Autism West Midlands Referral Form - Adult Support
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At Autism West Midlands we understand that not everyone is the same and so offer a range of different support packages to suit the needs of the individual. The detail below gives a brief description of our residential and supported living services for adults.
All packages can offer:
Individualised support
Dedicated specialist staff teams
Support with personal care
• Support to develop and maintain relationships
• Support to make choices and decisions about short and long term needs, desires and aspirations
• Support to maintain health
• Support to access the community and develop a social presence
• Support to attend chosen leisure and educational activities
• Support to make decisions that influence their individualised packages of support
• Support to grow and develop to the individual’s full potential, within an environment that is warm, safe, homely and personal
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All of our residential care and supported living packages support adults aged 18 and over. Unfortunately Autism West Midlands doesn’t provide this type of support for young people. However we do provide a number of services in the community that support young people, their families and carers. To find out more please contact our Helpline Service.
You can also find more details about the work that we do in the Residential Services and Supported Living sections of our website.
Residential care provides long-term care for adults on the autistic spectrum within a residential setting. Autism West Midlands has six residential care settings in the West Midlands that together support fifty four individuals. Each person has their own room but will live amongst other individuals in a homely setting that is supported by a team of dedicated autism support workers. All support is delivered on an individualised basis, designed to meet the needs and aspirations of the individual.
Supported Living provides individual support to adults on the autistic spectrum within their own homes. The supported living environment enables individuals to retain their independence and setting within their local community but provides dedicated support from a team of autism specialists. All individuals who receive supported living care have the freedom of individualised payments, paying for their own support and accommodation. All support is delivered on an individualised basis, designed to meet the needs and aspirations of the individual.
St Paul’s is a supported living environment in Sandwell. Within St. Paul’s eight individuals on the autistic spectrum live independently within their own flat and are supported by a dedicated team of autism specialists. All the people living at St. Pauls receive individualised payments, paying for their own support and accommodation. All support is delivered on an individualised basis, designed to meet the needs and aspirations of the individual.
Making a Referral
If you would like to make a referral to receive either residential or supported living support please complete the application below.
Please note that completion of a referral is the initial point of contact and therefore is not a guarantee that Autism West Midlands can provide the support that you need. Those who cannot receive support through our services will automatically be referred to our dedicated helpline staff that can provide relevant information, advice and guidance services.
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How can we help?
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Please Describe How Can We Can Help?
Use this section to let us know about the support that you, or the person that you are completing this form on behalf of, requires – |
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What services are you interested in? |
Residential Services -
Supported Living -
Supported Living at St. Pauls - |
About the person completing the form:
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Name: |
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Relationship to the person with Autistic Spectrum Disorder: |
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Job Title, if professional |
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Address: |
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Post Code: |
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Telephone Number: |
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Mobile Telephone Number: |
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Email Address: |
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Is there a Social Worker/Community Nurse or someone else from the local authority attached to the family? (If yes please give contact details):Yes No |
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Name of Social Worker or Community Nurse or Local Authority: |
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Job Title, if professional: |
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Address: |
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Postcode: |
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Telephone Number: |
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Mobile Telephone Number: |
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Email Address: |
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About the person with ASD requiring support
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Name of person with ASD requiring support: |
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Date of birth: |
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Gender: |
Male Female |
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Do you, or the individual requiring ASD support, have a diagnosis of Autism Spectrum Disorder?
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Yes No
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Do you, or the individual requiring ASD support, have any other known conditions?
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Yes No
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If Yes please state what they are |
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Address: |
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Postcode |
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Telephone Number: |
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Mobile Telephone Number: |
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Please state Ethnicity: |
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Have you, or the individual requiring ASD support, had any contact with Autism West Midlands in the past?
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Yes No
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Do you, or the individual requiring ASD support, currently receive any kind of support?
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Yes No
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If so, what is the name of the support service provider?
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Please briefly detail the type of support service that you, or the individual requiring ASD support receives
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Is there anything else other information that you would like to add to this application?
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