Referral, Assessment and Use of Screening Measures Related to Autism Spectrum Disorder at a Tertiary Hospital Setting

被引：11
作者：
Bernie, C. [1 ,2 ,3 ]
Williams, K. [1 ,3 ,4 ,5 ]
O'Connor, B. [2 ]
Rogers, S. [2 ,6 ]
May, T. [4 ]
机构：
[1] Univ Melbourne, Dept Paediat, 50 Flemington Rd, Parkville, Vic 3058, Australia
[2] Royal Childrens Hosp, Dept Allied Hlth, Melbourne, Vic, Australia
[3] Murdoch Childrens Res Inst, Melbourne, Vic, Australia
[4] Monash Univ, Dept Paediat, Clayton, Vic, Australia
[5] Monash Childrens Hosp, Dept Dev Paediat, Clayton, Vic, Australia
[6] Dept Hlth & Human Serv, Melbourne, Vic, Australia
来源：
JOURNAL OF AUTISM AND DEVELOPMENTAL DISORDERS | 2021年 / 51卷 / 08期
关键词：
Autism; Intake; Triage; Access; Diagnosis; Screening; Developmental delay; EARLY IDENTIFICATION; MODIFIED-CHECKLIST; DEVELOPMENTAL DISORDERS; EARLY INTERVENTION; EARLY-DIAGNOSIS; AT-RISK; CHILDREN; AGE; COMMUNITY; RECOGNITION;
D O I：
10.1007/s10803-020-04725-8
中图分类号：
B844 [发展心理学（人类心理学）];
学科分类号：
040202 ;
摘要：
Children with developmental concerns in Australia continue to experience inequitable healthcare and service-related delays, even when diagnostic risk is identified. This study sought to explore service and demographic pathway factors leading up to autism spectrum disorder (ASD) assessment, including value of screening measures applied at triage. Following a trial of centralised intake for referred young children with suspected ASD, observational, retrospective pathway data was explored using bivariate and regression analyses. The mean age of 159 children referred with autism symptoms was 3.6 years, and 64% were diagnosed with ASD. Service allocation was associated with diagnosis, whilst screening tool results were not. Improved pathways are needed to limit wasted waiting times and direct each child to needs-based services.
引用
收藏
页码：2673 / 2685
页数：13
相关论文
共 93 条
[1]   Factors That Affect Age of Identification of Children With an Autism Spectrum Disorder [J].
Adelman, Chana R. ;
Kubiszyn, Thomas .
JOURNAL OF EARLY INTERVENTION, 2017, 39 (01) :18-32
[2]   Validity of the social communication questionnaire in assessing risk of autism in preschool children with developmental problems [J].
Allen, C. W. ;
Silove, N. ;
Williams, K. ;
Hutchins, P. .
JOURNAL OF AUTISM AND DEVELOPMENTAL DISORDERS, 2007, 37 (07) :1272-1278
[3]  
American Psychiatric Association, 2000, Diagnostic and statistical manual of mental disorders DSM-IV-TR, V4th ed., DOI 10.1176/dsm10.1176/appi.books.9780890420249.dsm-iv-tr
[4]   Autism Biomarkers: Challenges, Pitfalls and Possibilities [J].
Anderson, George M. .
JOURNAL OF AUTISM AND DEVELOPMENTAL DISORDERS, 2015, 45 (04) :1103-1113
[5]  
[Anonymous], 2011, SOC IND AR 2011
[6]  
APA, 2013, Diagnostic and Statistical Manual of Mental Disorders: DSM-V, V5th
[7]   Improving Access to Care at Autism Treatment Centers: A System Analysis Approach [J].
Austin, June ;
Manning-Courtney, Patricia ;
Johnson, Meghan L. ;
Weber, Rachel ;
Johnson, Heather ;
Murray, Donna ;
Ratliff-Schaub, Karen ;
Tadlock, Abbey Marquette ;
Murray, Mark .
PEDIATRICS, 2016, 137 :S149-S157
[8]   Developmental Surveillance of Infants and Toddlers by Maternal and Child Health Nurses in an Australian Community-Based Setting: Promoting the Early Identification of Autism Spectrum Disorders [J].
Barbaro, Josephine ;
Ridgway, Lael ;
Dissanayake, Cheryl .
JOURNAL OF PEDIATRIC NURSING-NURSING CARE OF CHILDREN & FAMILIES, 2011, 26 (04) :334-347
[9]   Prospective Identification of Autism Spectrum Disorders in Infancy and Toddlerhood Using Developmental Surveillance: The Social Attention and Communication Study [J].
Barbaro, Josephine ;
Dissanayake, Cheryl .
JOURNAL OF DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS, 2010, 31 (05) :376-385
[10]   Health care provider responses to initial parental reports of autism spectrum disorder symptoms: results from a nationally representative sample [J].
Barnard-Brak, Lucy ;
Richman, David ;
Ellerbeck, Kathryn ;
Moreno, Rosario .
CHILD AND ADOLESCENT MENTAL HEALTH, 2017, 22 (01) :30-35
12345678910