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National services

Child and adolescent services

National services

Child and adolescent services

National services

Child and adolescent services

National services

Child and adolescent services

Service for Complex Autism and Associated Neurodevelopmental Disorders (SCAAND)

Maudsley Hospital

Contact information: 

Michael Rutter Centre

De Crespigny Park

Tel: 020 3228 2547, 020 3228 2570 or 020 3228 2535



Referrals are accepted from:
Community and specialist child and adolescent mental health services (CAMHS) and paediatrics professionals, including consultant psychiatrists and mental health professionals, consultation paediatricians

Key areas: Autism, autism spectrum disorder (ASD), complex autism


SCAAND is a Tier 4 NHS England funded specialist service for children and young people with autism and complex mental health difficulties. SCAAND is a multi-disciplinary service providing assessment and intervention/management of complex neurodevelopmental presentations. The SCAAND service draws on expertise from a number of health disciplines and education.

The term ‘complex autism’ refers to children and young people with established or possible ASD who present with co-occurring neurodevelopmental and/or mental health (for example, emotional and behavioural) disorders. They may also have difficult early histories and ongoing social circumstances or accompanying physical health and genetic disorders that present additional assessment and management challenges.

Assessment work includes opinions on ASD and/or additional diagnoses. Management work undertaken by SCAAND can involve a range of modalities including psychological therapies for children/young people and their parents, medication, occupational therapy, speech and language therapy and advice on education.

The multi-disciplinary professionals work closely together to ensure that the needs of the child and their family are assessed and managed in a comprehensive manner. Service development and delivery are undertaken in close partnership with children and young people, their families and colleagues from community services, including community and mental health services, paediatrics, social care and education.

The SCAAND service is commissioned by NHS England and it is a requirement that all referrals have been through a local assessment/care pathway for ASD before referrals can be accepted.

As a specialist Tier 4 CAMHS service, SCAAND also aims to share knowledge and expertise via teaching, training and other methods of sharing information, such as resources for families and professionals.

If this was not what you were looking for:
The SCAAND services see young people who have, or might have, neurodevelopmental disorders like autism, attention deficit hyperactivity disorder or learning disability with additional mental health or behaviour problems, as well as young people with psychological problems associated with head injury, functional conditions or genetic conditions. Our teams work together and refer between services as necessary.

This page relates to the NHS England funded outpatient service to for young people who have complex presentations of Autism Spectrum Disorder across England. Alternatively, for details of:

For young people who do not have a complex autism presentation, you may be looking for our specialist outpatient teams who see young people with a range of neurodevelopmental presentations: