[article] 
inJournal of Autism and Developmental Disorders > 49-5 (May 2019) . - p.2173-2183

Titre :	Treatment Utilization Trajectories among Children with Autism Spectrum Disorder: Differences by Race-Ethnicity and Neighborhood
Type de document :	Texte imprimé et/ou numérique
Auteurs :	M. E. YINGLING, Auteur ; B. A. BELL, Auteur ; R. M. HOCK, Auteur
Article en page(s) :	p.2173-2183
Langues :	Anglais (eng)
Mots-clés :	Autism spectrum disorder  Early intensive behavioral intervention  Inequities  Medicaid  Treatment utilization
Index. décimale :	PER Périodiques
Résumé :	Health coverage of early intensive behavioral intervention (EIBI) for children with autism spectrum disorder is expanding. Yet there is no longitudinal research on patterns of or inequities in utilization of EIBI. We integrated state administrative records with Medicaid and Census data for children enrolled in an EIBI Medicaid waiver (N = 730) to identify and describe the type and prevalence of treatment utilization trajectories, and to examine the association between trajectory types and (a) child race-ethnicity and (b) neighborhood racial composition, poverty, affluence, and urbanicity. We identified four utilization trajectories (Low, Low-Moderate, Moderate, and High users). Race-ethnicity and neighborhood affluence were associated with trajectory membership. As coverage expands, policy makers should consider strategies to improve overall treatment utilization and enhance equity.
En ligne :	http://dx.doi.org/10.1007/s10803-019-03896-3
Permalink :	https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=393

[article] Treatment Utilization Trajectories among Children with Autism Spectrum Disorder: Differences by Race-Ethnicity and Neighborhood [Texte imprimé et/ou numérique] / M. E. YINGLING, Auteur ; B. A. BELL, Auteur ; R. M. HOCK, Auteur . - p.2173-2183.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 49-5 (May 2019) . - p.2173-2183

Mots-clés :	Autism spectrum disorder  Early intensive behavioral intervention  Inequities  Medicaid  Treatment utilization
Index. décimale :	PER Périodiques
Résumé :	Health coverage of early intensive behavioral intervention (EIBI) for children with autism spectrum disorder is expanding. Yet there is no longitudinal research on patterns of or inequities in utilization of EIBI. We integrated state administrative records with Medicaid and Census data for children enrolled in an EIBI Medicaid waiver (N = 730) to identify and describe the type and prevalence of treatment utilization trajectories, and to examine the association between trajectory types and (a) child race-ethnicity and (b) neighborhood racial composition, poverty, affluence, and urbanicity. We identified four utilization trajectories (Low, Low-Moderate, Moderate, and High users). Race-ethnicity and neighborhood affluence were associated with trajectory membership. As coverage expands, policy makers should consider strategies to improve overall treatment utilization and enhance equity.
En ligne :	http://dx.doi.org/10.1007/s10803-019-03896-3
Permalink :	https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=393