Missed opportunities: An investigation of pathways to autism diagnosis in Australia / Vicki GIBBS in Research in Autism Spectrum Disorders, 57 (January 2019)  

Public ISBD [article]  inResearch in Autism Spectrum Disorders > 57 (January 2019) . - p.55-62 Titre : Missed opportunities: An investigation of pathways to autism diagnosis in Australia Type de document : Texte imprimé et/ou numérique Auteurs : Vicki GIBBS, Auteur ; Fiona J. ALDRIDGE, Auteur ; Elizabeth SBURLATI, Auteur ; Felicity CHANDLER, Auteur ; Karen SMITH, Auteur ; Lauren CHENG, Auteur Article en page(s) : p.55-62 Langues : Anglais (eng) Mots-clés : Autism  Delay  Diagnosis  Age of diagnosis  Diagnostic “gap” Index. décimale : PER Périodiques Résumé : Background Reliable diagnoses of autism can be made as early as two years of age. Many children in Australia are diagnosed with autism at a later age. Delayed diagnosis can lead to missed opportunities for early intervention. This study aims to investigate the factors associated with age of diagnosis in Australia and to examine where delays are occurring in the diagnostic pathway. Method Family and child characteristics, age of first concern, and outcomes of previous professional consultations were collected and analysed for 215 children undergoing assessment for autism in Sydney, Australia. Results The average age of diagnosis was 5 years. Children with more severe autism, and those with no co-morbid diagnosis were diagnosed at a younger age. Average age of first concern was 23 months, and parents consulted professionals, on average, just over 8 months later. Seventy percent of the children were not identified as having possible autism at this initial consultation. The average gap between first consultation and diagnosis of autism was 2 years, 4 months. Conclusions This study provided further evidence of delayed diagnosis of children in Australia. Those with level 2 or 3 autism, no co-morbid diagnosis and earlier parental first concerns were diagnosed earlier. In general, parents have concerns and take action in a timely manner. Delays in the diagnostic pathway were apparent from the first professional consultation where autism was often not identified. This could be addressed by training professionals about early indicators, milder forms of autism, and differential diagnosis. En ligne : https://doi.org/10.1016/j.rasd.2018.10.007 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=371 [article] Missed opportunities: An investigation of pathways to autism diagnosis in Australia [Texte imprimé et/ou numérique] / Vicki GIBBS, Auteur ; Fiona J. ALDRIDGE, Auteur ; Elizabeth SBURLATI, Auteur ; Felicity CHANDLER, Auteur ; Karen SMITH, Auteur ; Lauren CHENG, Auteur . - p.55-62. Langues : Anglais (eng) in Research in Autism Spectrum Disorders > 57 (January 2019) . - p.55-62 Mots-clés : Autism  Delay  Diagnosis  Age of diagnosis  Diagnostic “gap” Index. décimale : PER Périodiques Résumé : Background Reliable diagnoses of autism can be made as early as two years of age. Many children in Australia are diagnosed with autism at a later age. Delayed diagnosis can lead to missed opportunities for early intervention. This study aims to investigate the factors associated with age of diagnosis in Australia and to examine where delays are occurring in the diagnostic pathway. Method Family and child characteristics, age of first concern, and outcomes of previous professional consultations were collected and analysed for 215 children undergoing assessment for autism in Sydney, Australia. Results The average age of diagnosis was 5 years. Children with more severe autism, and those with no co-morbid diagnosis were diagnosed at a younger age. Average age of first concern was 23 months, and parents consulted professionals, on average, just over 8 months later. Seventy percent of the children were not identified as having possible autism at this initial consultation. The average gap between first consultation and diagnosis of autism was 2 years, 4 months. Conclusions This study provided further evidence of delayed diagnosis of children in Australia. Those with level 2 or 3 autism, no co-morbid diagnosis and earlier parental first concerns were diagnosed earlier. In general, parents have concerns and take action in a timely manner. Delays in the diagnostic pathway were apparent from the first professional consultation where autism was often not identified. This could be addressed by training professionals about early indicators, milder forms of autism, and differential diagnosis. En ligne : https://doi.org/10.1016/j.rasd.2018.10.007 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=371

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