During a recent six month period, out of 34 families requiring services for autistic children, 15 received no speech and language therapy, 26 received no occupational therapy, 28 received no play therapy, 13 did not see the relevant doctor and 29 received no psychological service. Special classes for autism use the outdated model, Treatment and Education of Autistic and Communication-Handicapped Children. Regrettably, this is being provided in some cases by individuals who are neither qualified teachers nor trained to deal with special needs children. There are no pre-school facilities for intense intervention. There is a non-integrated class at the Presentation senior school in Mullingar, with a 6:1 pupil-teacher ratio, but the teacher is not fully qualified in this area. Despite several children now coming under the NEPS scheme, which requires one-to-one primary education, there is no attempt by the State to deliver such a service in the midlands. Post-18 years facilities for autistic adults are non-existent. Appropriate adult placements must be provided, including residential care where necessary, but not in psychiatric hospitals.