Issues in Identification and Assessment of Children with Autism and a Proposed Resource Toolkit for Speech-Language Pathologists

Hus, Yvette

doi:10.1159/000477398

Cited by 7 publications

(2 citation statements)

References 86 publications

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“…Referrals to a speech and language pathologist (SLP), physical/occupational therapist, or neurologist were coded as “other” referrals because they are not specific for a concern for autism. Not all SLPs are trained to diagnose ASD; thus, a referral to speech pathology may further delay a patient’s developmental evaluation and subsequent ASD diagnosis (Hus, 2017). According to Doehring and Volkmar (2016), “[policy] requirements for the use of observations, the types of evaluators, the choice of assessment tools, and the need for family input varied widely from state to state.”…”

Section: Methodsmentioning

confidence: 99%

Impact of a digital Modified Checklist for Autism in Toddlers–Revised on likelihood and age of autism diagnosis and referral for developmental evaluation

Major

Campbell

Espinosa

et al. 2020

Autism

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The present study is a single-site quality improvement project within pediatric primary care involving the implementation of a digital version of the Modified Checklist for Autism in Toddlers–Revised. We evaluated the impact of the digital screener on the likelihood of physician referral for a developmental evaluation or autism diagnosis, and the age of the patients at the time of the event. Patients were children 16–30 months old seen for 18 and 24 months’ well-child visits (1279 encounters), who screened positive for risk for autism spectrum disorder on the Modified Checklist for Autism in Toddlers–Revised without a previously documented autism spectrum disorder diagnosis. Comparisons were made between a cohort of children screened with the paper and pencil version of the Modified Checklist for Autism in Toddlers–Revised before the digital version was implemented and a cohort of children screened during the intervention period. Patients were followed until 48 months and referrals were obtained from electronic health records. Patients screened with the digital Modified Checklist for Autism in Toddlers–Revised were five times more likely to be referred for a developmental evaluation. The automatic scoring, risk assessment, and referral decision support features helped to improve screening outcomes. In this clinic, process change to a digital screening method with automatic guidance for next steps improved adherence to evidence-based clinical care. Lay abstract This was a project in primary care for young children (1–2 years old). We tested a parent questionnaire on a tablet. This tablet questionnaire asked questions to see whether the child may have autism. We compared the paper and pencil version of the questionnaire to the tablet questionnaire. We read the medical charts for the children until they were 4 years old to see whether they ended up having autism. We found that doctors were more likely to recommend an autism evaluation when a parent used the tablet questionnaire. We think that the tablet’s automatic scoring feature helped the doctors. We also think that the doctors benefited from the advice the tablet gave them.

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Section: Methodsmentioning

confidence: 99%

Impact of a digital Modified Checklist for Autism in Toddlers–Revised on likelihood and age of autism diagnosis and referral for developmental evaluation

Major

Campbell

Espinosa

et al. 2020

Autism

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“…Systematic early screening, however, was not recommended by US health authorities as the costs tended to exceed the benefits, unless children are signaled by their primary caretakers and/or diagnosed with a developmental delay (p.32). 20…”

Section: The Rise Of Autism Prevalence and Parallel Costmentioning

confidence: 99%

Frozen in Time, a Focused Review of Autism Prevalence in Canadian Indigenous Communities

Hus

2023

NDT

Self Cite

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The unprecedented global continuous rise in autism prevalence is often referred to as a Pandemic while its parallel cost increase to society portrays a Tsunami. Autism data originates mostly from industrialized High-Income geopolitical regions in Europe, North America, and Asian regions. Although efforts to determine autism data from regions in Low and Mid-economies are ongoing, prevalence information from geographically remote and economically vulnerable communities within the privileged regions is largely undetermined, as is the case of the Canadian Indigenous communities, the First Nations, Inuit, and Métis highlighted in this focused review. The underlying theoretical approach adopted here is Transcultural Psychiatry with its emphasis on Context including sociopolitical circumstances, considered the gateway to understanding health, illness, and recovery in groups and individuals. Accordingly, the review includes a concise relevant government system description and history of the relations with Indigenous peoples to provide context to present indigenous relations to Canadian government agencies. Scores in these communities face a myriad of survival challenges encompassing meagre health resources and services. Establishing autism prevalence data in these communities are exceedingly difficult due to multiple factors. While prominent among them are their strong ties to traditional approaches to health, illness, and autism conceptualization, the crucial obstacle is Crown and Provincial government authorities' and agencies' historically rooted colonial response to the needs of families with autistic members. It embodies a posture of infantilization, an attitude that is "frozen in time" in the approach, practice, accommodations, and services for these families. The review provides the preferred autism terminology, information sources, article flow, and Future Directions, all found in the Introduction's first paragraphs.

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Facial Expression Image Analysis to Classify High and Low Level ASD Kids Using Attention Mechanism Embedded Deep Learning Technique

Gnanaprakasam

Anand

Kumar

et al. 2021

Lecture Notes in Electrical Engineering

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Issues in Identification and Assessment of Children with Autism and a Proposed Resource Toolkit for Speech-Language Pathologists

Cited by 7 publications

References 86 publications

Impact of a digital Modified Checklist for Autism in Toddlers–Revised on likelihood and age of autism diagnosis and referral for developmental evaluation

Impact of a digital Modified Checklist for Autism in Toddlers–Revised on likelihood and age of autism diagnosis and referral for developmental evaluation

Frozen in Time, a Focused Review of Autism Prevalence in Canadian Indigenous Communities

Facial Expression Image Analysis to Classify High and Low Level ASD Kids Using Attention Mechanism Embedded Deep Learning Technique

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