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New Zealand Autism Spectrum Disorder Guideline - Ministry of Health

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Part 4: Treatment and management <strong>of</strong> ASD<br />

Because <strong>of</strong> concern about the experiences <strong>of</strong> people with ASD as mental health inpatients, alternatives<br />

to inpatient care have been recommended 39 . Crisis services have been recommended that involve staff<br />

trained in ASD and that contain timely and flexible systems that are able to adapt to the needs <strong>of</strong> the<br />

person in crisis and minimise the need for in-patient care 39 (Good Practice Point 4.7.3). Other additional<br />

characteristics <strong>of</strong> ideal crisis services include:<br />

• systems that reduce external pressure, perhaps by reducing choices, providing structure and<br />

avoiding confrontation or arguing<br />

• community-based homes, if out-<strong>of</strong>-home placement is needed rather than in-patient facilities<br />

• staff teams that visit people with ASD in their own homes, and are also accessible to families<br />

• consistent approaches and clear communication within services, and between the service and<br />

other relevant agencies (ie, mental health specialists, police, probation, youth <strong>of</strong>fending, lawyers)<br />

• a training role with other relevant agencies to ensure that they are appropriately responsive to<br />

people with ASD 39 (Good Practice Point 4.7.3).<br />

Part 4<br />

<strong>New</strong> <strong>Zealand</strong> <strong>Autism</strong> <strong>Spectrum</strong> <strong>Disorder</strong> <strong>Guideline</strong> 159

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