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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

AIBU to worry about the surge in school-suggested ASD diagnoses?

280 replies

cremebrulait · 27/07/2024 13:10

Fellow mums, I'm worried about a trend I've noticed in our schools. It seems some are pushing parents to seek ASD diagnoses to secure funding for support. While I absolutely believe children with autism deserve all the help they can get, I'm concerned about the following:

  1. The high rate of suggested ASD diagnoses in some classes (much higher than average)
  2. Schools advising parents to get diagnoses to continue enrollment
  3. Long NHS waiting times leading to private evaluations

I worry this might lead to:

  • Misallocation of resources
  • Inappropriate interventions for children
  • Overlooking other potential issues
  • Psychological impact on misdiagnosed children

Shouldn't there be equality in support for children with other learning or developmental issues too? Like ADHD, emotional and behavioural disorders, sensory impairments, physical disabilities, intellectual disabilities, developmental delays, health conditions, sensory processing disorder, specific learning differences, or twice-exceptional children?

AIBU to think this system is flawed? Has anyone else experienced this? Am I overreacting, or is this a genuine concern? What are your thoughts on how we can ensure all children get the right support without resorting to potentially inaccurate diagnoses?

(I'll post more thoughts on misdiagnosis in comments.)

OP posts:
Thread gallery
13
PocketSand · 27/07/2024 14:57

Utter bollocks. Doesn't fit with any 'fellow mums' experience. Ignore and move on.

Thepurplecar · 27/07/2024 15:01

The OP has also missed the real scandal which is the complete lack of provision for neurodivergent children for whom school is entirely unsuitable. Huge numbers of parents unable to work AND having to fund the entire cost of their children's education. It's a lifestyle choice apparently.

And let's not forget that neurodiversity is often genetic, these are parents who themselves are often neurodivergent, many having gone through life undiagnosed and having suffered greatly with no support whatsoever...and so it continues. And because our expectations are so low, and our hands so full, we don't make the demands we should, we just carry on doing our best while others pass the time pointing fingers and insulting us. I try to demonstrate to my children that the world has space for everyone which is hard when I don't believe it's true.

Sirzy · 27/07/2024 15:15

RestlessSparrow · 27/07/2024 14:15

IME, they say they will do that to stop you applying for an EHCP, but in reality they can't because they don't have the resources or enough funding. EHCP forces the school and local authority to provide support that they don't have the money for.

The NHS stopped being able to send speech therapists to the school, concentrating on giving group training to parents and TA's. My DD's school had no TA to send, because the few that remained were covering for teachers. So I was trained by the speech therapists in the big group, took a long sabbatical from work from which my career never really recovered from, and went into the school to do the therapy myself. So many parents are not going to be able to afford to do that, we barely could.

Its madness, in our area SaLT come in once a term if lucky and then give a list of courses for the staff to attend. I am happy to attend any training needed to help me support the young people I work with. The biggest barrier is the fact that SaLT don’t fund these courses so schools need to pay for the staff to attend the course as well as paying for a days cover. Sadly schools then have to restrict training to the most essential, meanwhile the children carry on missing out.

BehindTheSequinsandStilettos · 27/07/2024 15:20

Are you from Barcelona, OP?

Putthekettleon73 · 27/07/2024 15:20

I've only read your initial post but ABA isn't appropriate for anyone. In my opinion (mother of an autistic child).

I've just fought for a year against a flawed system to secure an EHCP for him as his diagnosis at aged 6 didn't result in any extra support. I think you are misinformed or not yet informed enough on how the SEN (lack of) support system in local authorities works.

Sherrystrull · 27/07/2024 15:21

SaLT is ridiculous. Schools don't have lots of staff hanging about ready to complete training and then support children based on a quick Zoom meeting and a pile of old fashioned sheets of paper suggesting activities that take hours.

kittensinthekitchen · 27/07/2024 15:36

Can we please STOP using the phrase "seeking a diagnosis"? What you seek is an assessment. It totally trivialises the often long and traumatic experience.

Summertimer · 27/07/2024 15:38

I can be a sceptic of early diagnosis, especially in respect of kids fresh out of pre school when panicking about compliance (terrible word/concept many randomly apply to small children and the elderly) in Reception leads to informal misinformed suggestions of ODD.

However, I’m only a sceptic because our DC initially attended a private school where they began the weeding out of anyone who didn’t fit their narrow model child profile as soon as the kids got there. A few truly gifted kids were subjected to the most bizarre treatment, unsporty children didn’t fare much better.

But the OP is wrong about schools in general and I’d defend state school teaching and SEND services all the way. A good state school will always be better for kids with minor difficulties too

Morph22010 · 27/07/2024 16:06

Dumdeedahdumdeedo · 27/07/2024 14:03

Your right but a diagnosis does help. In my area they always reject the first application and an ECHP is really hard to get

CAHMs adviced we apply for one now as they get rejected so often hopefully she will be accepted by the time she reaches secondary school is what they said

if the la want to refuse they’ll refuse whatever. We waited till diagnosis as senco said we’d be turned down without ( things were very bad and ds was getting regular fixed term exclusions as school couldn’t manage him) and we got turned down for assessment and the la gave the reason for refusal that now he had a diagnosis they wanted to see if things would improve (not sure how a piece of paper magically changes anything). We won appeal but if I’d have applied before diagnosis we’d have been further on in the appeals process sooner

CurlsnSunshinetime4tea · 27/07/2024 16:10

For me the worry is the lack of Ed Psych’s available to do the full testing required for proper diagnosis and formulating treatment plans. The schools don’t have the same level of expertise.
Next comes the lack of suitable educational settings.

Poznan65 · 27/07/2024 16:13

CurlsnSunshinetime4tea · 27/07/2024 16:10

For me the worry is the lack of Ed Psych’s available to do the full testing required for proper diagnosis and formulating treatment plans. The schools don’t have the same level of expertise.
Next comes the lack of suitable educational settings.

Schools and Ed psychs don’t do the diagnosis.

Poznan65 · 27/07/2024 16:16

Poznan65 · 27/07/2024 16:13

Schools and Ed psychs don’t do the diagnosis.

And there is no treatment .

CurlsnSunshinetime4tea · 27/07/2024 16:20

@Poznan65 the OP mentioned ADHD as well sorry. Yes and eventually it is the psychiatrist that gets involved with ADHD treatment plans.
But the Ed Psych do a very thorough assessment which is insightful.

ClickClack300 · 27/07/2024 16:21

It’s a Community Paediatrician who diagnoses ASD where I live. For someone that seems invested so much and ‘concerned’ you don’t seem clued up on the facts….

Do you realise to get anywhere near seeing one of these children’s developmental doctors, there has to be significant needs to start with. A teacher having a ‘suspicion’ that a child may have ASD isn’t enough to warrant an appointment. The referral process is stringent as there aren’t enough developmental paediatricians, so a young child who exhibits milder symptoms is likely to not get seen.

This child will get older and struggle through without then correct support and when it’s more evident that they are autistic they will finally get the diagnosis.

These specialists doctors have far more knowledge than a random on the internet. You needn’t be ‘concerned’ that too many children are being diagnosed, as these highly trained doctors know far more than you and I!

Lastly, the process can take years and they don’t see a child for an hour and say yes they’re autistic. Rest assured, they will know if trauma is at play or not so no need to ‘worry’ they might not be able to distinguish!

Goslingsforlife · 27/07/2024 16:23

why are you concerned about handing wrong ASD diagnoses? Do you think private assessments are akin to buying a diagnosis without a proper assessments? your posts doesn't make sense.

Also, what do you suggest parents do if the waiting list are 5-6 years long on the NHS and the child is falling apart? Watch and let it happen?

Do you have children with disabilities? Do you actually know what it is like battling the system or are you just talking out of your arse?

ClickClack300 · 27/07/2024 16:27

Goslingsforlife · 27/07/2024 16:23

why are you concerned about handing wrong ASD diagnoses? Do you think private assessments are akin to buying a diagnosis without a proper assessments? your posts doesn't make sense.

Also, what do you suggest parents do if the waiting list are 5-6 years long on the NHS and the child is falling apart? Watch and let it happen?

Do you have children with disabilities? Do you actually know what it is like battling the system or are you just talking out of your arse?

Edited

My guess is talking out of their arse!!

Goslingsforlife · 27/07/2024 16:29

My question was rhetorical tbh. so much bollock in one post. I doubt OP will be back.

Hoardasurass · 27/07/2024 16:29

ClickClack300 · 27/07/2024 16:21

It’s a Community Paediatrician who diagnoses ASD where I live. For someone that seems invested so much and ‘concerned’ you don’t seem clued up on the facts….

Do you realise to get anywhere near seeing one of these children’s developmental doctors, there has to be significant needs to start with. A teacher having a ‘suspicion’ that a child may have ASD isn’t enough to warrant an appointment. The referral process is stringent as there aren’t enough developmental paediatricians, so a young child who exhibits milder symptoms is likely to not get seen.

This child will get older and struggle through without then correct support and when it’s more evident that they are autistic they will finally get the diagnosis.

These specialists doctors have far more knowledge than a random on the internet. You needn’t be ‘concerned’ that too many children are being diagnosed, as these highly trained doctors know far more than you and I!

Lastly, the process can take years and they don’t see a child for an hour and say yes they’re autistic. Rest assured, they will know if trauma is at play or not so no need to ‘worry’ they might not be able to distinguish!

Edited

It was a team of pediatric specialists lead by a consultant pediatrician who diagnosed my ds with ADHD and a separate pediatric team that gave him the ASD diagnosis and took 3+ years of assessments , yet it doesn't stop idiots claiming that anyone can get a diagnosis at the drop of a hat

ClickClack300 · 27/07/2024 16:31

Goslingsforlife · 27/07/2024 16:29

My question was rhetorical tbh. so much bollock in one post. I doubt OP will be back.

Agreed 👍

ClickClack300 · 27/07/2024 16:34

Hoardasurass · 27/07/2024 16:29

It was a team of pediatric specialists lead by a consultant pediatrician who diagnosed my ds with ADHD and a separate pediatric team that gave him the ASD diagnosis and took 3+ years of assessments , yet it doesn't stop idiots claiming that anyone can get a diagnosis at the drop of a hat

I know, people are clueless yet for some reason feel like they know it all. The fake concern, yeah I’m sure this thread was started due to genuine concerns. As you say, it takes a long time to get a diagnosis and often involves several professionals.

PonyPatter44 · 27/07/2024 16:34

Respectfully suggest that people stop feeding the hairy-handed one.. .

cremebrulait · 27/07/2024 16:35

This reply has been deleted

Message deleted by MNHQ. Here's a link to our Talk Guidelines.

Really?

OP posts:
Dippydinosaurus · 27/07/2024 16:36

Schools can refer in our area but they are triaged by the pathway team of professionals. If accepted children are added to the waiting list. Schools (along with parents, paediatrician etc) provide supporting evidence and it's a long process to even get on the waiting list. Children aren't automatically accepted and there isn't a waste of resources - triage will filter out cases which won't meet criteria

NineChickennuggets · 27/07/2024 16:37

An ASD diagnosis doesn't come with any extra funding.

Morph22010 · 27/07/2024 16:39

cremebrulait · 27/07/2024 16:35

Really?

Yes even if you are highly qualified you clearly know nothing about reality. If you do have an autistic child then you are clearly living in an alternative universe to the rest of us