This paper discusses the need for a structured assessment pathway for children suspected to have a Pathological Demand Avoidance (PDA) profile. Lisa Summerhill, a Lead Clinical Psychologist, and Kate Collett, a post-diagnostic autism team coordinator, highlight the increasing demand for PDA assessments and the challenges faced by schools and families.
The authors emphasise a cautious approach to labelling, advocating for “assessment through intervention.” This means observing how children respond to different support strategies rather than relying solely on formal diagnoses. They stress the importance of regular collaboration between professionals, families, and educators to guide next steps. The paper also calls for further research to evaluate the effectiveness of current approaches and improve understanding of children who are often seen as complex and challenging. The authors aim to build on expertise in Solihull to better support these children and prevent school exclusions.