
Specialist Screening and Non-Clinical Advocacy
Why the 5-Tier Model is Necessary

Traditional clinical appointments are often too short to see the “real” person, especially those who use “Masking” (hiding their challenges) to fit in. Our 5-Tier Model gathers social evidence over time to provide a complete picture of an individual’s needs.
Tier 1: Intake & Cultural Safeguarding: We focus on building trust with the family, explaining their rights in their preferred language, and obtaining informed consent.
Tier 2: Functional Peak (Mid-Week): We observe the individual on Wednesday mornings. This is when cognitive energy is highest, allowing us to see how they manage structured tasks.
Tier 3: Social Fatigue (The Weekend): We observe on Saturday afternoons. This is where “Masking” often fails due to exhaustion from the school/work week, revealing the true level of sensory and social fatigue.
Tier 4: Comparative Environment Review: We cross-reference our findings across home, school, and community settings to prove that behavioral patterns are persistent and not just a reaction to one environment.
Tier 5: The Empowerment Report: We produce a formal Social Evidence Profile. This document does not provide a diagnosis instead, it provides families with the professional evidence needed to help GPs, schools and CAMHS make accurate referrals.
IMPORTANT: This screening model is a non-clinical social observation tool. It is designed to assist medical professionals; it is not a medical diagnosis.
