledged that mainstream services and community intellectual disability services do not always have the expertise or resources to support people with additional complex needs and that in some circumstances specialist input is required (LeMesurier et al., 2007). As such there are several community and inpatient assessment and treatment services specifically for adults with intellectual disability who have mental health problems and/or challenging behaviour. These services are not consistently or comprehensively provided throughout the UK (Xxxxxxx et al., 2010a). In areas where there is limited specialist provision, people with intellectual disability and mental health problems are often said to ―fall between two stools‖ (Xxxxx, 2001). This happens when neither intellectual disability services nor mainstream mental health services have the necessary expertise to provide for them. This type of situation is even more common for adults with ASD (Barnard et al., 2001; Xxxxxxx, 2009). Those who are eligible should receive the same provision as adults with intellectual disability. However, it is not clear whether adults with intellectual disability and ASD are successfully accessing or benefitting from these services. Furthermore, specialist ASD services may be reluctant to accept individuals with intellectual disability because they consider this group are already provided for by intellectual disability services.
