Senior Occupational Therapist – Autism Specialist

About the role

We are looking for an experienced Senior Occupational Therapist with specialist autism expertise to join the Mental Health, Learning Disabilities and Autism (MHLDA) Service. This hybrid position focuses on specialist assessment, formulation and intervention using sensory, environmental and occupational approaches to promote independence and reduce restrictive practices.

Key responsibilities

• Conduct autism and sensory‑informed assessments for adults with complex needs.
• Develop functional formulations and person‑centred intervention plans to prevent escalation and crisis.
• Design sensory and environmental adaptations that enhance independence and wellbeing.
• Influence care planning to reduce reliance on restrictive support models and high‑cost care packages.
• Support individuals in maintaining stable placements, tenancies and daily routines.
• Provide specialist expertise to safeguarding enquiries and complex case discussions.
• Offer consultation and clinical advice to social workers, care managers, AMHPs and senior leaders.
• Review complex support packages and identify opportunities for autism‑informed improvements.
• Collaborate with health services, housing, commissioning teams and partner organisations.
• Deliver training, reflective practice sessions and case consultations to embed autism‑informed practice across Adult Social Care.
• Champion trauma‑informed, strengths‑based and neurodiversity‑affirming approaches throughout the service.

Required profile

• HCPC registration as an Occupational Therapist.
• Significant post‑qualification experience working with autistic adults or individuals with complex neurodevelopmental needs.
• Extensive knowledge of autism, sensory processing, environmental adaptation and occupational formulation.
• Experience managing complex cases involving risk, safeguarding, mental health and the Mental Capacity Act.
• Excellent communication and consultation skills with the ability to influence multidisciplinary practice.
• A passion for preventative practice and improving outcomes for autistic adults.

Required skills