Telehealth-Based Systems for Diagnosis, Management, and Treatment of Autism Spectrum Disorders

2013 ◽  
pp. 1044-1065 ◽  
Author(s):  
Fiorentina Angjellari-Dajci ◽  
William F. Lawless ◽  
Nitin Agarwal ◽  
Ron Oberleitner ◽  
Barbara Coleman ◽  
...  
Keyword(s):  
South Carolina ◽  
Autism Spectrum Disorders ◽  
Service Delivery ◽  
Behavioral Interventions ◽  
Autism Spectrum ◽  
Market Demand ◽  
The Us ◽  
Spectrum Disorders ◽  
Full Utilization

The prevailing system for diagnosis, treatment, and management of Autism Spectrum Disorders (ASDs) in the US—the in-person service delivery—has been unable to address the increase in the demand for services and societal costs for those served, and the unattained societal benefits for those not diagnosed early enough or not offered early and intensive behavioral interventions. The authors discuss new developments in telehealth for diagnostic evaluation and ASD treatment in the US. They build a theoretical model to capture telehealth system’s potential in reaching ASD screening market equilibrium under the constraint of full utilization of provider hours and other stylized facts. The authors estimate the market demand for ASD screening in the US for year 2011. They present their progress with a case study that focuses on the potential impacts of increased access to care of technology-based telehealth on the Georgia-South Carolina border. The authors use social network analysis to envision the future of telehealth service delivery for ASDs.

scholarly journals What do Cochrane systematic reviews say about interventions for autism spectrum disorders?

2017 ◽  
Vol 135 (2) ◽  
pp. 192-201 ◽  
Author(s):  
Larissa Lyra ◽  
Luiz Eduardo Rizzo ◽  
Camila Sá Sunahara ◽  
Daniela Vianna Pachito ◽  
Carolina de Oliveira Cruz Latorraca ◽  
...  
Keyword(s):  
Autism Spectrum Disorders ◽  
Music Therapy ◽  
Systematic Reviews ◽  
Behavioral Interventions ◽  
Tricyclic Antidepressants ◽  
Cognitive Model ◽  
Autism Spectrum ◽  
Early Interventions ◽  
Skill Groups ◽  
Spectrum Disorders

ABSTRACT CONTEXT AND OBJECTIVE: Autism spectrum disorders (ASDs) include autistic disorder, Asperger’s disorder and pervasive developmental disorder. The manifestations of ASDs can have an important impact on learning and social functioning that may persist during adulthood. The aim here was to summarize the evidence from Cochrane systematic reviews on interventions for ASDs. DESIGN AND SETTING: Review of systematic reviews, conducted within the Discipline of Evidence-Based Medicine, Escola Paulista de Medicina, Universidade Federal de São Paulo. METHODS: We included and summarized the results from Cochrane systematic reviews on interventions for ASDs. RESULTS: Seventeen reviews were included. These found weak evidence of benefits from acupuncture, gluten and casein-free diets, early intensive behavioral interventions, music therapy, parent-mediated early interventions, social skill groups, Theory of Mind cognitive model, aripiprazole, risperidone, tricyclic antidepressants and selective serotonin reuptake inhibitors (SSRI); this last only for adults. No benefits were found for sound therapies, chelating agents, hyperbaric oxygen therapy, omega-3, secretin, vitamin B6/magnesium and SSRI for children. CONCLUSION: Acupuncture, gluten and casein-free diets, early intensive behavioral interventions, music therapy, parent-mediated early interventions, social skill groups and the Theory of Mind cognitive model seem to have benefits for patients with autism spectrum disorders (very low to low-quality evidence). Aripiprazole, risperidone, tricyclic antidepressants and SSRI (this last only for adults) also showed some benefits, although associated with higher risk of adverse events. Experimental studies to confirm a link between probable therapies and the disease, and then high-quality long-term clinical trials, are needed.

Prevalence of Autism Spectrum Disorders Among Children With Intellectual Disability

2016 ◽  
Vol 121 (6) ◽  
pp. 487-500 ◽  
Author(s):  
Bridgette L. Tonnsen ◽  
Andrea D. Boan ◽  
Catherine C. Bradley ◽  
Jane Charles ◽  
Amy Cohen ◽  
...  
Keyword(s):  
South Carolina ◽  
Autism Spectrum Disorders ◽  
Intellectual Disability ◽  
Autism Spectrum ◽  
Children And Families ◽  
Treatment Practices ◽  
Children With Asd ◽  
Carolina Population ◽  
Dsm Iv ◽  
Spectrum Disorders

Abstract Autism spectrum disorders (ASD) often co-occur with intellectual disability (ID) and are associated with poorer psychosocial and family-related outcomes than ID alone. The present study examined the prevalence, stability, and characteristics of ASD estimates in 2,208 children with ASD and ID identified through the South Carolina Autism and Developmental Disabilities Network. The prevalence of ASD in ID was 18.04%, relative to ASD rates of 0.60%–1.11% reported in the general South Carolina population. Compared to children with ASD alone, those with comorbid ID exhibited increased symptom severity and distinct DSM-IV-TR profiles. Further work is needed to determine whether current screening, diagnostic, and treatment practices adequately address the unique needs of children and families affected by comorbid ASD and ID diagnoses.

To Develop the Sense of Activity Through Play in Children With Autism Spectrum Disorders

2020 ◽  
pp. 174-195
Author(s):  
Víctor del Toro Alonso ◽  
Mónica Jiménez-Astudillo ◽  
Pilar Gutiez-Cuevas
Keyword(s):  
Autism Spectrum Disorders ◽  
Children With Autism ◽  
Autism Spectrum ◽  
Special Educational Needs ◽  
Depth Interview ◽  
The Social ◽  
Ideal Tool ◽  
Spectrum Disorders ◽  
Social Communicative

Play is an ideal tool for enhancing the development of children with autism spectrum disorders (ASD). It is important to know their possibilities and to develop play activities that permit the special educational needs of these children to be addressed in an adequate way. Therefore, a case study is presented with two children and a two-year follow-up period during which the authors observe which aspects the development has evolved and if it is possible to increase the sense of the activity in these children using play as an educational response. The results are accompanied by an in-depth interview with the teachers of the students over the two-year period. An improvement in areas of development is evidenced in the social, communicative, symbolic, and anticipation and flexibilization dimensions during the two years immersed in a play methodology, supported by the structuring of routines and task spaces. Also, an evolution of the sense of the activity and the development of functional play is observed.

Economic Evaluations for Service Delivery in Autism Spectrum Disorders

2013 ◽  
pp. 16-42
Author(s):  
Fjorentina Angjellari-Dajci ◽  
William F. Lawless ◽  
Max E. Stachura ◽  
Elena A. Wood ◽  
Caroline DiBattisto
Keyword(s):  
Autism Spectrum Disorders ◽  
Service Delivery ◽  
Cost Analysis ◽  
Autism Spectrum ◽  
Economic Benefits ◽  
Economic Evaluations ◽  
Economic Costs ◽  
Net Benefit ◽  
Spectrum Disorders ◽  
The Difference

Comparative full economic evaluations are needed to evaluate whether telehealth-based systems can bring societal cost savings and economic benefits that exceed economic costs. However, economic evaluations of telehealth-based interventions across different health care fields have focused primarily on cost analysis, rather than on full economic analysis, which captures both the economic costs and economic benefits of two or more competing interventions. The authors provide a framework for Benefit-Cost Analysis that would render this method more applied. In particular, they are interested in the comparative economic evaluation of two categories of Autism Spectrum Disorders intervention programs: telehealth-based and in-person. Their framework can be used to economically evaluate whether telehealth service delivery offers greater societal net benefits—the difference between societal economic benefits and societal economic costs—than in-person delivery, and the threshold volume of telehealth encounters required for the telehealth delivery to reach a zero societal net benefit.

One-year outcomes of low-intensity behavioral interventions among Japanese preschoolers with autism spectrum disorders: Community-based study

2020 ◽  
Vol 76 ◽  
pp. 101556
Author(s):  
Hideyuki Haraguchi ◽  
Honami Yamaguchi ◽  
Atsuko Miyake ◽  
Yoshiyuki Tachibana ◽  
Andrew Stickley ◽  
...  
Keyword(s):  
Autism Spectrum Disorders ◽  
Behavioral Interventions ◽  
Autism Spectrum ◽  
Community Based ◽  
Low Intensity ◽  
Spectrum Disorders ◽  
One Year
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