Depression in Parents of Children Diagnosed with Autism Spectrum Disorder: A Claims-Based Analysis / Austin C. COHRS in Journal of Autism and Developmental Disorders, 47-5 (May 2017)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 47-5 (May 2017) . - p.1416-1422 Titre : Depression in Parents of Children Diagnosed with Autism Spectrum Disorder: A Claims-Based Analysis Type de document : Texte imprimé et/ou numérique Auteurs : Austin C. COHRS, Auteur ; Douglas L. LESLIE, Auteur Article en page(s) : p.1416-1422 Langues : Anglais (eng) Mots-clés : Autism spectrum disorder  Depression  Parents  Services research  Claims data  Regression analysis Index. décimale : PER Périodiques Résumé : Previous studies showing that Autism Spectrum Disorder (ASD) in children can have secondary effects on the child’s parents are limited by small sample sizes and parent self-report. We examined the odds of depression in parents of children with ASD compared to parents of children without ASD using a large national claims database. Mothers (OR 2.95, 95% CI 2.81–3.09) and fathers (OR 2.41, 95% CI 2.25–2.58) of children with ASD were more likely to have a diagnosis of depression than parents of children without ASD. Odds of depression also increased when there was more than one child with ASD in the family and with child age. Study results reinforce the benefits of support and education for parents of children with ASD. En ligne : http://dx.doi.org/10.1007/s10803-017-3063-y Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=305 [article] Depression in Parents of Children Diagnosed with Autism Spectrum Disorder: A Claims-Based Analysis [Texte imprimé et/ou numérique] / Austin C. COHRS, Auteur ; Douglas L. LESLIE, Auteur . - p.1416-1422. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 47-5 (May 2017) . - p.1416-1422 Mots-clés : Autism spectrum disorder  Depression  Parents  Services research  Claims data  Regression analysis Index. décimale : PER Périodiques Résumé : Previous studies showing that Autism Spectrum Disorder (ASD) in children can have secondary effects on the child’s parents are limited by small sample sizes and parent self-report. We examined the odds of depression in parents of children with ASD compared to parents of children without ASD using a large national claims database. Mothers (OR 2.95, 95% CI 2.81–3.09) and fathers (OR 2.41, 95% CI 2.25–2.58) of children with ASD were more likely to have a diagnosis of depression than parents of children without ASD. Odds of depression also increased when there was more than one child with ASD in the family and with child age. Study results reinforce the benefits of support and education for parents of children with ASD. En ligne : http://dx.doi.org/10.1007/s10803-017-3063-y Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=305

Erratum to: A Profile on Emergency Department Utilization in Adolescents and Young Adults with Autism Spectrum Disorders / Guodong LIU in Journal of Autism and Developmental Disorders, 47-8 (August 2017)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 47-8 (August 2017) . - p.2637-2637 Titre : Erratum to: A Profile on Emergency Department Utilization in Adolescents and Young Adults with Autism Spectrum Disorders Type de document : Texte imprimé et/ou numérique Auteurs : Guodong LIU, Auteur ; Amanda M. PEARL, Auteur ; Lan KONG, Auteur ; Douglas L. LESLIE, Auteur ; Michael J. MURRAY, Auteur Article en page(s) : p.2637-2637 Langues : Anglais (eng) Index. décimale : PER Périodiques En ligne : https://doi.org/10.1007/s10803-017-3100-x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=315 [article] Erratum to: A Profile on Emergency Department Utilization in Adolescents and Young Adults with Autism Spectrum Disorders [Texte imprimé et/ou numérique] / Guodong LIU, Auteur ; Amanda M. PEARL, Auteur ; Lan KONG, Auteur ; Douglas L. LESLIE, Auteur ; Michael J. MURRAY, Auteur . - p.2637-2637. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 47-8 (August 2017) . - p.2637-2637 Index. décimale : PER Périodiques En ligne : https://doi.org/10.1007/s10803-017-3100-x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=315

Healthcare Service Use and Costs for Autism Spectrum Disorder: A Comparison Between Medicaid and Private Insurance / Li WANG in Journal of Autism and Developmental Disorders, 43-5 (May 2013)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 43-5 (May 2013) . - p.1057-1064 Titre : Healthcare Service Use and Costs for Autism Spectrum Disorder: A Comparison Between Medicaid and Private Insurance Type de document : Texte imprimé et/ou numérique Auteurs : Li WANG, Auteur ; David S. MANDELL, Auteur ; Lindsay LAWER, Auteur ; Zuleyha CIDAV, Auteur ; Douglas L. LESLIE, Auteur Article en page(s) : p.1057-1064 Langues : Anglais (eng) Mots-clés : Autism spectrum disorder  Children  Healthcare costs  Service use  Medicaid  Private insurance Index. décimale : PER Périodiques Résumé : Healthcare costs and service use for autism spectrum disorder (ASD) were compared between Medicaid and private insurance, using 2003 insurance claims data in 24 states. In terms of costs and service use per child with ASD, Medicaid had higher total healthcare costs (22,653vs. 5,254), higher ASD-specific costs (7,438vs. 928), higher psychotropic medication costs(1,468vs. 875), more speech therapy visits (13.0 vs. 3.6 visits), more occupational/physical therapy visits (6.4 vs. 0.9 visits), and more behavior modification/social skills visits (3.8 vs. 1.1 visits) than private insurance (all p 0.0001). In multivariate analysis, being enrolled in Medicaid had the largest effect on costs, after controlling for other variables. The findings emphasize the need for continued efforts to improve private insurance coverage of autism. En ligne : http://dx.doi.org/10.1007/s10803-012-1649-y Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=195 [article] Healthcare Service Use and Costs for Autism Spectrum Disorder: A Comparison Between Medicaid and Private Insurance [Texte imprimé et/ou numérique] / Li WANG, Auteur ; David S. MANDELL, Auteur ; Lindsay LAWER, Auteur ; Zuleyha CIDAV, Auteur ; Douglas L. LESLIE, Auteur . - p.1057-1064. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 43-5 (May 2013) . - p.1057-1064 Mots-clés : Autism spectrum disorder  Children  Healthcare costs  Service use  Medicaid  Private insurance Index. décimale : PER Périodiques Résumé : Healthcare costs and service use for autism spectrum disorder (ASD) were compared between Medicaid and private insurance, using 2003 insurance claims data in 24 states. In terms of costs and service use per child with ASD, Medicaid had higher total healthcare costs (22,653vs. 5,254), higher ASD-specific costs (7,438vs. 928), higher psychotropic medication costs(1,468vs. 875), more speech therapy visits (13.0 vs. 3.6 visits), more occupational/physical therapy visits (6.4 vs. 0.9 visits), and more behavior modification/social skills visits (3.8 vs. 1.1 visits) than private insurance (all p 0.0001). In multivariate analysis, being enrolled in Medicaid had the largest effect on costs, after controlling for other variables. The findings emphasize the need for continued efforts to improve private insurance coverage of autism. En ligne : http://dx.doi.org/10.1007/s10803-012-1649-y Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=195

Medicaid 1915(c) Home- and Community-Based Services waivers for children with autism spectrum disorder / Diana L. VELOTT in Autism, 20-4 (May 2016)  

Public ISBD [article]  inAutism > 20-4 (May 2016) . - p.473-482 Titre : Medicaid 1915(c) Home- and Community-Based Services waivers for children with autism spectrum disorder Type de document : Texte imprimé et/ou numérique Auteurs : Diana L. VELOTT, Auteur ; Edeanya AGBESE, Auteur ; David MANDELL, Auteur ; Bradley D. STEIN, Auteur ; Andrew W. DICK, Auteur ; Hao YU, Auteur ; Douglas L. LESLIE, Auteur Article en page(s) : p.473-482 Langues : Anglais (eng) Mots-clés : access to health care  autism spectrum disorders  children  Medicaid  waivers Index. décimale : PER Périodiques Résumé : This research aims to describe the characteristics of 1915(c) Home- and Community-Based Services waivers for children with autism spectrum disorder across states and over time. While increasingly popular, little is known about these Medicaid waivers. Understanding the characteristics of these programs is important to clinicians and policymakers in designing programs to meet the needs of this vulnerable population and to set the stage for evaluating changes that occur with the implementation of health-care reform. Home- and Community-Based Services waiver applications that included children with autism spectrum disorder as a target population were collected from the Centers for Medicare and Medicaid Services website, state websites, and state administrators. A data extraction tool was used to document waiver inclusions and restrictions, estimated service provision and institutional costs, and the inclusion of four core autism spectrum disorder services: respite, caregiver support and training, personal care, and evidence-based treatments. Investigators identified 50 current or former waivers across 29 states that explicitly included children with autism spectrum disorder in their target populations. Waivers differed substantially across states in the type and breadth of autism spectrum disorder coverage provided. Specifically, waivers varied in the populations they targeted, estimated cost of services, cost control methods employed, and services offered to children with autism spectrum disorder. Home- and Community-Based Services waivers for children with autism spectrum disorder are very complex and are not consistent across states or over time. Further efforts are needed to examine the characteristics of programs that are associated with improved access to care and clinical outcomes to maximize the benefits to individuals with autism spectrum disorder and their families. En ligne : http://dx.doi.org/10.1177/1362361315590806 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=287 [article] Medicaid 1915(c) Home- and Community-Based Services waivers for children with autism spectrum disorder [Texte imprimé et/ou numérique] / Diana L. VELOTT, Auteur ; Edeanya AGBESE, Auteur ; David MANDELL, Auteur ; Bradley D. STEIN, Auteur ; Andrew W. DICK, Auteur ; Hao YU, Auteur ; Douglas L. LESLIE, Auteur . - p.473-482. Langues : Anglais (eng) in Autism > 20-4 (May 2016) . - p.473-482 Mots-clés : access to health care  autism spectrum disorders  children  Medicaid  waivers Index. décimale : PER Périodiques Résumé : This research aims to describe the characteristics of 1915(c) Home- and Community-Based Services waivers for children with autism spectrum disorder across states and over time. While increasingly popular, little is known about these Medicaid waivers. Understanding the characteristics of these programs is important to clinicians and policymakers in designing programs to meet the needs of this vulnerable population and to set the stage for evaluating changes that occur with the implementation of health-care reform. Home- and Community-Based Services waiver applications that included children with autism spectrum disorder as a target population were collected from the Centers for Medicare and Medicaid Services website, state websites, and state administrators. A data extraction tool was used to document waiver inclusions and restrictions, estimated service provision and institutional costs, and the inclusion of four core autism spectrum disorder services: respite, caregiver support and training, personal care, and evidence-based treatments. Investigators identified 50 current or former waivers across 29 states that explicitly included children with autism spectrum disorder in their target populations. Waivers differed substantially across states in the type and breadth of autism spectrum disorder coverage provided. Specifically, waivers varied in the populations they targeted, estimated cost of services, cost control methods employed, and services offered to children with autism spectrum disorder. Home- and Community-Based Services waivers for children with autism spectrum disorder are very complex and are not consistent across states or over time. Further efforts are needed to examine the characteristics of programs that are associated with improved access to care and clinical outcomes to maximize the benefits to individuals with autism spectrum disorder and their families. En ligne : http://dx.doi.org/10.1177/1362361315590806 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=287

A Profile on Emergency Department Utilization in Adolescents and Young Adults with Autism Spectrum Disorders / Guodong LIU in Journal of Autism and Developmental Disorders, 47-2 (February 2017)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 47-2 (February 2017) . - p.347-358 Titre : A Profile on Emergency Department Utilization in Adolescents and Young Adults with Autism Spectrum Disorders Type de document : Texte imprimé et/ou numérique Auteurs : Guodong LIU, Auteur ; Amanda M. PEARL, Auteur ; Lan KONG, Auteur ; Douglas L. LESLIE, Auteur ; Michael J. MURRAY, Auteur Article en page(s) : p.347-358 Langues : Anglais (eng) Mots-clés : Autism  Adolescence  Emergency department  Service utilization Index. décimale : PER Périodiques Résumé : There has been an increase in utilization of the Emergency Department (ED) in individuals with autism spectrum disorder (ASD) which may reflect a deficit of services (Green et al., Journal of the American Academy of Child and Adolescent Psychiatry 40(3):325–332, 2001; Gurney et al., Archives of Pediatric and Adolescent Medicine 160:825–830, 2006; Leichtman et al., American Journal of Orthopsyhciatry 72(2):227–235, 2001). The current study examined the rates of ED utilization between 2005 and 2013 in ASD youth 12- to 21-years-old. Adolescents with ASD accessed ED services four times as often as adolescents without ASD. Older adolescents and those living in rural areas showed a significant increase in ED visits over time. Post hoc analysis revealed increased ED utilization for females and behavioral health ED services over time. Better access to and greater understanding of services for adolescents with ASD is a critical need. En ligne : http://dx.doi.org/10.1007/s10803-016-2953-8 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=303 [article] A Profile on Emergency Department Utilization in Adolescents and Young Adults with Autism Spectrum Disorders [Texte imprimé et/ou numérique] / Guodong LIU, Auteur ; Amanda M. PEARL, Auteur ; Lan KONG, Auteur ; Douglas L. LESLIE, Auteur ; Michael J. MURRAY, Auteur . - p.347-358. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 47-2 (February 2017) . - p.347-358 Mots-clés : Autism  Adolescence  Emergency department  Service utilization Index. décimale : PER Périodiques Résumé : There has been an increase in utilization of the Emergency Department (ED) in individuals with autism spectrum disorder (ASD) which may reflect a deficit of services (Green et al., Journal of the American Academy of Child and Adolescent Psychiatry 40(3):325–332, 2001; Gurney et al., Archives of Pediatric and Adolescent Medicine 160:825–830, 2006; Leichtman et al., American Journal of Orthopsyhciatry 72(2):227–235, 2001). The current study examined the rates of ED utilization between 2005 and 2013 in ASD youth 12- to 21-years-old. Adolescents with ASD accessed ED services four times as often as adolescents without ASD. Older adolescents and those living in rural areas showed a significant increase in ED visits over time. Post hoc analysis revealed increased ED utilization for females and behavioral health ED services over time. Better access to and greater understanding of services for adolescents with ASD is a critical need. En ligne : http://dx.doi.org/10.1007/s10803-016-2953-8 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=303

The Association of the Medicaid 1915(c) Home and Community-Based Services Waivers with Emergency Department Utilization among Youth with Autism Spectrum Disorder / Guodong LIU in Journal of Autism and Developmental Disorders, 52-4 (April 2022)  

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