From Waiting to Action: Why the Autism Field Must Embrace Efficient Service Delivery Models for Diagnostic Assessment / Ashley DE MARCHENA in Autism, 30-11 (November 2026)  

Public ISBD [article]  inAutism > 30-11 (November 2026) . - p.2955-2963 Titre : From Waiting to Action: Why the Autism Field Must Embrace Efficient Service Delivery Models for Diagnostic Assessment Type de document : texte imprimé Auteurs : Ashley DE MARCHENA, Auteur ; Andrea Trubanova WIECKOWSKI, Auteur ; Brian FREEDMAN, Auteur ; Lindsay SHEA, Auteur ; Jill LOCKE, Auteur ; Peter F. CRONHOLM, Auteur ; Stephen S. LEFF, Auteur ; Giacomo VIVANTI, Auteur ; Diana L. ROBINS, Auteur Article en page(s) : p.2955-2963 Langues : Anglais (eng) Mots-clés : autism  diagnosis  early detection  assessment  service delivery Index. décimale : PER Périodiques Résumé : Waiting lists for an autism evaluation delay timely diagnosis and entry into autism-specific early intervention. To solve this crisis, our field must increase capacity by embracing efficient diagnostic processes. Traditional diagnostic pathways involve complex evaluations and rely on a highly trained but limited pool of specialists, which elongate wait times. Evidence suggests that emerging approaches, including telehealth assessments, primary care diagnosis, and tiered models, reduce barriers. We guide readers through five core issues critical to updating the standard of care for early autism assessment: (1) What are the consequences of maintaining the status quo? (2) What do families prioritize? (3) What evidence supports efficient diagnostic models? (4) What are the consequences of reducing accuracy? and (5) What level of assessment depth is needed to inform action? Our team contends that the critical advantages of adopting efficient service delivery models far outweigh the disadvantages. Collaboration across disciplines, and trust in families’ insights, will help build capacity. We conclude with actionable recommendations for clinicians and policymakers in support of adopting these models.Lay Abstract The growing demand for autism diagnostic services has outpaced available resources. This creates significant delays in first diagnosis and entry into early intervention services (early diagnosis and intervention improve outcomes). Expert diagnosticians in the field have debated – and tested – streamlined and flexible alternative diagnostic processes to speed up access to services; we believe that the advantages of such approaches outweigh the disadvantages, and that evidence supports updating our current standards. En ligne : https://dx.doi.org/10.1177/13623613261474938 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=595 [article] From Waiting to Action: Why the Autism Field Must Embrace Efficient Service Delivery Models for Diagnostic Assessment [texte imprimé] / Ashley DE MARCHENA, Auteur ; Andrea Trubanova WIECKOWSKI, Auteur ; Brian FREEDMAN, Auteur ; Lindsay SHEA, Auteur ; Jill LOCKE, Auteur ; Peter F. CRONHOLM, Auteur ; Stephen S. LEFF, Auteur ; Giacomo VIVANTI, Auteur ; Diana L. ROBINS, Auteur . - p.2955-2963. Langues : Anglais (eng) in Autism > 30-11 (November 2026) . - p.2955-2963 Mots-clés : autism  diagnosis  early detection  assessment  service delivery Index. décimale : PER Périodiques Résumé : Waiting lists for an autism evaluation delay timely diagnosis and entry into autism-specific early intervention. To solve this crisis, our field must increase capacity by embracing efficient diagnostic processes. Traditional diagnostic pathways involve complex evaluations and rely on a highly trained but limited pool of specialists, which elongate wait times. Evidence suggests that emerging approaches, including telehealth assessments, primary care diagnosis, and tiered models, reduce barriers. We guide readers through five core issues critical to updating the standard of care for early autism assessment: (1) What are the consequences of maintaining the status quo? (2) What do families prioritize? (3) What evidence supports efficient diagnostic models? (4) What are the consequences of reducing accuracy? and (5) What level of assessment depth is needed to inform action? Our team contends that the critical advantages of adopting efficient service delivery models far outweigh the disadvantages. Collaboration across disciplines, and trust in families’ insights, will help build capacity. We conclude with actionable recommendations for clinicians and policymakers in support of adopting these models.Lay Abstract The growing demand for autism diagnostic services has outpaced available resources. This creates significant delays in first diagnosis and entry into early intervention services (early diagnosis and intervention improve outcomes). Expert diagnosticians in the field have debated – and tested – streamlined and flexible alternative diagnostic processes to speed up access to services; we believe that the advantages of such approaches outweigh the disadvantages, and that evidence supports updating our current standards. En ligne : https://dx.doi.org/10.1177/13623613261474938 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=595

Social cognitions, distress, and leadership self-efficacy: Associations with aggression for high-risk minority youth / Stephen S. LEFF in Development and Psychopathology, 26-3 (August 2014)  

Public ISBD [article]  inDevelopment and Psychopathology > 26-3 (August 2014) . - p.759-772 Titre : Social cognitions, distress, and leadership self-efficacy: Associations with aggression for high-risk minority youth Type de document : texte imprimé Auteurs : Stephen S. LEFF, Auteur ; Courtney N. BAKER, Auteur ; Tracy E. WAASDORP, Auteur ; Nicole A. VAUGHN, Auteur ; Katherine B. BEVANS, Auteur ; Nicole A. THOMAS, Auteur ; Terry GUERRA, Auteur ; Alice J. HAUSMAN, Auteur ; W. John MONOPOLI, Auteur Article en page(s) : p.759-772 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : Urban ethnic minority youth are often exposed to high levels of aggression and violence. As such, many aggression intervention programs that have been designed with suburban nonethnic minority youth have been used or slightly adapted in order to try and meet the needs of high-risk urban youth. The current study contributes to the literature base by examining how well a range of social–cognitive, emotional distress and victimization, and prosocial factors are related to youth aggression in a sample of urban youth. This study utilized data gathered from 109 9- to 15-year-old youth (36.7% male; 84.4% African American) and their parents or caregivers. A series of hierarchical multiple regressions were fit predicting youth aggression from social–cognitive variables, victimization and distress, and prosocial variables, controlling for youth gender and age. Each set of variables explained a significant and unique amount of the variance in youth aggressive behavior. The full model including all predictors accounted for 41% of the variance in aggression. Models suggest that youth with stronger beliefs supportive of violence, youth who experience more overt victimization, and youth who experience greater distress in overtly aggressive situations are likely to be more aggressive. In contrast, youth with higher self-esteem and youth who endorse greater leadership efficacy are likely to be less aggressive. Contrary to hypotheses, hostile attributional bias and knowledge of social information processing, experience of relational victimization, distress in relationally aggressive situations, and community engagement were not associated with aggression. Our study is one of the first to address these important questions for low-income, predominately ethnic minority urban youth, and it has clear implications for adapting aggression prevention programs to be culturally sensitive for urban African American youth. En ligne : http://dx.doi.org/10.1017/S0954579414000376 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=237 [article] Social cognitions, distress, and leadership self-efficacy: Associations with aggression for high-risk minority youth [texte imprimé] / Stephen S. LEFF, Auteur ; Courtney N. BAKER, Auteur ; Tracy E. WAASDORP, Auteur ; Nicole A. VAUGHN, Auteur ; Katherine B. BEVANS, Auteur ; Nicole A. THOMAS, Auteur ; Terry GUERRA, Auteur ; Alice J. HAUSMAN, Auteur ; W. John MONOPOLI, Auteur . - p.759-772. Langues : Anglais (eng) in Development and Psychopathology > 26-3 (August 2014) . - p.759-772 Index. décimale : PER Périodiques Résumé : Urban ethnic minority youth are often exposed to high levels of aggression and violence. As such, many aggression intervention programs that have been designed with suburban nonethnic minority youth have been used or slightly adapted in order to try and meet the needs of high-risk urban youth. The current study contributes to the literature base by examining how well a range of social–cognitive, emotional distress and victimization, and prosocial factors are related to youth aggression in a sample of urban youth. This study utilized data gathered from 109 9- to 15-year-old youth (36.7% male; 84.4% African American) and their parents or caregivers. A series of hierarchical multiple regressions were fit predicting youth aggression from social–cognitive variables, victimization and distress, and prosocial variables, controlling for youth gender and age. Each set of variables explained a significant and unique amount of the variance in youth aggressive behavior. The full model including all predictors accounted for 41% of the variance in aggression. Models suggest that youth with stronger beliefs supportive of violence, youth who experience more overt victimization, and youth who experience greater distress in overtly aggressive situations are likely to be more aggressive. In contrast, youth with higher self-esteem and youth who endorse greater leadership efficacy are likely to be less aggressive. Contrary to hypotheses, hostile attributional bias and knowledge of social information processing, experience of relational victimization, distress in relationally aggressive situations, and community engagement were not associated with aggression. Our study is one of the first to address these important questions for low-income, predominately ethnic minority urban youth, and it has clear implications for adapting aggression prevention programs to be culturally sensitive for urban African American youth. En ligne : http://dx.doi.org/10.1017/S0954579414000376 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=237

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