ERIC Number: EJ1184389
Record Type: Journal
Publication Date: 2018-Aug
Pages: 8
Abstractor: As Provided
ISBN: N/A
ISSN: ISSN-0162-3257
EISSN: N/A
Embedding Autism Spectrum Disorder Diagnosis within the Medical Home: Decreasing Wait Times through Streamlined Assessment
Hine, Jeffrey F.; Herrington, Catherine G.; Rothman, Alice M.; Mace, Rachel L.; Patterson, Barron L.; Carlson, Kathryn L.; Warren, Zachary E.
Journal of Autism and Developmental Disorders, v48 n8 p2846-2853 Aug 2018
Long waits for diagnostic assessment prevent early identification of children suspected of having autism spectrum disorder. We evaluated the benefit of embedded diagnostic consultation within primary care clinics. Using a streamlined diagnostic model, 119 children with concerns for autism spectrum disorder were seen over 14 months. Diagnostic clarity was determined through streamlined assessment for 59% of the children, while others required follow-up. Latency from first concern to diagnosis was 55 days and median age at diagnosis was 32 months: considerably lower than national averages or comparable tertiary clinics. Findings support that embedded processes for effective triage and diagnosis within the medical home is a viable mechanism for efficient access to diagnostic services and assists in bypassing a common barrier to specialized services.
Descriptors: Pervasive Developmental Disorders, Autism, Clinical Diagnosis, Diagnostic Tests, Consultation Programs, Time Perspective, Scheduling, Time Management, Efficiency, Medical Services, Disability Identification
Springer. Available from: Springer Nature. 233 Spring Street, New York, NY 10013. Tel: 800-777-4643; Tel: 212-460-1500; Fax: 212-348-4505; e-mail: customerservice@springernature.com; Web site: https://link.springer.com/
Publication Type: Journal Articles; Reports - Research
Education Level: N/A
Audience: N/A
Language: English
Sponsor: Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) (NIH); National Center for Advancing Translational Sciences (NCATS) (DHHS/NIH)
Authoring Institution: N/A
Grant or Contract Numbers: U54HD08321; UL1TR000445