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International Individual Consultant for the provision of technical expertise to the Ministry of Health in training of the Multidisciplinary Team in autism diagnostic tools (ADOS-2 and ADI-R)

Apply now Job no: 513118
Work type: Consultancy
Location: Montenegro
Categories: Child Protection

Job title: International Individual Consultant for the provision of technical expertise to the Ministry of Health in training of the Multidisciplinary Team in autism diagnostic tools (ADOS-2 and ADI-R)
 

1. Background and Context
 
Autism spectrum disorder (ASD) is a complex neurodevelopmental disorder that appears in early childhood and is characterized by deficits in social communication and the presence of restrictive and repetitive behaviour. The prevalence of the ASD in Montenegro is unknown, due to the absence of autism registry, but it is estimated that approximately 1% of the population is affected, in accordance with the world’s average. One of the biggest challenges in Montenegro is the underdeveloped autism-specific diagnostic services for children and adults with ASD, which hampers early detection and intervention, and prevents population with ASD in reaching their optimal developmental outcomes.
Montenegro is an upper-middle-income country aspiring to join the European Union (EU). The country has embarked upon an ambitious legal and judicial reform program in line with its international obligations and aspirations, by acceding to most international treaties and conventions (e.g. the Convention on the Rights of the Child, the Council of Europe Convention on the Exercise of Children’s Rights, etc.) in a very short period of time, and by upgrading its legislation and establishing an institutional human rights protection framework.
The Written Declaration on Autism, officially adopted in September 2015 by the European Parliament, lays down foundations for future work on improving support for people with autism. Written Declaration on Autism calls for a European strategy for autism that will, among other things, support accurate detection and diagnosis across Europe of children and adults with autism.
In 2017, a multi-sectorial working group was formed in support for people with autism, composed of representatives of relevant ministries including Ministry of Health (chairing), Ministry of Labour and Social Welfare, Ministry of Education, together with the Institute for Public Health, UNICEF, WHO, Clinical Centre of Montenegro, Health Care Centres and non-governmental organizations working with people with ASD. This ensured integration of autism issues in all sectors, through direct involvement of end users, both in policy-making and in monitoring the implementation of defined measures and activities. The process of drafting the Strategy to protect people with ASD for the period 2017-2021, together with the Action Plan 2017-2018 is in final stages.
Furthermore, the 2016 amendments to the Law on Health Protection envisaged (in Article 16a), establishment of a National Centre for Autism, intended to provide the diagnosis and different intervention options to people with autism. Subsequently, the Centre for Autism, Developmental Disabilities and Child Psychiatry “Ognjen Rakocevic” (henceforth Centre for Autism) was opened in March 2018 as a functional unit of the Clinical Centre of Montenegro. The Centre will offer early diagnosis, early intervention, and health care/support to children with autism. The Centre will employ psychologists, defectologists, speech therapists, physiotherapists etc.
In order to increase the expertise and develop the capacity of the national Centre for Autism, it is important to establish standardized diagnostic assessment instruments. The Ministry of Health requested a specific training on autism diagnostic instruments from UNICEF. Thus, UNICEF is requiring an international consultancy to design and deliver a workshop training of the following diagnostic instruments: Autism Diagnostic Observation Schedule-Second edition (ADOS-2) and Autism Diagnostic Interview-Revised (ADI-R). High-level international consultant is required for this assignment, with extensive expertise in the area of diagnosing autism spectrum disorders, with certified independent training license and experience in conducting ADOS-2 and ADI-R assessments.
This activity is in line with the Country Programme Document 2017-2021 signed between the Government of Montenegro and UNICEF (Outcome: “Girls, boys and caregivers, especially those affected by poverty, adversity and exclusion, progressively utilize quality, equitable, mutually reinforcing systems of health and social and child protection, including in situations of humanitarian crisis, by 2021”
 
 
2. Purpose and Objective
 
The purpose of providing the technical expertise in training in autism diagnostic instruments ADOS-2 and ADI-R is to improve the clinical services for individuals with autism spectrum disorder through strengthening the national capacities for early detection and diagnosis. Early detection and timely diagnosis are crucial for enabling early interventions that can ameliorate significantly the lives of individuals with autism spectrum disorder.
The objective of this assignment is to introduce and set up standardized diagnostic assessment instruments for autism spectrum disorders (ADOS-2 and ADI-R) in clinical settings in order to improve the provision of diagnostic services in Montenegro.  
 
 
3. Methodology and Technical Approach
 
Instructional methods will include pre-course material, on-site lectures, trainer-led practical demonstration of activities, group discussions on administration and scoring, post-course video material, and the assessment of the post-course work for the reliability level.
Training participants are expected to be from the Centre for Autism, as well as local primary health care centres (more precisely their centres for children with special needs) and potentially other relevant institutions – up to 20 participants in total.
The Consultant is expected to work in the field to deliver the training in English language, and from home for the assessment of the post-course work.
Further details are presented in the section below “Activities and Tasks”.
 
 
4. Activities and Tasks
 
The Consultant is expected to complete the following tasks:
 

Tasks

Location

One-day introduction to “Best practice in diagnosing autism”.

This first working day will be dedicated to introducing different approaches to diagnose autism. ADOS-2 and ADI-R are often seen as ‘gold standard’ assessments but they are not sufficient, and a good clinical diagnosis and a multidisciplinary approach are crucial. This introductory day will aim to give a broad overview of best practices in diagnosing autism, and the way the information is gathered from different sources, team members and different environments (e.g. school, home etc.)

 

 

 

 

Montenegro

Autism Diagnostic Observation Schedule-Second edition (ADOS-2) training to a ‘reliability’ standard is up to a 5 days course, which provides an introduction to the administration and coding of all ADOS-2 modules and develops a thorough understanding of the instrument. It allows trainees to use it in their everyday practice on completion of the course, and on successful passing of the post-work, to train those who work on site in their clinical teams to use the instrument. The number of participants attending the training will be up to 20, with up to 5 doing the reliability post-work. The ADOS-2 training thus includes also the assessment of the post-course work and delivery of the Certificates of Reliability.

 

 

Montenegro (on site training) and home based (post course work)

Autism Diagnostic Interview-Revised (ADI-R) training to a ‘reliability’ standard is up to a 3 days course, which will allow the trainee, when the course is completed and post-work is submitted and passed, to use the instrument in diagnostic practice and to train people who work in their direct team on the same site to use the instrument. The number of participants attending the training will be up to 20, with up to 5 doing the post-work. Thus, the ADI-R training includes the assessment of the post-course work and delivery of the Certificates of Reliability.

 

Montenegro (on site training) and home based (post course work)

 
 
5. Key Deliverables and Timeframe
 
The Consultant is expected to produce the following key deliverables with the tentative deadlines:
 

Deliverables

Tentative deadlines

  1. Introductory day on "Best practice in diagnosing autism"

By end September 2018

  1. ADOS-2 training

By end September 2018

  1. ADI-R training

By end September 2018

  1. Marking of the post-course work for the reliability level and delivering of Certificates of Reliability

By 1 December 2018

 
 
6. Management and Organization
 
Management: The Consultant will be supervised by the UNICEF Child Protection Officer. 
 
Organization: International Consultant, with extensive expertise in the area of autism diagnostic tools, certified independent training license in Autism Diagnostic Observation Schedule Second Edition (ADOS-2) and Autism Diagnostic Interview Revised (ADI-R) and with demonstrated capacity for conducting similar trainings is required for this assignment.
 
Schedule: The consultancy assignment should be conducted from 1 September to 10 December 2018.
 
 
7.  Qualifications/specialized knowledge/experience required to complete the task:  
 
The Consultant is expected to have following the qualifications/specialized knowledge/experience required to complete the task:

Education:
 
  • An advanced university degree in psychology, medicine, health-related sciences, social sciences or other relevant field;
  • Certified independent training license in Autism Diagnostic Observation Schedule Second Edition (ADOS-2) and Autism Diagnostic Interview Revised (ADI-R);
 
Experience:
  • Extensive experience in administration of the ADOS-2 and ADI-R;
  • Experience in conducting ADOS-2 and ADI-R at different sites and/or non-English settings is a strong asset;
 
Language/other:
  • Excellent command of English language or local language (both oral and written);
  • Strong communication and facilitation skills.
 

8. Budget and Remuneration 
  • Consultancy fee: Financial proposals, including consultancy fee, travel and DSA costs, are invited based on these Terms of Reference and should be submitted as a separate document; 
  • Payment schedule: The payments will be made upon successful completion of the deliverables and submission of invoices;
  • Recourse: UNICEF reserves the right to withhold all or a portion of payment if performance is unsatisfactory, if work/outputs is incomplete, not delivered or for failure to meet deadlines.
 
Only the short-listed applicants will be contacted for an interview.
 

Advertised: Central European Daylight Time
Applications close: Central European Daylight Time

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