A preliminary study of care coordination services within a specialized outpatient setting for youth with autism spectrum disorder

2019 ◽  
Vol 22 (3-4) ◽  
pp. 109-116 ◽  
Author(s):  
Vini Singh ◽  
Melanie Pinkett-Davis ◽  
Luther G. Kalb ◽  
Gazi Azad ◽  
Jason Neely ◽  
...  

Introduction Parents of children with autism spectrum disorder often experience high levels of stress and challenges when organizing medical and behavioral services for their child. Care coordination could alleviate these challenges, however little is known about the effectiveness of this service. This study examined the need, feasibility, and acceptability of a care coordination program. Methods Families of 176 children with autism, seen at a multidisciplinary autism clinic in the United States, participated in a prospective observational study. Families received a three-month structured care coordination program and completed pre- and post-program questionnaires that probed parents’ beliefs about the need and acceptability of the program through structured and open-ended questions. Results Most (≥90%) parents reported both a need for care coordination and satisfaction with the program. Qualitative themes identified valuable aspects and ways to improve the program. Discussion Parents raising a child with autism spectrum disorder experience an unmet need for care coordination. When provided, parents’ demonstrated high uptake of service and high levels of satisfaction with the program.

2020 ◽  
Author(s):  
Joseph Guan ◽  
Ashley Blanchard ◽  
Carolyn DiGuiseppi ◽  
Stanford Chihuri ◽  
Guohua Li

Abstract Background The reported prevalence of autism spectrum disorder (ASD) has increased markedly in the past two decades and children with autism are at increased risk of unintentional injury and self-inflicted injury. The risk of assaultive injury in children with autism, however, has not been well described. Our objective was to examine the characteristics of homicide incidents involving children with ASD as victims reported in US news media. Methods The Lexis Uni® database was searched to identify news media reports on homicide incidents involving autistic victims under 21 years of age in the United States from January 2000 through December 2019. Information related to the victim, perpetrator, and means of homicide in each incident was ascertained from news media reports and analyzed using descriptive statistics. Findings: During the 20-year period, US news media reported on 52 incidents (47 males and 5 females) in which a child with ASD died from homicide. Age of victims at death ranged from 2 to 20 years (mean = 10.4 ± 5.3 years). Parents, other caregivers, and siblings accounted respectively for 63.5%, 13.5%, and 7.7% of the perpetrators. The most commonly cited contributing factor (47.1%) was overwhelming stress from caring for the autistic child. Almost a quarter (23.1%) of the victims died from gunshot wounds, followed by drowning (19.2%), and suffocation, strangulation, or asphyxiation (19.2%). Conclusions Of cases reported in news media, homicide victims in children with ASD are predominantly male. Nearly 85% of the perpetrators were family members or other caregivers. Intervention programs for children with ASD should include social and mental health support for parents and other caregivers to prevent burnouts.


Autism ◽  
2019 ◽  
Vol 24 (2) ◽  
pp. 321-337
Author(s):  
Michelle Flippin ◽  
Debbie L Hahs-Vaughn

This study examined parent couples’ participation in and satisfaction with speech-language therapy for school-age children with autism spectrum disorder in the United States. Responses from 40 father–mother couples ( n = 80 parents) were examined across therapy components (i.e. parent–therapist communication, assessment, planning, and intervention). Descriptive frequencies, chi-square tests, intraclass correlations, and dyadic multilevel modeling were used to examine participation across fathers and mothers and within parent couples. Compared to mothers, fathers communicated less with therapists and participated less in assessment and planning. Fathers also had lower satisfaction than mothers with parent–therapist communication and planning. Although few parents participated in school-based therapy sessions, 40% of fathers and 50% of mothers participated in homework. However, few parents received homework support from therapists. Results are discussed in terms of clinical implications for interventionists to more effectively engage both fathers and mothers in family-centered speech-language therapy for school-aged children with autism spectrum disorder.


2019 ◽  
Vol 12 (8) ◽  
pp. 1162-1170 ◽  
Author(s):  
Shixi Zhao ◽  
Wei‐Ju Chen ◽  
Shweta U. Dhar ◽  
Tanya N. Eble ◽  
Oi‐Man Kwok ◽  
...  

2019 ◽  
Vol 49 (12) ◽  
pp. 4821-4833 ◽  
Author(s):  
Shixi Zhao ◽  
Wei-Ju Chen ◽  
Shweta U. Dhar ◽  
Tanya N. Eble ◽  
Oi-Man Kwok ◽  
...  

2021 ◽  
Vol 75 (Supplement_2) ◽  
pp. 7512505162p1-7512505162p1
Author(s):  
Chiao-Ju Fang ◽  
Deborah Yun ◽  
Melissa M. Wong ◽  
Thanh Nguyen ◽  
Susan Pfeffer

Abstract Date Presented Accepted for AOTA INSPIRE 2021 but unable to be presented due to online event limitations. The aim of this study was to explore cross-cultural differences in the participation levels of children with autism spectrum disorder (ASD) in different settings (home, school, and the community). The findings indicated that children with ASD in the United States tend to have more resources and support than those in Taiwan. This study will enable OTs and researchers to better understand the differences between Western and Eastern countries. Primary Author and Speaker: Chiao-Ju Fang Additional Authors and Speakers: Deborah Yun, Melissa M. Wong Contributing Authors: Thanh Nguyen, Susan Pfeffer


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