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Service Use Among Transition-Age Youth with Autism Spectrum Disorder / K. J. ISHLER in Journal of Autism and Developmental Disorders, 52-3 (March 2022)
[article]
Titre : Service Use Among Transition-Age Youth with Autism Spectrum Disorder Type de document : Texte imprimé et/ou numérique Auteurs : K. J. ISHLER, Auteur ; D. E. BIEGEL, Auteur ; F. WANG, Auteur ; T. OLGAC, Auteur ; S. LYTLE, Auteur ; S. MINER, Auteur ; M. EDGUER, Auteur ; R. KAPLAN, Auteur Article en page(s) : p.1051-1065 Langues : Anglais (eng) Mots-clés : Adolescent Adult Autism Spectrum Disorder/epidemiology/psychology/therapy Caregivers Delivery of Health Care Humans Medicaid Patient Acceptance of Health Care United States Young Adult Autism spectrum disorder Family Predictors Service use Transition age Index. décimale : PER Périodiques Résumé : This study explored predictors of service use among 174 transition-age youth (age 16-30) with an Autism Spectrum Disorder using Andersen's (J Health Soc Behav 36(1):1-10, 1995) healthcare utilization model. Family caregivers were interviewed about past 6-month use of 15 services. On average, youth used 6.1 and needed 3.2 additional services. Greater service use was associated with two predisposing (caregiver college educated, caregiver not married/partnered), two enabling (youth has Medicaid waiver, youth in high school), and one need factor (lower adaptive functioning). Use of specific services was most strongly related to enabling (Medicaid waiver, in high school) and need factors (lower adaptive functioning, comorbid mental health diagnosis). Findings provide a snapshot of the "service cliff" faced by families and highlight the need for additional research. En ligne : http://dx.doi.org/10.1007/s10803-021-04999-6 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=455
in Journal of Autism and Developmental Disorders > 52-3 (March 2022) . - p.1051-1065[article] Service Use Among Transition-Age Youth with Autism Spectrum Disorder [Texte imprimé et/ou numérique] / K. J. ISHLER, Auteur ; D. E. BIEGEL, Auteur ; F. WANG, Auteur ; T. OLGAC, Auteur ; S. LYTLE, Auteur ; S. MINER, Auteur ; M. EDGUER, Auteur ; R. KAPLAN, Auteur . - p.1051-1065.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 52-3 (March 2022) . - p.1051-1065
Mots-clés : Adolescent Adult Autism Spectrum Disorder/epidemiology/psychology/therapy Caregivers Delivery of Health Care Humans Medicaid Patient Acceptance of Health Care United States Young Adult Autism spectrum disorder Family Predictors Service use Transition age Index. décimale : PER Périodiques Résumé : This study explored predictors of service use among 174 transition-age youth (age 16-30) with an Autism Spectrum Disorder using Andersen's (J Health Soc Behav 36(1):1-10, 1995) healthcare utilization model. Family caregivers were interviewed about past 6-month use of 15 services. On average, youth used 6.1 and needed 3.2 additional services. Greater service use was associated with two predisposing (caregiver college educated, caregiver not married/partnered), two enabling (youth has Medicaid waiver, youth in high school), and one need factor (lower adaptive functioning). Use of specific services was most strongly related to enabling (Medicaid waiver, in high school) and need factors (lower adaptive functioning, comorbid mental health diagnosis). Findings provide a snapshot of the "service cliff" faced by families and highlight the need for additional research. En ligne : http://dx.doi.org/10.1007/s10803-021-04999-6 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=455 Brief Report: Service Use and Associated Expenditures Among Adolescents with Autism Spectrum Disorder Transitioning to Adulthood / L. L. SHEA in Journal of Autism and Developmental Disorders, 48-9 (September 2018)
[article]
Titre : Brief Report: Service Use and Associated Expenditures Among Adolescents with Autism Spectrum Disorder Transitioning to Adulthood Type de document : Texte imprimé et/ou numérique Auteurs : L. L. SHEA, Auteur ; M. XIE, Auteur ; P. TURCOTTE, Auteur ; S. MARCUS, Auteur ; R. FIELD, Auteur ; C. NEWSCHAFFER, Auteur ; D. MANDELL, Auteur Article en page(s) : p.3223-3227 Langues : Anglais (eng) Mots-clés : Autism Intellectual disability Medicaid Service use Transition Index. décimale : PER Périodiques Résumé : This study compared Medicaid service utilization and expenditures among adolescents with autism spectrum disorder (ASD) to adolescents with intellectual disability (ID) as they aged into adulthood. Medicaid Analytic eXtract (MAX) data was used to identify a national cohort. Winsorization was utilized to control for expenditure outliers. A greater proportion of adolescents with ASD utilized most services. Decreases in the use of key services, including psychiatric outpatient services, were observed for both groups. Changes in medical services, such as increases in inpatient and long term care services, among the ASD cohort suggest medical needs of adolescents with ASD change as they age. Information remains lacking on changing ASD symptom presentation during the transition to adolescence. En ligne : http://dx.doi.org/10.1007/s10803-018-3563-4 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=368
in Journal of Autism and Developmental Disorders > 48-9 (September 2018) . - p.3223-3227[article] Brief Report: Service Use and Associated Expenditures Among Adolescents with Autism Spectrum Disorder Transitioning to Adulthood [Texte imprimé et/ou numérique] / L. L. SHEA, Auteur ; M. XIE, Auteur ; P. TURCOTTE, Auteur ; S. MARCUS, Auteur ; R. FIELD, Auteur ; C. NEWSCHAFFER, Auteur ; D. MANDELL, Auteur . - p.3223-3227.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 48-9 (September 2018) . - p.3223-3227
Mots-clés : Autism Intellectual disability Medicaid Service use Transition Index. décimale : PER Périodiques Résumé : This study compared Medicaid service utilization and expenditures among adolescents with autism spectrum disorder (ASD) to adolescents with intellectual disability (ID) as they aged into adulthood. Medicaid Analytic eXtract (MAX) data was used to identify a national cohort. Winsorization was utilized to control for expenditure outliers. A greater proportion of adolescents with ASD utilized most services. Decreases in the use of key services, including psychiatric outpatient services, were observed for both groups. Changes in medical services, such as increases in inpatient and long term care services, among the ASD cohort suggest medical needs of adolescents with ASD change as they age. Information remains lacking on changing ASD symptom presentation during the transition to adolescence. En ligne : http://dx.doi.org/10.1007/s10803-018-3563-4 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=368 Comparing service use and costs among adolescents with autism spectrum disorders, special needs and typical development / Barbara BARRETT in Autism, 19-5 (July 2015)
[article]
Titre : Comparing service use and costs among adolescents with autism spectrum disorders, special needs and typical development Type de document : Texte imprimé et/ou numérique Auteurs : Barbara BARRETT, Auteur ; Iris MOSWEU, Auteur ; Catherine R. G. JONES, Auteur ; Tony CHARMAN, Auteur ; Gillian BAIRD, Auteur ; Emily SIMONOFF, Auteur ; Andrew PICKLES, Auteur ; Francesca HAPPE, Auteur ; Sarah BYFORD, Auteur Article en page(s) : p.562-569 Langues : Anglais (eng) Mots-clés : autism spectrum disorders costs service use special educational needs Index. décimale : PER Périodiques Résumé : Autism spectrum disorder is a complex condition that requires specialised care. Knowledge of the costs of autism spectrum disorder, especially in comparison with other conditions, may be useful to galvanise policymakers and leverage investment in education and intervention to mitigate aspects of autism spectrum disorder that negatively impact individuals with the disorder and their families. This article describes the services and associated costs for four groups of individuals: adolescents with autistic disorder, adolescents with other autism spectrum disorders, adolescents with other special educational needs and typically developing adolescents using data from a large, well-characterised cohort assessed as part of the UK Special Needs and Autism Project at the age of 12 years. Average total costs per participant over 6 months were highest in the autistic disorder group (£11,029), followed by the special educational needs group (£9268), the broader autism spectrum disorder group (£8968) and the typically developing group (£2954). Specialised day or residential schooling accounted for the vast majority of costs. In regression analysis, lower age and lower adaptive functioning were associated with higher costs in the groups with an autism spectrum disorder. Sex, ethnicity, number of International Classification of Diseases (10th revision) symptoms, autism spectrum disorder symptom scores and levels of mental health difficulties were not associated with cost. En ligne : http://dx.doi.org/10.1177/1362361314536626 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=261
in Autism > 19-5 (July 2015) . - p.562-569[article] Comparing service use and costs among adolescents with autism spectrum disorders, special needs and typical development [Texte imprimé et/ou numérique] / Barbara BARRETT, Auteur ; Iris MOSWEU, Auteur ; Catherine R. G. JONES, Auteur ; Tony CHARMAN, Auteur ; Gillian BAIRD, Auteur ; Emily SIMONOFF, Auteur ; Andrew PICKLES, Auteur ; Francesca HAPPE, Auteur ; Sarah BYFORD, Auteur . - p.562-569.
Langues : Anglais (eng)
in Autism > 19-5 (July 2015) . - p.562-569
Mots-clés : autism spectrum disorders costs service use special educational needs Index. décimale : PER Périodiques Résumé : Autism spectrum disorder is a complex condition that requires specialised care. Knowledge of the costs of autism spectrum disorder, especially in comparison with other conditions, may be useful to galvanise policymakers and leverage investment in education and intervention to mitigate aspects of autism spectrum disorder that negatively impact individuals with the disorder and their families. This article describes the services and associated costs for four groups of individuals: adolescents with autistic disorder, adolescents with other autism spectrum disorders, adolescents with other special educational needs and typically developing adolescents using data from a large, well-characterised cohort assessed as part of the UK Special Needs and Autism Project at the age of 12 years. Average total costs per participant over 6 months were highest in the autistic disorder group (£11,029), followed by the special educational needs group (£9268), the broader autism spectrum disorder group (£8968) and the typically developing group (£2954). Specialised day or residential schooling accounted for the vast majority of costs. In regression analysis, lower age and lower adaptive functioning were associated with higher costs in the groups with an autism spectrum disorder. Sex, ethnicity, number of International Classification of Diseases (10th revision) symptoms, autism spectrum disorder symptom scores and levels of mental health difficulties were not associated with cost. En ligne : http://dx.doi.org/10.1177/1362361314536626 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=261 Healthcare Service Use and Costs for Autism Spectrum Disorder: A Comparison Between Medicaid and Private Insurance / Li WANG in Journal of Autism and Developmental Disorders, 43-5 (May 2013)
[article]
Titre : Healthcare Service Use and Costs for Autism Spectrum Disorder: A Comparison Between Medicaid and Private Insurance Type de document : Texte imprimé et/ou numérique Auteurs : Li WANG, Auteur ; David S. MANDELL, Auteur ; Lindsay LAWER, Auteur ; Zuleyha CIDAV, Auteur ; Douglas L. LESLIE, Auteur Article en page(s) : p.1057-1064 Langues : Anglais (eng) Mots-clés : Autism spectrum disorder Children Healthcare costs Service use Medicaid Private insurance Index. décimale : PER Périodiques Résumé : Healthcare costs and service use for autism spectrum disorder (ASD) were compared between Medicaid and private insurance, using 2003 insurance claims data in 24 states. In terms of costs and service use per child with ASD, Medicaid had higher total healthcare costs (22,653vs. 5,254), higher ASD-specific costs (7,438vs. 928), higher psychotropic medication costs(1,468vs. 875), more speech therapy visits (13.0 vs. 3.6 visits), more occupational/physical therapy visits (6.4 vs. 0.9 visits), and more behavior modification/social skills visits (3.8 vs. 1.1 visits) than private insurance (all p 0.0001). In multivariate analysis, being enrolled in Medicaid had the largest effect on costs, after controlling for other variables. The findings emphasize the need for continued efforts to improve private insurance coverage of autism. En ligne : http://dx.doi.org/10.1007/s10803-012-1649-y Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=195
in Journal of Autism and Developmental Disorders > 43-5 (May 2013) . - p.1057-1064[article] Healthcare Service Use and Costs for Autism Spectrum Disorder: A Comparison Between Medicaid and Private Insurance [Texte imprimé et/ou numérique] / Li WANG, Auteur ; David S. MANDELL, Auteur ; Lindsay LAWER, Auteur ; Zuleyha CIDAV, Auteur ; Douglas L. LESLIE, Auteur . - p.1057-1064.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 43-5 (May 2013) . - p.1057-1064
Mots-clés : Autism spectrum disorder Children Healthcare costs Service use Medicaid Private insurance Index. décimale : PER Périodiques Résumé : Healthcare costs and service use for autism spectrum disorder (ASD) were compared between Medicaid and private insurance, using 2003 insurance claims data in 24 states. In terms of costs and service use per child with ASD, Medicaid had higher total healthcare costs (22,653vs. 5,254), higher ASD-specific costs (7,438vs. 928), higher psychotropic medication costs(1,468vs. 875), more speech therapy visits (13.0 vs. 3.6 visits), more occupational/physical therapy visits (6.4 vs. 0.9 visits), and more behavior modification/social skills visits (3.8 vs. 1.1 visits) than private insurance (all p 0.0001). In multivariate analysis, being enrolled in Medicaid had the largest effect on costs, after controlling for other variables. The findings emphasize the need for continued efforts to improve private insurance coverage of autism. En ligne : http://dx.doi.org/10.1007/s10803-012-1649-y Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=195 Identifying the clinical needs and patterns of health service use of adolescent girls and women with autism spectrum disorder / Ami TINT in Autism Research, 10-9 (September 2017)
[article]
Titre : Identifying the clinical needs and patterns of health service use of adolescent girls and women with autism spectrum disorder Type de document : Texte imprimé et/ou numérique Auteurs : Ami TINT, Auteur ; Jonathan A. WEISS, Auteur ; Yona LUNSKY, Auteur Article en page(s) : p.1558-1566 Langues : Anglais (eng) Mots-clés : autism spectrum disorder gender/female autism spectrum disorder sex differences adult adolescent service use Index. décimale : PER Périodiques Résumé : Girls and women in the general population present with a distinct profile of clinical needs and use more associated health services compared to boys and men; however, research focused on health service use patterns among girls and women with Autism Spectrum Disorder (ASD) is limited. In the current study, caregivers of 61 adolescent girls and women with ASD and 223 boys and men with ASD completed an online survey. Descriptive analyses were conducted to better understand the clinical needs and associated service use patterns of girls and women with ASD. Sex/gender comparisons were made of individuals’ clinical needs and service use. Adolescent girls and women with ASD had prevalent co-occurring mental and physical conditions and parents reported elevated levels of caregiver strain. Multiple service use was common across age groups, particularly among adolescent girls and women with intellectual disability. Overall, few sex/gender differences emerged, although a significantly greater proportion of girls and women accessed psychiatry and emergency department services as compared to boys and men. Though the current study is limited by its use of parent report and small sample size, it suggests that girls and women with ASD may share many of the same high clinical needs and patterns of services use as boys and men with ASD. Areas for future research are discussed to help ensure appropriate support is provided to this understudied population. En ligne : http://dx.doi.org/10.1002/aur.1806 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=320
in Autism Research > 10-9 (September 2017) . - p.1558-1566[article] Identifying the clinical needs and patterns of health service use of adolescent girls and women with autism spectrum disorder [Texte imprimé et/ou numérique] / Ami TINT, Auteur ; Jonathan A. WEISS, Auteur ; Yona LUNSKY, Auteur . - p.1558-1566.
Langues : Anglais (eng)
in Autism Research > 10-9 (September 2017) . - p.1558-1566
Mots-clés : autism spectrum disorder gender/female autism spectrum disorder sex differences adult adolescent service use Index. décimale : PER Périodiques Résumé : Girls and women in the general population present with a distinct profile of clinical needs and use more associated health services compared to boys and men; however, research focused on health service use patterns among girls and women with Autism Spectrum Disorder (ASD) is limited. In the current study, caregivers of 61 adolescent girls and women with ASD and 223 boys and men with ASD completed an online survey. Descriptive analyses were conducted to better understand the clinical needs and associated service use patterns of girls and women with ASD. Sex/gender comparisons were made of individuals’ clinical needs and service use. Adolescent girls and women with ASD had prevalent co-occurring mental and physical conditions and parents reported elevated levels of caregiver strain. Multiple service use was common across age groups, particularly among adolescent girls and women with intellectual disability. Overall, few sex/gender differences emerged, although a significantly greater proportion of girls and women accessed psychiatry and emergency department services as compared to boys and men. Though the current study is limited by its use of parent report and small sample size, it suggests that girls and women with ASD may share many of the same high clinical needs and patterns of services use as boys and men with ASD. Areas for future research are discussed to help ensure appropriate support is provided to this understudied population. En ligne : http://dx.doi.org/10.1002/aur.1806 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=320 Special Education Service Use by Children with Autism Spectrum Disorder / C. A. MCDONALD in Journal of Autism and Developmental Disorders, 49-6 (June 2019)
PermalinkEmergency service experiences of adults with autism spectrum disorder without intellectual disability / A. TINT in Autism, 23-3 (April 2019)
PermalinkA qualitative study of the service experiences of women with autism spectrum disorder / A. TINT in Autism, 22-8 (November 2018)
PermalinkService and Wider Societal Costs of Very Young Children with Autism in the UK / Barbara BARRETT in Journal of Autism and Developmental Disorders, 42-5 (May 2012)
PermalinkThe Periodic Risk Evaluation: A new tool to link Medicaid-enrolled autistic adults to services and support / Lindsay SHEA in Research in Autism Spectrum Disorders, 98 (October 2022)
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