ERIC Number: EJ1169126
Record Type: Journal
Publication Date: 2018-Feb
Abstractor: As Provided
Time-Lag between Diagnosis of Autism Spectrum Disorder and Onset of Publicly-Funded Early Intensive Behavioral Intervention: Do Race-Ethnicity and Neighborhood Matter?
Yingling, Marissa E.; Hock, Robert M.; Bell, Bethany A.
Journal of Autism and Developmental Disorders, v48 n2 p561-571 Feb 2018
Health coverage of early intensive behavioral intervention (EIBI) for children with autism spectrum disorder (ASD) is rapidly expanding across the United States. Yet we know little about the time-lag between diagnosis and treatment onset. We integrated administrative, Medicaid claims, and Census data for children in an EIBI Medicaid waiver (n = 473) to examine the relationship between time-lag and (a) child race-ethnicity and (b) neighborhood racial composition, poverty, affluence, and urbanicity. We explored whether the relationship between child race-ethnicity and time-lag varies by neighborhood characteristics. Average time-lag between diagnosis and treatment onset was nearly 3 years. Child race-ethnicity and neighborhood characteristics did not predict time-lag. Reducing time-lag is critical to ensuring that children with ASD receive treatment as early as possible.
Descriptors: Autism, Pervasive Developmental Disorders, Clinical Diagnosis, Intervention, Health Insurance, Documentation, Census Figures, Children, Time, Access to Health Care, Racial Differences, Ethnicity, Racial Composition, Neighborhoods, Poverty, Socioeconomic Status, Urban Areas, Correlation, Predictor Variables
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Publication Type: Journal Articles; Reports - Research
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