County-level variation in geographic access to Board Certified Behavior Analysts among children with Autism Spectrum Disorder in the United States / M. E. YINGLING in Autism, 25-6 (August 2021)  

Public ISBD [article]  inAutism > 25-6 (August 2021) . - p.1734-1745 Titre : County-level variation in geographic access to Board Certified Behavior Analysts among children with Autism Spectrum Disorder in the United States Type de document : Texte imprimé et/ou numérique Auteurs : M. E. YINGLING, Auteur ; M. H. RUTHER, Auteur ; E. M. DUBUQUE, Auteur ; D. S. MANDELL, Auteur Article en page(s) : p.1734-1745 Langues : Anglais (eng) Mots-clés : Autism Spectrum Disorder/therapy  Behavior Therapy  Certification  Child  Humans  United States  Board Certified Behavior Analysts  autism spectrum disorders  geographic access  health services Index. décimale : PER Périodiques Résumé : This study looked at whether access to Board Certified Behavior Analysts for children with autism spectrum disorder is different between U.S. counties. The study included all U.S. counties and county equivalents in 48 states and D.C. (N?=?3108). Between March and May 2019, we combined data from the U.S. Department of Education's Civil Rights Data Collection, Behavior Analyst Certification Board's certificant registry, and U.S. Census. We assigned Board Certified Behavior Analysts to counties based on their address, matched children in school districts to counties, and determined how many children with autism spectrum disorder there were in a county compared with how many Board Certified Behavior Analysts there were in a county. The results show uneven numbers of Board Certified Behavior Analysts between U.S. counties. More than half of all counties had no Board Certified Behavior Analysts. National maps illustrate clusters of high and low accessibility to Board Certified Behavior Analysts. To improve access to Board Certified Behavior Analysts in underserved areas, we must identify what contributes to the differences in access. En ligne : http://dx.doi.org/10.1177/13623613211002051 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=451 [article] County-level variation in geographic access to Board Certified Behavior Analysts among children with Autism Spectrum Disorder in the United States [Texte imprimé et/ou numérique] / M. E. YINGLING, Auteur ; M. H. RUTHER, Auteur ; E. M. DUBUQUE, Auteur ; D. S. MANDELL, Auteur . - p.1734-1745. Langues : Anglais (eng) in Autism > 25-6 (August 2021) . - p.1734-1745 Mots-clés : Autism Spectrum Disorder/therapy  Behavior Therapy  Certification  Child  Humans  United States  Board Certified Behavior Analysts  autism spectrum disorders  geographic access  health services Index. décimale : PER Périodiques Résumé : This study looked at whether access to Board Certified Behavior Analysts for children with autism spectrum disorder is different between U.S. counties. The study included all U.S. counties and county equivalents in 48 states and D.C. (N?=?3108). Between March and May 2019, we combined data from the U.S. Department of Education's Civil Rights Data Collection, Behavior Analyst Certification Board's certificant registry, and U.S. Census. We assigned Board Certified Behavior Analysts to counties based on their address, matched children in school districts to counties, and determined how many children with autism spectrum disorder there were in a county compared with how many Board Certified Behavior Analysts there were in a county. The results show uneven numbers of Board Certified Behavior Analysts between U.S. counties. More than half of all counties had no Board Certified Behavior Analysts. National maps illustrate clusters of high and low accessibility to Board Certified Behavior Analysts. To improve access to Board Certified Behavior Analysts in underserved areas, we must identify what contributes to the differences in access. En ligne : http://dx.doi.org/10.1177/13623613211002051 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=451

Racial-ethnic and neighborhood inequities in age of treatment receipt among a national sample of children with autism spectrum disorder / M. E. YINGLING in Autism, 23-4 (May 2019)  

Public ISBD [article]  inAutism > 23-4 (May 2019) . - p.963-970 Titre : Racial-ethnic and neighborhood inequities in age of treatment receipt among a national sample of children with autism spectrum disorder Type de document : Texte imprimé et/ou numérique Auteurs : M. E. YINGLING, Auteur ; B. A. BELL, Auteur Article en page(s) : p.963-970 Langues : Anglais (eng) Mots-clés : autism spectrum disorder  early intervention  health care inequity  neighborhood  race-ethnicity Index. décimale : PER Périodiques Résumé : The aim of this study is to examine the impact of child race-ethnicity and neighborhood characteristics on age of treatment receipt among children with autism spectrum disorder. Here, we included 1309 children diagnosed with autism spectrum disorder in the National Survey of Children's Health, 2011-2012. Controlling for key covariates, we used a weighted generalized logit model to analyze differences in age of treatment receipt (<2 years, 2 years, 3 years, and 4 years). Compared to non-Hispanic White children, the relative probability (odds) of entering treatment at 3 years and 4 years rather than <2 years was 326% and 367% higher, respectively, for non-Hispanic Black children. Compared to children whose parents perceived their neighborhood to be cohesive, the relative probability of entering treatment at 2 years and 3 years rather than <2 years was 59% and 61% lower, respectively, for children whose parents did not. Significant racial-ethnic and neighborhood inequities exist in age of treatment receipt, suggesting a need for research that explores the underlying causal mechanisms of inequities. En ligne : http://dx.doi.org/10.1177/1362361318791816 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=397 [article] Racial-ethnic and neighborhood inequities in age of treatment receipt among a national sample of children with autism spectrum disorder [Texte imprimé et/ou numérique] / M. E. YINGLING, Auteur ; B. A. BELL, Auteur . - p.963-970. Langues : Anglais (eng) in Autism > 23-4 (May 2019) . - p.963-970 Mots-clés : autism spectrum disorder  early intervention  health care inequity  neighborhood  race-ethnicity Index. décimale : PER Périodiques Résumé : The aim of this study is to examine the impact of child race-ethnicity and neighborhood characteristics on age of treatment receipt among children with autism spectrum disorder. Here, we included 1309 children diagnosed with autism spectrum disorder in the National Survey of Children's Health, 2011-2012. Controlling for key covariates, we used a weighted generalized logit model to analyze differences in age of treatment receipt (<2 years, 2 years, 3 years, and 4 years). Compared to non-Hispanic White children, the relative probability (odds) of entering treatment at 3 years and 4 years rather than <2 years was 326% and 367% higher, respectively, for non-Hispanic Black children. Compared to children whose parents perceived their neighborhood to be cohesive, the relative probability of entering treatment at 2 years and 3 years rather than <2 years was 59% and 61% lower, respectively, for children whose parents did not. Significant racial-ethnic and neighborhood inequities exist in age of treatment receipt, suggesting a need for research that explores the underlying causal mechanisms of inequities. En ligne : http://dx.doi.org/10.1177/1362361318791816 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=397

Time-Lag Between Diagnosis of Autism Spectrum Disorder and Onset of Publicly-Funded Early Intensive Behavioral Intervention: Do Race-Ethnicity and Neighborhood Matter? / M. E. YINGLING in Journal of Autism and Developmental Disorders, 48-2 (February 2018)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 48-2 (February 2018) . - p.561-571 Titre : Time-Lag Between Diagnosis of Autism Spectrum Disorder and Onset of Publicly-Funded Early Intensive Behavioral Intervention: Do Race-Ethnicity and Neighborhood Matter? Type de document : Texte imprimé et/ou numérique Auteurs : M. E. YINGLING, Auteur ; R. M. HOCK, Auteur ; B. A. BELL, Auteur Article en page(s) : p.561-571 Langues : Anglais (eng) Mots-clés : Autism spectrum disorder  Disparities  Early intensive behavioral intervention  Medicaid  Time-lag Index. décimale : PER Périodiques Résumé : Health coverage of early intensive behavioral intervention (EIBI) for children with autism spectrum disorder (ASD) is rapidly expanding across the United States. Yet we know little about the time-lag between diagnosis and treatment onset. We integrated administrative, Medicaid claims, and Census data for children in an EIBI Medicaid waiver (n = 473) to examine the relationship between time-lag and (a) child race-ethnicity and (b) neighborhood racial composition, poverty, affluence, and urbanicity. We explored whether the relationship between child race-ethnicity and time-lag varies by neighborhood characteristics. Average time-lag between diagnosis and treatment onset was nearly 3 years. Child race-ethnicity and neighborhood characteristics did not predict time-lag. Reducing time-lag is critical to ensuring that children with ASD receive treatment as early as possible. En ligne : https://doi.org/10.1007/s10803-017-3354-3 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=338 [article] Time-Lag Between Diagnosis of Autism Spectrum Disorder and Onset of Publicly-Funded Early Intensive Behavioral Intervention: Do Race-Ethnicity and Neighborhood Matter? [Texte imprimé et/ou numérique] / M. E. YINGLING, Auteur ; R. M. HOCK, Auteur ; B. A. BELL, Auteur . - p.561-571. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 48-2 (February 2018) . - p.561-571 Mots-clés : Autism spectrum disorder  Disparities  Early intensive behavioral intervention  Medicaid  Time-lag Index. décimale : PER Périodiques Résumé : Health coverage of early intensive behavioral intervention (EIBI) for children with autism spectrum disorder (ASD) is rapidly expanding across the United States. Yet we know little about the time-lag between diagnosis and treatment onset. We integrated administrative, Medicaid claims, and Census data for children in an EIBI Medicaid waiver (n = 473) to examine the relationship between time-lag and (a) child race-ethnicity and (b) neighborhood racial composition, poverty, affluence, and urbanicity. We explored whether the relationship between child race-ethnicity and time-lag varies by neighborhood characteristics. Average time-lag between diagnosis and treatment onset was nearly 3 years. Child race-ethnicity and neighborhood characteristics did not predict time-lag. Reducing time-lag is critical to ensuring that children with ASD receive treatment as early as possible. En ligne : https://doi.org/10.1007/s10803-017-3354-3 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=338

Treatment Utilization Trajectories among Children with Autism Spectrum Disorder: Differences by Race-Ethnicity and Neighborhood / M. E. YINGLING in Journal of Autism and Developmental Disorders, 49-5 (May 2019)  

Public ISBD [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

Underutilization of Early Intensive Behavioral Intervention Among 3-Year-Old Children with Autism Spectrum Disorder / M. E. YINGLING in Journal of Autism and Developmental Disorders, 49-7 (July 2019)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 49-7 (July 2019) . - p.2956-2964 Titre : Underutilization of Early Intensive Behavioral Intervention Among 3-Year-Old Children with Autism Spectrum Disorder Type de document : Texte imprimé et/ou numérique Auteurs : M. E. YINGLING, Auteur ; B. A. BELL, Auteur Article en page(s) : p.2956-2964 Langues : Anglais (eng) Mots-clés : Autism spectrum disorder  Early intensive behavioral intervention  Medicaid  Treatment utilization Index. décimale : PER Périodiques Résumé : Funding for early intensive behavioral intervention (EIBI) for children with autism spectrum disorder is rapidly expanding. Yet we know little about children's utilization, and research on inequities in utilization is lacking. We examined the relationship between utilization during the first year of EIBI and (a) child race-ethnicity and (b) neighborhood characteristics. Using a sample of children eligible for a Medicaid waiver through a novel policy of presumptive eligibility (N = 108), we estimated a series of two-level growth curve models. Children's average utilization ranged between 24 and 48% of weekly hours, and utilization did not differ by race-ethnicity or neighborhood during the first year. Findings underscore the need to monitor utilization of EIBI and warrant research on the feasibility of EIBI provision in the general population. En ligne : http://dx.doi.org/10.1007/s10803-019-04005-0 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=402 [article] Underutilization of Early Intensive Behavioral Intervention Among 3-Year-Old Children with Autism Spectrum Disorder [Texte imprimé et/ou numérique] / M. E. YINGLING, Auteur ; B. A. BELL, Auteur . - p.2956-2964. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 49-7 (July 2019) . - p.2956-2964 Mots-clés : Autism spectrum disorder  Early intensive behavioral intervention  Medicaid  Treatment utilization Index. décimale : PER Périodiques Résumé : Funding for early intensive behavioral intervention (EIBI) for children with autism spectrum disorder is rapidly expanding. Yet we know little about children's utilization, and research on inequities in utilization is lacking. We examined the relationship between utilization during the first year of EIBI and (a) child race-ethnicity and (b) neighborhood characteristics. Using a sample of children eligible for a Medicaid waiver through a novel policy of presumptive eligibility (N = 108), we estimated a series of two-level growth curve models. Children's average utilization ranged between 24 and 48% of weekly hours, and utilization did not differ by race-ethnicity or neighborhood during the first year. Findings underscore the need to monitor utilization of EIBI and warrant research on the feasibility of EIBI provision in the general population. En ligne : http://dx.doi.org/10.1007/s10803-019-04005-0 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=402

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