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Neurodevelopmental Assessments (ADHD and Autism)

Information about diagnosis

Children under the age of 5

Assessments for children under 5 are carried out by the Community Paediatric Services in either Kingston or Richmond.

Community Paediatric Service Kingston (opens a new window)

Community Paediatric Service Richmond (opens a new window)

Pre and Post Diagnosis Support Service

Pre and Post Diagnosis Support Service (opens a new window) work under the Children’s Community Nursing Team and can help navigate families to the best support for them throughout their journey from pre and post diagnosis and beyond. 

Children aged 6 to 18 years

The Achieving for Children Emotional Health Services (EHS) offers an assessment service for neurodevelopmental difficulties such as ADHD and ASD.  You will be seen locally in Richmond and Kingston (assessments take place at Moor Lane and at York Street Twickenham). EHS accept referrals for ASD and ADHD assessment for children and young people aged 6 to 18 years.  

Referrals to the Emotional Health Service for neurodevelopmental assessments

Referrals are made through the Single Point of Access (SPA)(opens a new window and from within the Emotional Health Service for children who are accessing services where a need is identified. More complex cases involving complex family history or mental health issues are referred to the specialist neurodevelopmental assessment service at Springfield University Hospital (opens in new window), as are assessments which need to look at both ADHD and ASD simultaneously.

Several pieces of evidence are collected in order for cases to be triaged and accepted onto the assessment list. These include a developmental history form from parents, a school report form, a social communication questionnaire, a strengths and difficulties questionnaire and Conners rating scales. These are all required before a decision will be made about accepting for assessment. 

The pathway for ASD assessment is in three parts;

  • An interview with parents.
  • An Autism Diagnostic Observation Schedule (ADOS) assessment session with the child/young person.  During the Covid-19 Pandemic we are required to wear a face mask and the ADOS is not validated with the use of face masks, making the results unreliable.  Therefore we are currently using the Brief Observation of Symptoms of Autism (BOSA) instead of the ADOS. The BOSA is a welcome development for those involved in autism assessment because it means multi-disciplinary assessment for autism can recommence whilst still adhering to national guidance for personal protective equipment and social distancing during Coronavirus.
  • Feedback with parents and the young person (dependent on the young person’s age).

The diagnosis is made taking into account the parental interview, ADOS or BOSA assessment, school report and other evidence. A comprehensive report is written following assessment and includes the diagnosis.

For ADHD assessments the assessment is in three parts: 

  •    A school observation or interview with school staff on the telephone if an observation is not possible
  •    A face to face interview with parents and with the young person (this may be conducted via videolink during the Covid 19 pandemic)
  •    Feedback with parents and the young person (dependent on the young person’s age).

The diagnosis is made taking into account the clinical interview, school report and observation and other evidence. A comprehensive report is written following assessment and includes the diagnosis.

Emotional Health Service Leaflets

ADHD - pre assessment information (pdf)

ADHD - information for young people (pdf)

Autism Spectrum Condition (ASC) - pre assessment leaflet (pdf)

Autism Spectrum Condition (ASC) - going for an assessment (pdf)

The service accepts a set number of cases for ASD and ADHD assessment per month as agreed with local health commissioners.

Feedback from parents and carers

Great to have a quicker, more efficient service.

It has been a fast and straightforward process which has been a pleasant surprise.

We felt that we weren’t rushed and further appointments were made, rather than comprising the information.

It felt that proper time and consideration was given to us all.

The staff both listened to me, they spoke with a nice tone and were there for me and were extremely kind and put me at a lot of ease.

Very supportive environment established straight away.

My son was treated with respect and not patronised at all. Staff that are easy to talk to, sympathetic to my child’s needs and accommodating.

Felt informal and relaxed.

They provided very constructive, useful recommendations which have been extremely helpful and much appreciated.

If you are over 18

Diagnosis services are provided by the Neuro Developmental Service provided by Your Healthcare for those over 18 years. This service covers Kingston and Richmond for Autism and Kingston only for ADHD.

Neurodevelopmental Services on the Your Healthcare website (opens in new window)

Easy Read "About us" guide to the Neurodevelopmental Service (pdf)

ADHD in Richmond

The Richmond Adult ADHD Service is based at Barnes Hospital and is a service for adults aged eighteen or over, who are registered with a Richmond CCG GP and who do not have a learning disability. It is an ADHD specific, non-urgent, part time service. They offer specialist assessment and diagnosis of ADHD.

Richmond Adult ADHD Service (opens a new window)