Getting advice about having a family
Examples of Support
Family planning advice
Advice on whether prenatal testing is right for you
Help & support when pregnant (e.g. prenatal direct mutation & exclusion testing)
Help & support when thinking about starting a family (e.g. Preimplantation Genetic Diagnosis)
Key Services and People
Scottish Huntington’s Association Youth Project (SHAYP) / Specialist Youth Advisors
Local Preimplantation Genetic Diagnosis service
Clinical psychology/Neuropsychology (through referral from GP or HD Clinical Lead )
Sexual Health ( Highland , Argyll & Bute )
Integrated Multi Agency Arrangements, Referral Pathways and Resources
All prenatal direct mutation and exclusion testing referrals to ocal Dept. of Clinical Genetics. These can be made by GP , HD Specialist, HD Clinical Lead, Psychiatry, Specialist Youth Advisors and directly by clients.
G.P. information services, such as SCI Gateway / TRAKCare, should clearly identify HD Clinical Leads
Based on individual need clients may be seen by a number of members of the genetics team. This may include Consultant Geneticist, Genetic Counsellors, Genetic Psychologist (where available), HD Specialist and Specialist Youth Advisor.
Standards
The International Protocol for Testing should be followed unless a clinical decision has been made to follow a local alternative.
All appointments should meet the treatment time guarantee and referral standards of individual services used.
Whoever is designated as lead professional should take responsibility for coordinating the support each client requires throughout
Outcomes
People living with the genetic risk of HD and their families have easy access to accurate and understandable information, receive emotional and practical support and feel supported through all family planning outcomes.