Autism and Developmental Screening in a Public, Primary Care Setting Primarily Serving Hispanics: Challenges and Results / Gayle C. WINDHAM in Journal of Autism and Developmental Disorders, 44-7 (July 2014)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 44-7 (July 2014) . - p.1621-1632 Titre : Autism and Developmental Screening in a Public, Primary Care Setting Primarily Serving Hispanics: Challenges and Results Type de document : texte imprimé Auteurs : Gayle C. WINDHAM, Auteur ; Karen S. SMITH, Auteur ; Nila ROSEN, Auteur ; Meredith C. ANDERSON, Auteur ; Judith K. GRETHER, Auteur ; Richard B. COOLMAN, Auteur ; Stephen HARRIS, Auteur Article en page(s) : p.1621-1632 Langues : Anglais (eng) Mots-clés : Autism spectrum disorders  Developmental screening  M-CHAT  ASQ  Hispanics  Children’s health Index. décimale : PER Périodiques Résumé : We implemented screening of children 16–30 months of age (n = 1,760) from a typically under-served, primarily Hispanic, population, at routine pediatric appointments using the modified checklist for autism in toddlers (M-CHAT) and Ages and Stages Questionnaire. Screen positive rates of 26 and 39 %, respectively, were higher than previous reports. Hispanics were more likely to score M-CHAT positive than non-Hispanics (adjusted OR 1.7, 95 % CI 1.2–2.4), as were those screened in Spanish. About 30 % of screen-positive children were referred for further assessment, but only half were seen. Thus screening in this population is feasible, but may require additional resources. Attention to the cultural applicability of screening instruments, as well as to explaining the results or need for additional services to parents, is critical to serve the growing Hispanic population. En ligne : http://dx.doi.org/10.1007/s10803-014-2032-y Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=236 [article] Autism and Developmental Screening in a Public, Primary Care Setting Primarily Serving Hispanics: Challenges and Results [texte imprimé] / Gayle C. WINDHAM, Auteur ; Karen S. SMITH, Auteur ; Nila ROSEN, Auteur ; Meredith C. ANDERSON, Auteur ; Judith K. GRETHER, Auteur ; Richard B. COOLMAN, Auteur ; Stephen HARRIS, Auteur . - p.1621-1632. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 44-7 (July 2014) . - p.1621-1632 Mots-clés : Autism spectrum disorders  Developmental screening  M-CHAT  ASQ  Hispanics  Children’s health Index. décimale : PER Périodiques Résumé : We implemented screening of children 16–30 months of age (n = 1,760) from a typically under-served, primarily Hispanic, population, at routine pediatric appointments using the modified checklist for autism in toddlers (M-CHAT) and Ages and Stages Questionnaire. Screen positive rates of 26 and 39 %, respectively, were higher than previous reports. Hispanics were more likely to score M-CHAT positive than non-Hispanics (adjusted OR 1.7, 95 % CI 1.2–2.4), as were those screened in Spanish. About 30 % of screen-positive children were referred for further assessment, but only half were seen. Thus screening in this population is feasible, but may require additional resources. Attention to the cultural applicability of screening instruments, as well as to explaining the results or need for additional services to parents, is critical to serve the growing Hispanic population. En ligne : http://dx.doi.org/10.1007/s10803-014-2032-y Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=236

Investigation of Shifts in Autism Reporting in the California Department of Developmental Services / Judith K. GRETHER in Journal of Autism and Developmental Disorders, 39-10 (October 2009)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 39-10 (October 2009) . - p.1412-1419 Titre : Investigation of Shifts in Autism Reporting in the California Department of Developmental Services Type de document : texte imprimé Auteurs : Judith K. GRETHER, Auteur ; Nila ROSEN, Auteur ; Karen S. SMITH, Auteur ; Lisa A. CROEN, Auteur Année de publication : 2009 Article en page(s) : p.1412-1419 Langues : Anglais (eng) Mots-clés : Autism Autism-reporting California-DDS-autism Index. décimale : PER Périodiques Résumé : We investigated if shifts in the coding of qualifying conditions in the California Department of Developmental Services (DDS) have contributed to the increase in California children with autism observed in recent years. Qualifying condition codes for mental retardation (MR) and autism in DDS electronic files were compared to hard-copy records for samples of children born 1987, 1990, 1994, and 1997. Contrary to expectations, we did not find evidence of a coding shift from “MR only” to “both MR and autism” or an increase in the proportion of children with coded autism who lacked supportive diagnostic documentation in records (possible “misclassifications”). These results indicate that changes in DDS coding practices are unlikely to explain the increase in DDS clients with autism. En ligne : http://dx.doi.org/10.1007/s10803-009-0754-z Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=839 [article] Investigation of Shifts in Autism Reporting in the California Department of Developmental Services [texte imprimé] / Judith K. GRETHER, Auteur ; Nila ROSEN, Auteur ; Karen S. SMITH, Auteur ; Lisa A. CROEN, Auteur . - 2009 . - p.1412-1419. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 39-10 (October 2009) . - p.1412-1419 Mots-clés : Autism Autism-reporting California-DDS-autism Index. décimale : PER Périodiques Résumé : We investigated if shifts in the coding of qualifying conditions in the California Department of Developmental Services (DDS) have contributed to the increase in California children with autism observed in recent years. Qualifying condition codes for mental retardation (MR) and autism in DDS electronic files were compared to hard-copy records for samples of children born 1987, 1990, 1994, and 1997. Contrary to expectations, we did not find evidence of a coding shift from “MR only” to “both MR and autism” or an increase in the proportion of children with coded autism who lacked supportive diagnostic documentation in records (possible “misclassifications”). These results indicate that changes in DDS coding practices are unlikely to explain the increase in DDS clients with autism. En ligne : http://dx.doi.org/10.1007/s10803-009-0754-z Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=839

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