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Improving access to specialist care for adolescent girls with disabilities
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  1. Grace Pereira,
  2. Naomi Gerson-Sofer
  1. Oxleas NHS Foundation Trust, London, UK
  1. Correspondence to Dr Grace Pereira, Oxleas NHS Foundation Trust, Greenwich, London SE18 3RG, UK; grace.pereira{at}nhs.net

https://doi.org/10.1136/bmjsrh-2017-200019

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    Childhood disability affects 4.0%–7.5%1 2 of the population, therefore every GP practice, developmental paediatrician and acute paediatrician will at some point in time be expected to advise with respect to the changing needs of this group, particularly in anticipation of puberty and throughout adolescence.

    A common example could be a 12-year-old female with autism and severe intellectual disability, who is sensitive to physical or environmental changes and has limited self-care skills, needing help with toileting, dressing and personal hygiene, who is now approaching puberty. Her parent or carer anticipates the onset of menarche with growing apprehension, and seeks information from their general practitioner …

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