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This case study seeks to explore the differences between carer and professional perspectives in the assessment and treatment of a young man with intellectual disabilities, autism and mental health problems.

The opinions and perspectives of psychiatrists involved in the care and treatment of “S” and “S”'s mother about the aetiology, course, treatment and prognosis of “S”'s condition, are explored using “explanatory models”.

This paper shows the similarities and the differences of opinions and perspectives about the mental health care of a person with intellectual disabilities.

It shows how the explicit comparison of notions about a person's condition, assessment and treatment may help all involved to work together for the common ground of achieving the best outcomes for service users.