Multi-stage Screening in Early Intervention: A Critical Strategy for Improving ASD Identification and Addressing Disparities.

Journal of Autism and Developmental Disorders
Abbey EisenhowerAlice S Carter

Abstract

Health disparities in ASD detection affect children's access to subsequent interventions. We examined potential disparities in implementation of a multi-stage ASD screening and diagnostic evaluation protocol in Part C Early Intervention with 4943 children ages 14-36 months (mean 22.0 months; 62.9% boys, 73.3% children of color, 34.9% non-English-primary language, 64.5% publicly-insured). Participation and follow-through were high (64.9% and 65.3% at first- and second-stage screening, respectively, 84.6% at diagnostic evaluation). Logistic regressions identified predictors of screening participation and outcomes at each stage; demographic differences (race, language, public insurance) were observed only at first-stage screening and reflected higher participation for children of color and higher positive screens for publicly-insured children. Results suggest the multi-stage screening protocol shows promise in addressing disparities in early diagnosis.

References

Mar 23, 2001·Journal of Autism and Developmental Disorders·W L StoneO Y Ousley
Feb 1, 2005·Journal of Autism and Developmental Disorders·Wendy L StoneStacie L Pozdol
Aug 17, 2006·Child Neuropsychology : a Journal on Normal and Abnormal Development in Childhood and Adolescence·Natacha Akshoomoff
Mar 21, 2007·Journal of Autism and Developmental Disorders·Kathleen C ThomasJoseph P Morrissey
Oct 27, 2010·Journal of Epidemiology and Community Health·Christine FountainPeter S Bearman
Feb 5, 2011·Journal of Developmental and Behavioral Pediatrics : JDBP·Vanessa G JarquinKim Van Naarden-Braun
Mar 18, 2011·Developmental Neurorehabilitation·Alison M KozlowskiDaniene Neal
Aug 4, 2011·Autism : the International Journal of Research and Practice·Pauline ThomasMichael Brimacombe
Jan 25, 2012·Journal of Autism and Developmental Disorders·Saime Tek, Rebecca J Landa
Feb 22, 2012·Pediatrics·Anita PedersenChristopher Cunniff
Dec 19, 2012·Pediatrics·James P GuevaraSusmita Pati
Mar 19, 2013·Administration and Policy in Mental Health·Leandra GodoyAlice S Carter
Jun 22, 2013·Autism : the International Journal of Research and Practice·Amy M Daniels, David S Mandell
Jul 9, 2013·Academic Pediatrics·Elizabeth HarstadWilliam Barbaresi
Aug 21, 2013·Pediatrics·Katharine E ZuckermanChristina Bethell
Jan 30, 2014·Journal of the American Academy of Child and Adolescent Psychiatry·Amy M DanielsGeraldine Dawson
Apr 5, 2014·Journal of Autism and Developmental Disorders·Elizabeth R CraisMarian Earls
Apr 30, 2015·Journal of Child Psychology and Psychiatry, and Allied Disciplines·Sally OzonoffAna-Maria Iosif
Jun 23, 2015·Journal of Child Psychology and Psychiatry, and Allied Disciplines·R Christopher SheldrickAlice S Carter
Nov 28, 2015·Autism Research : Official Journal of the International Society for Autism Research·Lonnie ZwaigenbaumTracy Vaillancourt
Dec 10, 2015·Journal of Developmental and Behavioral Pediatrics : JDBP·Sonia A MonteiroRobert G Voigt
Feb 18, 2016·JAMA : the Journal of the American Medical Association·Michael Silverstein, Jenny Radesky
Feb 18, 2016·JAMA : the Journal of the American Medical Association·Albert L SiuMichael P Pignone
May 26, 2016·Autism Research : Official Journal of the International Society for Autism Research·Robert M JosephKarl C K Kuban
Jul 3, 2016·American Journal of Preventive Medicine·David A Chambers, Wynne E Norton
Aug 5, 2016·Journal of Developmental and Behavioral Pediatrics : JDBP·Deborah Fein, UNKNOWN Baby Sibs Research Consortium
Dec 19, 2016·Academic Pediatrics·R Christopher SheldrickRobert M Jacobson
Feb 10, 2017·Journal of Autism and Developmental Disorders·Ivy Giserman KissAlice S Carter
Feb 12, 2017·Disability and Health Journal·Erica TwardzikMegan MacDonald
Mar 25, 2017·Journal of the American Academy of Child and Adolescent Psychiatry·R Christopher SheldrickAlice S Carter
Aug 15, 2017·Medical Care·Matthew ChinmanLeslie R M Hausmann
Oct 11, 2017·Journal of Autism and Developmental Disorders·Helaine G St AmantDouglas L Vanderbilt
Mar 24, 2018·Journal of Developmental and Behavioral Pediatrics : JDBP·Louisa A SalisburyEllen C Perrin
Apr 28, 2018·MMWR. Surveillance Summaries : Morbidity and Mortality Weekly Report. Surveillance Summaries·Jon BaioNicole F Dowling
Nov 28, 2018·Pediatrics·Michael D KoganMichael C Lu
Jan 9, 2019·Journal of Autism and Developmental Disorders·Ana B Sánchez-GarcíaDiana L Robins

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Citations

Nov 12, 2020·Autism Research : Official Journal of the International Society for Autism Research·Julie FreschlErik Blaser
Jan 24, 2021·Journal of Autism and Developmental Disorders·Roald A ØienDiana L Robins
Mar 23, 2021·Journal of Autism and Developmental Disorders·Marisa PetruccelliThomas I Mackie

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