Embedding Autism Spectrum Disorder Diagnosis Within the Medical Home: Decreasing Wait Times Through Streamlined Assessment / J. F. HINE in Journal of Autism and Developmental Disorders, 48-8 (August 2018)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 48-8 (August 2018) . - p.2846-2853 Titre : Embedding Autism Spectrum Disorder Diagnosis Within the Medical Home: Decreasing Wait Times Through Streamlined Assessment Type de document : Texte imprimé et/ou numérique Auteurs : J. F. HINE, Auteur ; C. G. HERRINGTON, Auteur ; A. M. ROTHMAN, Auteur ; R. L. MACE, Auteur ; B. L. PATTERSON, Auteur ; K. L. CARLSON, Auteur ; Zachary WARREN, Auteur Article en page(s) : p.2846-2853 Langues : Anglais (eng) Mots-clés : Autism spectrum disorder  Diagnosis  Medical home  Primary care  Screening Index. décimale : PER Périodiques Résumé : Long waits for diagnostic assessment prevent early identification of children suspected of having autism spectrum disorder. We evaluated the benefit of embedded diagnostic consultation within primary care clinics. Using a streamlined diagnostic model, 119 children with concerns for autism spectrum disorder were seen over 14 months. Diagnostic clarity was determined through streamlined assessment for 59% of the children, while others required follow-up. Latency from first concern to diagnosis was 55 days and median age at diagnosis was 32 months: considerably lower than national averages or comparable tertiary clinics. Findings support that embedded processes for effective triage and diagnosis within the medical home is a viable mechanism for efficient access to diagnostic services and assists in bypassing a common barrier to specialized services. En ligne : http://dx.doi.org/10.1007/s10803-018-3548-3 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=367 [article] Embedding Autism Spectrum Disorder Diagnosis Within the Medical Home: Decreasing Wait Times Through Streamlined Assessment [Texte imprimé et/ou numérique] / J. F. HINE, Auteur ; C. G. HERRINGTON, Auteur ; A. M. ROTHMAN, Auteur ; R. L. MACE, Auteur ; B. L. PATTERSON, Auteur ; K. L. CARLSON, Auteur ; Zachary WARREN, Auteur . - p.2846-2853. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 48-8 (August 2018) . - p.2846-2853 Mots-clés : Autism spectrum disorder  Diagnosis  Medical home  Primary care  Screening Index. décimale : PER Périodiques Résumé : Long waits for diagnostic assessment prevent early identification of children suspected of having autism spectrum disorder. We evaluated the benefit of embedded diagnostic consultation within primary care clinics. Using a streamlined diagnostic model, 119 children with concerns for autism spectrum disorder were seen over 14 months. Diagnostic clarity was determined through streamlined assessment for 59% of the children, while others required follow-up. Latency from first concern to diagnosis was 55 days and median age at diagnosis was 32 months: considerably lower than national averages or comparable tertiary clinics. Findings support that embedded processes for effective triage and diagnosis within the medical home is a viable mechanism for efficient access to diagnostic services and assists in bypassing a common barrier to specialized services. En ligne : http://dx.doi.org/10.1007/s10803-018-3548-3 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=367

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