Implementation and Evolution of a Primary Care-Based Program for Adolescents and Young Adults on the Autism Spectrum

被引：7

作者：

Hart, Laura C. ^{[1
,2
]}

Saha, Heather ^{[2
]}

Lawrence, Stephanie ^{[2
,3
]}

Friedman, Susan ^{[2
]}

Irwin, Polly ^{[2
]}

Hanks, Christopher ^{[2
]}

机构：

[1] Nationwide Childrens Hosp, Div Primary Care Pediat, 700 Childrens Dr, Columbus, OH 43205 USA

[2] Ohio State Univ, Dept Med, Coll Med, Columbus, OH 43210 USA

[3] Care New England Med Grp, Pawtucket, RI USA

来源：

JOURNAL OF AUTISM AND DEVELOPMENTAL DISORDERS | 2022年 / 52卷 / 07期

关键词：

Transition to adult care; Primary care; Adolescent; Young adult; Autism; TRANSITION; DISORDERS; COMMUNITY; CHILDREN; YOUTH; SERVICES; NEEDS;

D O I：

10.1007/s10803-021-05171-w

中图分类号：

B844 [发展心理学（人类心理学）];

学科分类号：

040202 ;

摘要：

Current primary care models are inadequate for adults on the autism spectrum. The Center for Autism Services and Transition (CAST) clinic was developed in 2014 using feedback from parents of adults on the autism spectrum and patient-centered medical home principles. We evaluated the reach of CAST's services. As of January 2021, 858 patients were seen in CAST. Many continue to receive primary care from the CAST clinic. The program has undergone staffing changes but continues to accept new patients. We have added services such as "happy visits," pre-procedure videos, and telehealth visits. CAST provides one example of how to improve primary care for adults on the autism spectrum. More research is needed to assess the effectiveness of the CAST model.

引用

页码：2924 / 2933

页数：10

共 25 条

[1]

Agency of Healthcare Research and Quality (AHRQ), DEF PCMH

[2] The epidemiology and global burden of autism spectrum disorders [J].

Baxter, A. J. ;

Brugha, T. S. ;

Erskine, H. E. ;

Scheurer, R. W. ;

Vos, T. ;

Scott, J. G. .

PSYCHOLOGICAL MEDICINE, 2015, 45 (03) :601-613

[3] Transition of Care in Adolescents With Cerebral Palsy: A Survey of Current Practices [J].

Bolger, Ashlee ;

Vargus-Adams, Jilda ;

McMahon, Mary .

PM&R, 2017, 9 (03) :258-264

[4]

Bonnie R.J., 2015, Investing in the Health and Well-Being of Young Adults, DOI DOI 10.17226/18869

[5] Trends in the Prevalence of Autism Spectrum Disorder, Cerebral Palsy, Hearing Loss, Intellectual Disability, and Vision Impairment, Metropolitan Atlanta, 1991-2010 [J].

Braun, Kim Van Naarden ;

Christensen, Deborah ;

Doernberg, Nancy ;

Schieve, Laura ;

Rice, Catherine ;

Wiggins, Lisa ;

Schendel, Diana ;

Yeargin-Allsopp, Marshalyn .

PLOS ONE, 2015, 10 (04)

[6] Prevalence of Medical Comorbidities in Adults with Autism Spectrum Disorder [J].

Brondino, Natascia ;

Fusar-Poli, Laura ;

Miceli, Emanuela ;

Di Stefano, Michele ;

Damiani, Stefano ;

Rocchetti, Matteo ;

Politi, Pierluigi .

JOURNAL OF GENERAL INTERNAL MEDICINE, 2019, 34 (10) :1992-1994

[7] Epidemiology of Autism Spectrum Disorders in Adults in the Community in England [J].

Brugha, Traolach S. ;

McManus, Sally ;

Bankart, John ;

Scott, Fiona ;

Purdon, Susan ;

Smith, Jane ;

Bebbington, Paul ;

Jenkins, Rachel ;

Meltzer, Howard .

ARCHIVES OF GENERAL PSYCHIATRY, 2011, 68 (05) :459-466

[8] Dental care protocol based on visual supports for children with autism spectrum disorders [J].

Cagetti, Maria Grazia ;

Mastroberardino, Stefano ;

Campus, Guglielmo ;

Olivari, Benedetta ;

Faggioli, Raffaella ;

Lenti, Carlo ;

Strohmenger, Laura .

MEDICINA ORAL PATOLOGIA ORAL Y CIRUGIA BUCAL, 2015, 20 (05) :E598-E604

[9] "You think it's hard now ... It gets much harder for our children": Youth with autism and their caregiver's perspectives of health care transition services [J].

Cheak-Zamora, Nancy C. ;

Teti, Michelle .

AUTISM, 2015, 19 (08) :992-1001

[10] National and State Estimates of Adults with Autism Spectrum Disorder [J].

Dietz, Patricia M. ;

Rose, Charles E. ;

McArthur, Dedria ;

Maenner, Matthew .

JOURNAL OF AUTISM AND DEVELOPMENTAL DISORDERS, 2020, 50 (12) :4258-4266

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