Assessing early implementation of state autism insurance mandates / Julia Berlin BALLER in Autism, 20-7 (October 2016)  

Public ISBD [article]  inAutism > 20-7 (October 2016) . - p.796-807 Titre : Assessing early implementation of state autism insurance mandates Type de document : Texte imprimé et/ou numérique Auteurs : Julia Berlin BALLER, Auteur ; Colleen L BARRY, Auteur ; Kathleen SHEA, Auteur ; Megan M WALKER, Auteur ; Rachel OUELLETTE, Auteur ; David S MANDELL, Auteur Article en page(s) : p.796-807 Langues : Anglais (eng) Mots-clés : autism spectrum disorders  health services  policy  qualitative research Index. décimale : PER Périodiques Résumé : In the United States, health insurance coverage for autism spectrum disorder treatments has been historically limited. In response, as of 2015, 40 states and Washington, DC, have passed state autism insurance mandates requiring many health plans in the private insurance market to cover autism diagnostic and treatment services. This study examined five states’ experiences implementing autism insurance mandates. Semi-structured, key-informant interviews were conducted with 17 participants representing consumer advocacy organizations, provider organizations, and health insurance companies. Overall, participants thought that the mandates substantially affected the delivery of autism services. While access to autism treatment services has increased as a result of implementation of state mandates, states have struggled to keep up with the demand for services. Participants provided specific information about barriers and facilitators to meeting this demand. Understanding of key informants’ perceptions about states’ experiences implementing autism insurance mandates is useful for other states considering adopting or expanding mandates or other policies to expand access to autism treatment services. En ligne : http://dx.doi.org/10.1177/1362361315605972 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=293 [article] Assessing early implementation of state autism insurance mandates [Texte imprimé et/ou numérique] / Julia Berlin BALLER, Auteur ; Colleen L BARRY, Auteur ; Kathleen SHEA, Auteur ; Megan M WALKER, Auteur ; Rachel OUELLETTE, Auteur ; David S MANDELL, Auteur . - p.796-807. Langues : Anglais (eng) in Autism > 20-7 (October 2016) . - p.796-807 Mots-clés : autism spectrum disorders  health services  policy  qualitative research Index. décimale : PER Périodiques Résumé : In the United States, health insurance coverage for autism spectrum disorder treatments has been historically limited. In response, as of 2015, 40 states and Washington, DC, have passed state autism insurance mandates requiring many health plans in the private insurance market to cover autism diagnostic and treatment services. This study examined five states’ experiences implementing autism insurance mandates. Semi-structured, key-informant interviews were conducted with 17 participants representing consumer advocacy organizations, provider organizations, and health insurance companies. Overall, participants thought that the mandates substantially affected the delivery of autism services. While access to autism treatment services has increased as a result of implementation of state mandates, states have struggled to keep up with the demand for services. Participants provided specific information about barriers and facilitators to meeting this demand. Understanding of key informants’ perceptions about states’ experiences implementing autism insurance mandates is useful for other states considering adopting or expanding mandates or other policies to expand access to autism treatment services. En ligne : http://dx.doi.org/10.1177/1362361315605972 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=293

The Accuracy of the ADOS-2 in Identifying Autism among Adults with Complex Psychiatric Conditions / Brenna B. MADDOX in Journal of Autism and Developmental Disorders, 47-9 (September 2017)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 47-9 (September 2017) . - p.2703-2709 Titre : The Accuracy of the ADOS-2 in Identifying Autism among Adults with Complex Psychiatric Conditions Type de document : Texte imprimé et/ou numérique Auteurs : Brenna B. MADDOX, Auteur ; Edward S. BRODKIN, Auteur ; Monica E. CALKINS, Auteur ; Kathleen SHEA, Auteur ; Katherine MULLAN, Auteur ; Jack HOSTAGER, Auteur ; David S. MANDELL, Auteur ; Judith S. MILLER, Auteur Article en page(s) : p.2703-2709 Langues : Anglais (eng) Mots-clés : Autism spectrum disorder  Autism Diagnostic Observation Schedule  Adults  Psychosis  Community mental health Index. décimale : PER Périodiques Résumé : The Autism Diagnostic Observation Schedule, Second Edition (ADOS-2), Module 4 is considered a “gold-standard” instrument for diagnosing autism spectrum disorder (ASD) in adults. Although the ADOS-2 shows good sensitivity and specificity in lab-based settings, it is unknown whether these results hold in community clinics that serve a more psychiatrically impaired population. This study is the first to evaluate the diagnostic accuracy of the ADOS-2 among adults in community mental health centers (n?=?75). The ADOS-2 accurately identified all adults with ASD; however, it also had a high rate of false positives among adults with psychosis (30%). Findings serve as a reminder that social communication difficulties measured by the ADOS-2 are not specific to ASD, particularly in clinically complex settings. En ligne : https://doi.org/10.1007/s10803-017-3188-z Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=315 [article] The Accuracy of the ADOS-2 in Identifying Autism among Adults with Complex Psychiatric Conditions [Texte imprimé et/ou numérique] / Brenna B. MADDOX, Auteur ; Edward S. BRODKIN, Auteur ; Monica E. CALKINS, Auteur ; Kathleen SHEA, Auteur ; Katherine MULLAN, Auteur ; Jack HOSTAGER, Auteur ; David S. MANDELL, Auteur ; Judith S. MILLER, Auteur . - p.2703-2709. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 47-9 (September 2017) . - p.2703-2709 Mots-clés : Autism spectrum disorder  Autism Diagnostic Observation Schedule  Adults  Psychosis  Community mental health Index. décimale : PER Périodiques Résumé : The Autism Diagnostic Observation Schedule, Second Edition (ADOS-2), Module 4 is considered a “gold-standard” instrument for diagnosing autism spectrum disorder (ASD) in adults. Although the ADOS-2 shows good sensitivity and specificity in lab-based settings, it is unknown whether these results hold in community clinics that serve a more psychiatrically impaired population. This study is the first to evaluate the diagnostic accuracy of the ADOS-2 among adults in community mental health centers (n?=?75). The ADOS-2 accurately identified all adults with ASD; however, it also had a high rate of false positives among adults with psychosis (30%). Findings serve as a reminder that social communication difficulties measured by the ADOS-2 are not specific to ASD, particularly in clinically complex settings. En ligne : https://doi.org/10.1007/s10803-017-3188-z Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=315

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