This is a report of a service improvement pilot project undertaken at an inpatient autism service for adults with intellectual disabilities and severe challenging behaviours. Within the service, a key facet of the care pathway was the use of a biopsychosocial case formulation. Formulation meetings were led by psychology and involved a full…

This article examines the case of a male with Down syndrome who has been referred to a clinical psychology service due to challenging behaviors. It provides a case history and rationale for the assessment of autism, and describes the positive effects of an intervention for increasing staff awareness of autism. (Contains references.) (CR)