Rowlandson P H, Smith C
St Mary's Hospital, Newport, Isle of Wight, UK.
Child Care Health Dev. 2009 Sep;35(5):681-90. doi: 10.1111/j.1365-2214.2009.00956.x. Epub 2009 Mar 23.
A multiplicity of government initiatives advocate increasing shared working between services to ensure that holistic and co-ordinated assessment of need and related shared intervention is available to children and families. Concurrently, there is an increasing demand upon services to provide a wide range of support for children with complex difficulties.
On the Isle of Wight, joint services have been developing shared practice. The inter-agency service was initiated in 2001 through a 3-year project funded jointly between all services on the Island and the government through the 'Invest to Save' initiative. The project initially focused upon developing a combined process of diagnosis of autistic spectrum disorders (ASD) and the co-ordination of intervention at schools, within families and in the child's community. Gradually, the service extended to include children with a much wider range of difficulties, including those of attention deficit hyperactivity disorder (ADHD), developmental co-ordination disorder and co-morbid diagnoses.
There are 19 000 school-aged children on the Isle of Wight. A total of 1101 referrals have been accepted between June 2001 and May 2007. In total, 201 children have been given a diagnosis of ASD. Overall, 392 children have been given a diagnosis of ADHD or ADHD/Co-morbid. Seventy were co-morbid for ASD and ADHD. The current service is rated as 85% satisfactory by its users, in contrast to the high level of complaint which resulted in the bid for the project initially.
Following the successful conclusion of the 3-year government-funded project Education Services, Social Care and The Health Authority shared the ongoing funding of the current service. This has been operating effectively for over 6 years and has highlighted a wide variety of issues around this style of service delivery.
众多政府举措提倡增加服务之间的协同合作，以确保为儿童及其家庭提供全面且协调的需求评估及相关的共享干预措施。与此同时，服务机构面临着越来越大的需求，即要为有复杂困难的儿童提供广泛支持。
在怀特岛，联合服务一直在发展共享实践。该跨机构服务始于2001年，是一个为期三年的项目，由岛上所有服务机构和政府通过“投资储蓄”倡议共同资助。该项目最初专注于开发自闭症谱系障碍（ASD）的联合诊断流程以及学校、家庭和儿童社区内干预措施的协调。逐渐地，该服务扩展到包括更多有广泛困难的儿童，包括注意力缺陷多动障碍（ADHD）、发育协调障碍和共病诊断的儿童。
怀特岛有19000名学龄儿童。在2001年6月至2007年5月期间，共接受了1101次转诊。总共有201名儿童被诊断为ASD。总体而言，392名儿童被诊断为ADHD或ADHD/共病。其中70名同时患有ASD和ADHD。当前服务的用户满意度为85%，相比之下，最初导致该项目申请的投诉率很高。
在为期三年的政府资助项目圆满结束后，教育服务、社会护理和卫生当局共同承担了当前服务的持续资金。该服务已有效运行超过6年，并凸显了围绕这种服务提供方式的各种问题。
