Autism: Getting crisis support

Children, young people and families may need this help if they regularly experience crises and find it hard to get support at other levels, or if that support has not made a difference.

This may also apply if a child, young person or family cannot currently benefit from support that is based on evidence, but there is still a significant concern or risk.

Care and Education Treatment Reviews

Care and Treatment Reviews (CTRs), and Care and Education Teatment Reviews (CETRs) for children and young people, are for people with a learning disability, autism, or both.

They are for people living in the community and for people staying in learning disability or mental health hospitals.

CETRs and CTRs help improve care for people whose behaviour is seen as challenging, and for people with a mental health condition.

The aim of a CETR is to support people with a learning disability or autism to live as independently as possible and, where appropriate, stay in the community.

Every child admitted to a mental health hospital with a diagnosis of learning disability or autism should receive a CETR.

Community CETRs take place when a young person is at risk of going into hospital. Any professional working with the young person and their family can ask for one.

The young person and their family are at the centre of the meeting. Their thoughts, feelings and views are an essential part of the process.

A CETR cannot take place without the consent of the young person or their family.

Who leads a Care and Education Treatment Review

The organisation that leads the review depends on the person’s age and where they are receiving care:

• children in the community: Integrated Care Board (ICB)
• children in any mental health inpatient bed: NHS England
• adults aged 18 and over in the community: ICB
• adults aged 18 and over in a generic mental health bed: ICB
• adults aged 18 and over in a secure mental health bed: NHS England

More help and support

Find out more about what a CETR involves, and watch videos from people who have had a CETR, on the NHS England Care and Treatment Reviews page.

Get crisis support from Swindon Child and Adolescent Mental Health Services (CAMHS).