Brain in Hand: Scaling Support for Autistic Adults to enable independence

英国大约有100万自闭症患者。他们的健康状况将比他们的神经正常同龄人更差：预期寿命更短，更有可能死于自杀，并与其他疾病一起生活，如焦虑症。他们也不太可能得到有报酬的工作。在整个生命过程中提供有针对性的支持可以减少不平等，使自闭症患者能够获得更大的独立性和提高生产力，从而使自闭症患者群体能够活得更长。然而，卫生和社会护理服务面临着高水平的空缺和员工生病的双重压力，以及对支持的需求增加，特别是对心理健康支持的需求。他们没有能力接受创新，也没有动力转向更预防性的方法。在短期或中期内，自闭症患者不太可能得到更多的支持。在这个项目中，我们将采用一个经过验证的支持系统，大脑在手（BIH），目前只有不到1%的人可以使用的自闭症患者，并改变其可扩展性，使其提供给成千上万的人最初在英国和国际上的长期。脑在手是一个简单的数字化工具和实际的人力支持，旨在帮助发展自我管理技能和独立性，从而消除导致不良结果的障碍。尽管该产品在适度规模下运行良好，但对用户和专员的早期调查突出了大规模运营的障碍。这些问题通过五个工作包来解决：* 评估自闭症患者的需求，为产品开发提供信息 * 增加智能功能 * 建立业务能力以支持大量用户 * 向资助者展示对老年人的影响和资金价值 * 确定潜在的新市场并制定进入这些市场的计划Brain in Hand的新颖系统使自闭症患者能够控制自己的战略和自我管理-它将传统的支持转变为：用户主导;需要时可用; 24/7/365访问。Brain in Hand系统还有助于使这些服务更容易获得，因为它可以通过任何智能手机和计算机界面获得，并且需要最少的数据使用，从而消除了传统的护理障碍。Brain in Hand计划在英国之后在国际上开展扩展，到2025年每年为25，000名用户提供访问和支持-提高独立性并实现健康老龄化。

There are around 1,000,000 autistic people in the UK. They will have poorer health outcomes than their neurotypical peers: shorter life expectancy, more likely to die from suicide and to live with other conditions, such as anxiety disorders. They will also be unlikely to get paid work. Well targeted support offered across the life course could reduce inequalities, enable greater independence and improve productivity, and in turn enable the autistic community to live well longer.Health and social care services are however under the dual pressure of high levels of vacancies and staff sickness, and increased demand for support, especially for mental health support. They have no capacity to embrace innovation and no incentive to shift to a more preventative approach. It is unlikely in the short or medium term that more support will be available to autistic people.In this project we will take a proven support system, Brain in Hand (BIH), currently available to fewer than 1% of autistic people and transform its scalability to make it available to tens of thousands of people initially in the UK and internationally in the longer term.Brain in Hand is a combination of simple digital tools and practical human support, designed to help develop self-management skills and independence, which in turn addresses the barriers that lead to poor outcomes. Although the product works well at a modest scale, early reconnaissance with users and commissioners have highlighted the barriers to operating at scale. These are addressed through five packages of work:* Assessing the needs of autistic people to inform product development* Adding intelligent functionality* Building the capacity of the business to support large numbers of users* Demonstrating impact for older adults and value for money to funders* Determining potential new markets and developing plans for accessing themBrain in Hand's novel system enables autistic people to be in control of their own strategies and self-management - it turns traditional support on its head: user led; available when wanted; accessible 24/7/365\. The Brain in Hand system also contributes to ease-of-access for these services as it is available through any smartphone and computer interface and requires minimal data usage, thereby removing traditional barriers to care.Brain in Hand plans to launch internationally post-UK scaling providing access and support to 25,000 users annually by 2025 - increasing independence and enabling healthy ageing.