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Learning Disability and Autism Programme (LDAP)

What is LDAP?

LDAP (Learning Disability and Autism Programme), started as part of a nationwide pilot as recommended in the NHS Plan. Our remit is to support young people with a diagnosed Learning Disability or Autism who are at risk of Tier 4 mental health admission or placement breakdown. We work alongside other agencies to ensure there is a support network and strategies to maintain this safely and check that young people are getting the right support in the right way and at the right time. We currently support young people up until 18 but are working towards expanding to 25.

We work with young people on the Dynamic Support Register (DSR).

 

What is the Dynamic Support Register (DSR)?

This is a list of young people who have a diagnosis of Autism or a Learning Disability who are ‘RAG’ rated according to their risk:

 

 BLUE

Confirmed diagnosis of LD or ASC and:

  • In a Tier 4 Mental Health Hospital.
 RED

Confirmed diagnosis of LD or ASC and:

  • At immediate risk (within 48 hours) of admission to a Tier 4 Mental Health Hospital or 52 week specialist or unregulated placement.
 AMBER

Confirmed diagnosis of LD or ASC and:

  • discharge from a Tier 4 Mental Health Hospital.
  • at imminent risk (within 2 weeks) of admission to a Tier 4 Mental Health Hospital or 52 week specialist or unregulated placement.
  • breakdown in home placement that may lead to an inappropriate admission to Tier 4 Mental Health Hospital or 52 week specialist or unregulated placement.
 GREEN

Confirmed diagnosis of LD or ASC and:

  • risk of home placement breakdown alongside a significant escalation in need and support from statutory services (Health, Education and Social care).
  • consideration that if YP needs are not met appropriately in the community, future admission to a Tier 4 Mental Health Hospital and/or 52 week specialist or unregulated placement may be considered.

 

We currently support those who are BLUE, RED or AMBER on the DSR, while those on GREEN still remain on the DSR but do not get Keyworker support at this time.

The DSR gets sent every month to specialists in the LDAP clinical commissioning team who help to ensure professional services to work together to manage a child or young person’s care effectively and ensure positive outcomes.

Any professional working with a child across health, education and care, can, with the right consent, refer a child or young person for consideration for the DSR.

Parents can also refer their child, or a young person can self-refer if 16 or over.

 

What is a Care, Education and Treatment Review (CETR) and who might need one?

CETRs are arranged for children and young people with a Learning Disability and/or Autism who are either already in a specialist mental health or learning disability hospital or are at imminent risk of admission.

The purpose of a CETR is to make sure the right care and support are available to avoid inappropriate hospital admission or, if the child or young person is already in the hospital, to help make ensure good quality care and make sure they do not stay in hospital any longer than necessary.

CETRs are carried out by an independent panel. This includes an expert by experience, who is a person with a learning disability or autism or a family carer with lived experience of services. The panel also includes a clinical expert who is qualified to work in healthcare and the commissioner who pays for the person’s care.

 

How can this support be accessed?

If you are a professional, a parent or a young person with an Autism or Learning Disability diagnosis, and think you meet our criteria, please email the Keyworker Team on:

[email protected]