Autism spectrum disorders (ASD) are associated with high services use, but European data on costs are scarce. Utilisation and annual costs of 385 individuals with ASD (aged 4-67 years; 18.2% females; 37.4% IQ < 85) from German outpatient clinics were assessed. Average annual costs per person were 3287 EUR, with psychiatric inpatient care…

Introduction: This article describes the development of an Aggression and Restriction Observation Checklist (AROC) for use in residential and in-patient services for adults with intellectual disabilities (ID). The AROC was developed in collaboration between researchers and frontline staff. It assesses self-, person-, and object-directed aggressive…

Describes the operations of a clinic for the long-term psychiatric treatment of adolescents in Germany. The different types of container as opposed to contained relationships evident in the clinic structure are discussed. The metaphor of the clinic as container for the troubled youth is useful in understanding its effectiveness. (SLD)