Andy continues to struggle at the moment. Agitated, pacing, withdrawn from interactions and activities. It’s heartbreaking to watch and incredibly tiring to keep supporting him. I would do anything, give everything to take away his troubles.
Accessing medical or psychiatric support is very, very difficult indeed nowadays, we are finding out. Put simply, already over stretched services are geared towards neuro -typical patients. Barriers are more than sensory, social or fear of the unknown however, as much as these are highly significant. No, the barriers are more structural and embedded in services where knowledge and understanding of autism is at best very patchy. Where understanding is limited medical staff are defensive and often dismissive. Finding pockets of autism friendly support is a lottery with poor odds.
Medical environments must be among the most challenging for autistic people and the process driven procedures leave little room for any flexibility in approach.
The Scottish Autism Strategy had among its initial 2 year goals the following statement.
“Access to services which understand and are able to meet the needs of people specifically related to their autism.”
This should have been in place around 2013/14 although how you would test this is anyone’s guess. These initial goals were of course conveniently ditched in favour of even broader outcomes, but surely no one could claim that this situation is even improving?
Medical care is a basic right under Article 24 of the UN Convention on the Rights of the Child. It categorically states “Every child has the right to the best possible health. Governments must provide good quality health care, “
If only this were true for autistic children. We live in hope.