“Many of us react instinctively against further demands to produce evidence, especially quantitative information – we know all too well that progress with clients is made up of tiny, often faltering, steps forward that are extremely difficult to demonstrate or quantify. There are downsides to the outcomes approach as there are to other systems of planning and evaluation. But the question of outcomes is a perfectly legitimate one. The number of visits made to a family is beside the point if the risks are not picked up and appropriate interventions are not identified to begin to help people deal with the problems. The number of counselling sessions provided is hardly important if in the end they made no difference for the person seeking help. We must address outcomes in order to improve services.”

“Through sensitively handled, creative interaction and by the use of ‘creative’ approaches with traumatised young people their characteristic rigidity begins to loosen. New possibilities emerge, the mutative nature of create endeavours. In time, they may be able to see painfully familiar situations in different and helpful ways that can lead to their forming a new response.”

“…there seem to be two contrasting stereotypes about people with autism – either they are thought to be all severely disabled or all eccentric geniuses. While autism can reflect each of these extremes (or both together) it can also be many things in between. One challenge, therefore, is to ensure that the full spectrum of variation is understood. This is essential if people on the autism spectrum are to be seen as individuals with different needs.”