Referrals to KAMCAS can be made by professionals from secondary services (i.e. Mental Health Together, Mental Health Together +, Adult Social Care, All Age Eating Disorder Service, Early Intervention in Psychosis, or Liaison Psychiatry), or professionals from the Dynamic Support Approach (i.e. Dynamic Support Service, Dynamic Support Forum, or Care (Education) and Treatment Review process).

KAMCAS can offer:

1. Specialist autism consultation about a specific autistic individual to professionals through system navigation, guidance and meeting attendance, or support with reasonable adjustments and specific queries.
2. Urgent (within 5 working days) specialist autism consultation to referrer or network around the client to reduce or ameliorate risk factors and increase protective factors for a specific autistic individual to address rapid deterioration posing imminent (within 7 days) risk of severe harm to self or others, admission to hospital, or/and disposal by the Criminal Justice System.
3. Direct interventions to a specific autistic individual to address communicative, sensory, wellbeing, environmental or psychological needs that cannot be met by secondary services.

KAMCAS provides specialist consultation and interventions for individuals who:

• Are 17 years and 6 months or older
• Have a diagnosis of autism and no co-occurring diagnosis of intellectual/learning disability
• Are considered ready for discharge from hospital or release from prison, or are unable to retain their place in the community due to significant risk in the short term (12 weeks) of: hospitalisation, conviction, court disposal, suicide, and/or severe harm to self or others

AND

• For whom local services and health provision have been inadequate to meet their needs

When completing this referral form, you will be asked to:

• Provide proof of your client’s autism diagnosis. You will be asked to upload sufficient evidence that the client has had a diagnosis of autism given using an approved assessment process by a specialist psychiatrist, paediatrician or other appropriately qualified healthcare professional with training and expertise. A diagnostic report or letter should meet this criterion. If you are not able to provide evidence, you will not be able to complete the referral form.
• Confirm the client has given informed consent to this referral (or provide documentary evidence of the Best Interest decision if they cannot consent)
• Confirm that the client is registered on Dynamic Support Register/Database and that they consent to KAMCAS checking their registration (for Network consultation and Urgent Consultation referrals)
• You will need to provide contact details for you and other professionals working with your client, and provide your availability within the next 2 weeks for a discussion about clinically relevant information to help us understand the risks and full complexity of this client. This will help us to provide an autism-informed risk formulation, with a view to offering consultation, assessment and intervention for the client, as appropriate.

Please ensure you can provide appropriate information against these points before you begin completion of this referral form.

You can save your progress and return to complete this form later.

Select the Save and Resume Later option in the form.

A link to this form with your current form progress will be sent to the email address you provide.

Please note: The Save and Resume later option, does not store uploaded documents and email addresses and these will have to be entered again before final form submission.

Save and Resume links and all stored information is deleted automatically after 30 days.

Please note, if KAMCAS is not the appropriate service for your client's needs, we will transfer this referral to the Adult Autism Keyworker Service (KCHFT) for assessment. KAMCAS shares information with other providers safely, following GDPR rules, and assumes consent for onward referrals has been given. You are therefore advised to discuss consent with the referred client directly – if they do not consent to transferring their referral/information, please download and complete the attached consent opt-out form, and return to KAMCAS via email/post.

Please see Sinclair-Strong Consultants Privacy Statement online for more details: https://sinclairstrong.co.uk/sinclair-privacy-statement

Part 1. ABOUT YOU

Part 2. ABOUT THE CLIENT YOU ARE WANTING TO REFER

Appropriate documentation includes:
• an ADOS report
• an ASD diagnostic assessment report
• a letter explaining the specific assessment process used, stating the diagnosis given and signed by the diagnostic clinician
• a letter confirming diagnosis of autism signed by consultant paediatrician, consultant clinical psychiatrist or consultant psychologist who has known the client for 2+ years.

Medical summaries, screening tools (e.g. AQ-50, EQ, etc.), ADOS score sheets, healthcare records, and reports/letters listing diagnoses which include autism, do not provide sufficient evidence that the client has had a diagnosis of autism using an approved assessment process by a specialist psychiatrist, paediatrician or other appropriately qualified healthcare professional with training and expertise.