Development and implementation of health care transition resources for youth with autism spectrum disorders within a primary care medical home / Jill F HARRIS in Autism, 25-3 (April 2021)  

Public ISBD [article]  inAutism > 25-3 (April 2021) . - p.753-766 Titre : Development and implementation of health care transition resources for youth with autism spectrum disorders within a primary care medical home Type de document : Texte imprimé et/ou numérique Auteurs : Jill F HARRIS, Auteur ; Leigh P. GORMAN, Auteur ; Aditi DOSHI, Auteur ; Shannon SWOPE, Auteur ; Shayleigh D. PAGE, Auteur Article en page(s) : p.753-766 Langues : Anglais (eng) Mots-clés : adolescents  autism spectrum disorder  health care transition  young adults Index. décimale : PER Périodiques Résumé : As adolescents become adults, they typically change from seeing a pediatric health care provider to seeing a health care provider who specializes in working with adults. Adolescents with autism spectrum disorder may have more difficulty finding an adult health care provider who is trained to address the varied needs and medical and mental health issues that often are seen with autism spectrum disorder. Without careful planning for transition to adult health care, patients may continue to be seen by pediatric providers who may not be familiar with adult health needs. This quality improvement project focused on improving transition to adult health care by creating varied supports for the patient, family, and the health care team and putting them into action within a pediatric medical practice that serves over 250 adolescent and young adult patients with autism spectrum disorder. Before the supports were put into place, patients and families received limited and inconsistent communication to help them with transition. While the supports helped increase the amount and quality of help patients and families received, medical providers skipped or put off transition discussion in approximately half of well visits for targeted patients. Challenges in implementing the transition process included finding time to discuss transition-related issues with patients/families, preference of medical providers to have social workers discuss transition, and difficulty identifying adult health care providers for patients. This suggests more work is needed to both train and partner with patients, families, and health staff to promote smooth and positive health transitions. En ligne : http://dx.doi.org/10.1177/1362361320974491 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=444 [article] Development and implementation of health care transition resources for youth with autism spectrum disorders within a primary care medical home [Texte imprimé et/ou numérique] / Jill F HARRIS, Auteur ; Leigh P. GORMAN, Auteur ; Aditi DOSHI, Auteur ; Shannon SWOPE, Auteur ; Shayleigh D. PAGE, Auteur . - p.753-766. Langues : Anglais (eng) in Autism > 25-3 (April 2021) . - p.753-766 Mots-clés : adolescents  autism spectrum disorder  health care transition  young adults Index. décimale : PER Périodiques Résumé : As adolescents become adults, they typically change from seeing a pediatric health care provider to seeing a health care provider who specializes in working with adults. Adolescents with autism spectrum disorder may have more difficulty finding an adult health care provider who is trained to address the varied needs and medical and mental health issues that often are seen with autism spectrum disorder. Without careful planning for transition to adult health care, patients may continue to be seen by pediatric providers who may not be familiar with adult health needs. This quality improvement project focused on improving transition to adult health care by creating varied supports for the patient, family, and the health care team and putting them into action within a pediatric medical practice that serves over 250 adolescent and young adult patients with autism spectrum disorder. Before the supports were put into place, patients and families received limited and inconsistent communication to help them with transition. While the supports helped increase the amount and quality of help patients and families received, medical providers skipped or put off transition discussion in approximately half of well visits for targeted patients. Challenges in implementing the transition process included finding time to discuss transition-related issues with patients/families, preference of medical providers to have social workers discuss transition, and difficulty identifying adult health care providers for patients. This suggests more work is needed to both train and partner with patients, families, and health staff to promote smooth and positive health transitions. En ligne : http://dx.doi.org/10.1177/1362361320974491 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=444

Screening for autism spectrum disorder in underserved communities: Early childcare providers as reporters / Yvette M JANVIER in Autism, 20-3 (April 2016)  

Public ISBD [article]  inAutism > 20-3 (April 2016) . - p.364-373 Titre : Screening for autism spectrum disorder in underserved communities: Early childcare providers as reporters Type de document : Texte imprimé et/ou numérique Auteurs : Yvette M JANVIER, Auteur ; Jill F HARRIS, Auteur ; Caroline N COFFIELD, Auteur ; Barbara LOUIS, Auteur ; Ming XIE, Auteur ; Zuleyha CIDAV, Auteur ; David S MANDELL, Auteur Article en page(s) : p.364-373 Langues : Anglais (eng) Mots-clés : autism spectrum disorders  early childcare providers  preschool children  screening  underserved Index. décimale : PER Périodiques Résumé : Early diagnosis of autism typically is associated with earlier access to intervention and improved outcomes. Daycares and preschools largely have been ignored as possible venues for early identification. This may be especially important for minority children in the United States who are typically diagnosed with autism later than White children, limiting their access to early specialized interventions and possibly resulting in poorer outcomes. Early childcare providers within underserved communities completed autism screening tools for a sample of low-risk young children (n?=?967) in their programs. Early childcare providers returned screening tools for 90% of the children for whom parental consent had been received. A total of 14% of children screened positive for autism spectrum disorder and 3% of the sample met criteria for autism spectrum disorder. Among those who screened positive, 34% were lost to follow-up. Findings suggest that early childcare providers can effectively screen young children for autism spectrum disorder in preschool/daycare settings, thus improving access to early diagnosis and reducing potential healthcare disparities among underserved populations. En ligne : http://dx.doi.org/10.1177/1362361315585055 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=285 [article] Screening for autism spectrum disorder in underserved communities: Early childcare providers as reporters [Texte imprimé et/ou numérique] / Yvette M JANVIER, Auteur ; Jill F HARRIS, Auteur ; Caroline N COFFIELD, Auteur ; Barbara LOUIS, Auteur ; Ming XIE, Auteur ; Zuleyha CIDAV, Auteur ; David S MANDELL, Auteur . - p.364-373. Langues : Anglais (eng) in Autism > 20-3 (April 2016) . - p.364-373 Mots-clés : autism spectrum disorders  early childcare providers  preschool children  screening  underserved Index. décimale : PER Périodiques Résumé : Early diagnosis of autism typically is associated with earlier access to intervention and improved outcomes. Daycares and preschools largely have been ignored as possible venues for early identification. This may be especially important for minority children in the United States who are typically diagnosed with autism later than White children, limiting their access to early specialized interventions and possibly resulting in poorer outcomes. Early childcare providers within underserved communities completed autism screening tools for a sample of low-risk young children (n?=?967) in their programs. Early childcare providers returned screening tools for 90% of the children for whom parental consent had been received. A total of 14% of children screened positive for autism spectrum disorder and 3% of the sample met criteria for autism spectrum disorder. Among those who screened positive, 34% were lost to follow-up. Findings suggest that early childcare providers can effectively screen young children for autism spectrum disorder in preschool/daycare settings, thus improving access to early diagnosis and reducing potential healthcare disparities among underserved populations. En ligne : http://dx.doi.org/10.1177/1362361315585055 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=285

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