Details

Autor(en) / Beteiligte

• de Vinck-Baroody, Oana, DO
• Nicoletti, Thomas J
• Roxas, Ethel A., BS
• Andrews, Tracy, MA
• Nyirenda, Themba, PhD
• Huron, Randye F., MD

Titel

1.16 CHILD AND FAMILY CHARACTERISTICS ASSOCIATED WITH EARLY INTERVENTION SERVICES RECEIVED BY CHILDREN WITH AUTISM SPECTRUM DISORDER

Ist Teil von

• Journal of the American Academy of Child and Adolescent Psychiatry, 2016-10, Vol.55 (10), p.S104-S104

Ort / Verlag

Baltimore: Elsevier Inc

Erscheinungsjahr

2016

Link zum Volltext

Quelle

Applied Social Sciences Index & Abstracts (ASSIA)

Beschreibungen/Notizen

• Objectives: The aims of this study are to investigate the quantity and quality of early intervention (EI) services received by children with ASD, before and after diagnosis, and explore child and family factors associated with services received after diagnosis. Methods: A retrospective chart review was performed examining service utilization of children diagnosed with ASD using DSM-5 criteria at Hackensack University Medical Center from 2013 to 2015. Inclusion criteria are indicated as follows: 1) age <3 years at diagnosis; 2) having a developmental pediatric follow-up with information about services; and 3) New Jersey residence. Variables examined included gender, race, ethnicity, Capute Scales scores, parental education, insurance type, primary language, and county of residence. Univariate statistical analyses were performed for pre- and post diagnosis data, with a Wilcoxon signed-rank test performed to identify whether there was a change in median service utilization hours. Ordinary least squares regression was used to identify variables associated with service utilization. Results: The sample group included 44 children, with a mean age at diagnosis of 25.39 months (SD = 4.95). Children were primarily male (77.3 percent), White (65.8 percent), and non-Hispanic (70.1 percent). Children (70 percent) were receiving EI services before diagnosis. The median time from diagnosis to follow-up was 6.6 months (3.3-15.1 months). Median applied behavioral analysis (ABA) service utilization increased significantly from 0 hours at baseline to 3 hours at follow-up (P < 0.001). However, at follow-up, 41 percent of children were receiving no ABA; children who were non-White were significantly less likely to receive ABA (P = 0.0105). Overall, the change in ABA was 3 hours greater (95% CI 0.99-5.02) for White children compared with non-White children and 3.40 hours greater (95% CI 0.06-6.78) for non-Hispanic children compared with Hispanic children. Children's performance on the Capute Scales did not correlate with EI or ABA services received. Conclusions: The majority of children in this sample group received EI services before diagnosis, with services significantly increasing after diagnosis. However, a subgroup of children did not receive ABA after diagnosis, with the only significant difference being a non-White race. Furthermore, certain populations, such as Hispanic children, were receiving comparatively fewer services.