Treatment Utilization Trajectories among Children with Autism Spectrum Disorder: Differences by Race-Ethnicity and Neighborhood

Yingling, Marissa E.; Bell, Bethany A.; Hock, Robert

doi:10.1007/s10803-019-03896-3

Cited by 26 publications

(22 citation statements)

References 44 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Some studies in the United States focusing on children with ASD have found lower rates of use for some, but not all, services for those living in nonmetropolitan areas, including behaviour therapy and SLP (Monz et al., 2019) and summer camps and respite care (Thomas et al., 2007). In contrast, another study from the United States, investigating use of early intensive behavioural interventions, did not find differences by urbanicity (Yingling et al., 2019).…”

Section: Introductionmentioning

confidence: 93%

Cross‐sector service use patterns among children with developmental disabilities in a district in Canada

McLennan

Bahadur

Cobigo

et al. 2020

Research Intellect Disabil

View full text Add to dashboard Cite

Background There is a lack of information about cross‐sector service use by children with developmental disabilities despite their need for services from multiple sectors. Methods Responses to service use questions from a parent‐completed survey on school‐aged children who attended clinics specific for those with developmental disabilities at a Canadian children's hospital were examined. Results School meetings were the most common of three professional meeting types attended in the last 12 months (64.9%) for the sample of 205 children. Recreational services were the most common of five service types received in the same time period (79.0%). Using ordinal logistic regression models, a higher number of behavioural difficulties was the only variable consistently related to indices of more meeting types (school, physician, other) attended and more service types received (recreation, respite, etc.). Conclusions The service relationship with behavioural problems, and not socio‐demographic variables, is consistent with a needs‐based oriented delivery system.

show abstract

Section: Introductionmentioning

confidence: 93%

Cross‐sector service use patterns among children with developmental disabilities in a district in Canada

McLennan

Bahadur

Cobigo

et al. 2020

Research Intellect Disabil

View full text Add to dashboard Cite

show abstract

“…During the first 3 years of the ELI, the 22 children from low-income households reliably attended therapy sessions with a mean utilization of 85% (range: 72%–94%); all but one child exceeded 80% utilization during their first year of services (see Figure 1). Although additional data are needed to further examine effectiveness of the model, preliminary implementation data suggest low-income families enroll children in the ELI and those children have high attendance when compared with prior studies examining utilization among low-income families (Caron et al, 2017; Yingling et al, 2019).…”

Section: Service Utilizationmentioning

confidence: 98%

“…We calculated utilization using the same procedures described by Yingling et al (2019). Annual treatment hours were divided by annual authorized hours and multiplied by 100 to obtain a percentage.…”

Section: Service Utilizationmentioning

confidence: 99%

“…Recent insurance legislation across the United States has increased accessibility of EIBI for children with ASD by requiring Medicaid and commercial insurers to pay for EIBI services (Kelly, 2015). However, there are inequities in treatment utilization among children on Medicaid; for example, Yingling et al (2019) investigated utilization rates among a sample of Medicaid children with ASD in South Carolina. They found participants in their sample utilized only 37% (range: 30%–44%) of allocated EIBI services in their first year of treatment.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Implementing early intensive behavioral intervention in community settings

Plavnick

Bak

Avendano

et al. 2020

Autism

View full text Add to dashboard Cite

Although research shows early intensive behavioral intervention is efficacious when delivered in university or private intervention centers, little is known about effectiveness or feasibility of disseminating early intensive behavioral intervention to larger communities. The Michigan State University Early Learning Institute was developed to address gaps in distribution of early intensive behavioral intervention to community settings, with an emphasis of serving children and families on Medicaid. This short report describes the Early Learning Institute’s approach and preliminary utilization data among Medicaid families. Results suggest the model has potential for dissemination within community settings and promote utilization among Medicaid children. Lay abstract Although research shows early intensive behavioral intervention can be very beneficial for children with autism spectrum disorder when delivered in university or private intervention centers, little is known about the best way to provide early intensive behavioral intervention within the broader community. The Michigan State University Early Learning Institute was developed to address challenges with providing early intensive behavioral intervention in community settings, with an emphasis on serving children and families on Medicaid. This short report describes the approach taken by the Early Learning Institute and reports data regarding enrollment and utilization among Medicaid families. Results suggest the model has potential to be used within community settings and that children on Medicaid are likely to consistently attend their treatment sessions.

show abstract

“…Yet there is evidence that children with ASD experience racial-ethnic and neighborhood inequities in enrollment and utilization of Medicaid-funded behavioral therapy. Children of color and children who live in neighborhoods with higher poverty levels are less likely to enroll (Magaña et al, 2013; Shattuck et al, 2009), and Black children and children who live in less affluent neighborhoods use less treatment (Yingling, Bell, & Hock, 2017).…”

Section: Introductionmentioning

confidence: 99%

Racial-ethnic and neighborhood inequities in age of treatment receipt among a national sample of children with autism spectrum disorder

Yingling

Bell

2018

Autism

Self Cite

View full text Add to dashboard Cite

The aim of this study is to examine the impact of child race-ethnicity and neighborhood characteristics on age of treatment receipt among children with autism spectrum disorder. Here, we included 1309 children diagnosed with autism spectrum disorder in the National Survey of Children's Health, 2011-2012. Controlling for key covariates, we used a weighted generalized logit model to analyze differences in age of treatment receipt (<2 years, 2 years, 3 years, and ⩾4 years). Compared to non-Hispanic White children, the relative probability (odds) of entering treatment at 3 years and ⩾4 years rather than <2 years was 326% and 367% higher, respectively, for non-Hispanic Black children. Compared to children whose parents perceived their neighborhood to be cohesive, the relative probability of entering treatment at 2 years and 3 years rather than <2 years was 59% and 61% lower, respectively, for children whose parents did not. Significant racial-ethnic and neighborhood inequities exist in age of treatment receipt, suggesting a need for research that explores the underlying causal mechanisms of inequities.

show abstract

Treatment Utilization Trajectories among Children with Autism Spectrum Disorder: Differences by Race-Ethnicity and Neighborhood

Cited by 26 publications

References 44 publications

Cross‐sector service use patterns among children with developmental disabilities in a district in Canada

Cross‐sector service use patterns among children with developmental disabilities in a district in Canada

Implementing early intensive behavioral intervention in community settings

Racial-ethnic and neighborhood inequities in age of treatment receipt among a national sample of children with autism spectrum disorder

Contact Info

Product

Resources

About