Improving Access to Diagnostic Assessments for Autism Spectrum Disorder Using an Arena Model

ABSTRACT: Objective: To improve access to diagnostic evaluations for children younger than 3 years with concerns for possible autism spectrum disorder. Methods: A multidisciplinary “arena model” for children younger than 3 years was developed, tested, and implemented over an approximately 2-year period. Arena assessment teams comprised a developmental behavioral pediatrician (DBP), psychologist, and speech language pathologist (SLP). Quality improvement methods were used during the design phase, conducting Plan-Do-Study-Act (PDSA) cycles and collecting feedback from key stakeholders, and during implementation, plotting data on run charts to measure outcomes of the time to initial visit and time to diagnosis. Results: Over the 9-month implementation period, 6 arena assessment teams were formed to provide 60 evaluation slots per month for children younger than 3 years. The time to first visit was reduced from a median of 122 days to 19 days, and the time to final diagnosis was reduced from 139 days to 14 days, maintaining these outcomes at
Source: Journal of Developmental and Behavioral Pediatrics - Category: Child Development Tags: Quality Matters Source Type: research

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Conclusion This study provides preliminary evidence that expressively verbal children with low-symptom severity ASD can successfully learn novel grammatical forms with intervention that comprises both explicit and implicit instruction. PMID: 30995120 [PubMed - as supplied by publisher]
Source: American Journal of Speech-Language Pathology - Category: Speech-Language Pathology Authors: Tags: Am J Speech Lang Pathol Source Type: research
Conclusions Implications include the need for clinicians to (a) familiarize themselves with the varying views of autism held within the autistic community, (b) reflect on the language used to talk about autism and listen to how clients and/or their caregivers talk about it, and (c) consider the exploration of potential positive dimensions of autistic traits. PMID: 30995116 [PubMed - as supplied by publisher]
Source: American Journal of Speech-Language Pathology - Category: Speech-Language Pathology Authors: Tags: Am J Speech Lang Pathol Source Type: research
Conclusions Animation enhances the identification of verbs in children with autism spectrum disorder. Clinicians are encouraged to take advantage of animation when introducing graphic symbols representing verbs. Limitations and implications for future research are discussed. PMID: 30986148 [PubMed - in process]
Source: Journal of speech, language, and hearing research : JSLHR - Category: Speech-Language Pathology Authors: Tags: J Speech Lang Hear Res Source Type: research
As a speech-language pathologist in the field of augmentative and alternative communication (AAC) since 2001, I’ve experienced working with different disciplines and in many different contexts. Many times, when I visit schools as an AAC consultant, school-based SLPs and other school staff report carryover in AAC from school to home as their biggest challenge in helping a student become a more independent communicator. Why is facilitating carryover such a challenge? I found one important factor to be parent or caregiver training. Often, SLPs and educators include parents in deciding what AAC system to use, but not in ...
Source: American Speech-Language-Hearing Association (ASHA) Press Releases - Category: Speech-Language Pathology Authors: Tags: Private Practice Schools Slider Speech-Language Pathology AAC Augmentative Alternative Communication autism Autism Spectrum Disorder Early Intervention Language Disorders Speech Disorders Source Type: blogs
This article provides insights into the roles of the multidisciplinary multisite team and lessons learned from the collaboration, in terms of research as well as training of future researchers and clinicians. In addition, the authors detail the major findings to date, including those related to the identification and measurement of early symptoms of ASD, relationship between seizures and early development, and early biomarkers for epilepsy and developmental delay in infants and young children with TSC. (PsycINFO Database Record (c) 2019 APA, all rights reserved). PMID: 30945897 [PubMed - in process]
Source: The American Psychologist - Category: Psychiatry & Psychology Authors: Tags: Am Psychol Source Type: research
The Cognitive Neuroscience of Communication-CT program is funded by a T32 Institutional Research Service Award from the NIH (Inge-Marie Eigsti&Emily Myers, Program Directors). The goal of this program is to provide targeted training in the cognitive neuroscience of communication disorders to predoctoral and postdoctoral scholars.  We invite applications for two-year postdoctoral fellowships, to begin in the Fall of 2019.Postdoctoral trainees will work under the supervision of one or more mentors on the CNC-CT team. These mentors are: Richard Aslin (Haskins Labs and University of Connecticut), Inge-Marie Eigsti, De...
Source: Talking Brains - Category: Neuroscience Authors: Source Type: blogs
Several major news outlets covered Amy Schumer’s revelation about and positive outlook on her husband’s recent diagnosis of autism spectrum disorder. Her husband is James Beard-award-winning chef Chris Fischer, and the couple wed last year. She talks about his diagnosis in her Netflix special, “Growing,” and several autism organizations have expressed appreciation for how she views her husband’s diagnosis in such a positive light. Schumer also shared in interviews how the tools the couple have received since the diagnosis make their lives and marriage more manageable. The comedian and actress...
Source: American Speech-Language-Hearing Association (ASHA) Press Releases - Category: Speech-Language Pathology Authors: Tags: News Slider Speech-Language Pathology autism Autism Spectrum Disorder Source Type: blogs
Recently, after what was to be a “routine” speech-language evaluation for a 3-year-old, I had no choice but to bring the word “autism” into the conversation with the parents. The toddler’s pediatrician had never raised concerns, even though the child said just a few words, avoided eye contact, demonstrated clear echolalia, and repeatedly throughout the day hit his head and threw his body against walls, along with other stimming behaviors. Concerned about their child’s obvious delays compared to his peers, the parents sought a speech-language evaluation on their own. So while these pa...
Source: American Speech-Language-Hearing Association (ASHA) Press Releases - Category: Speech-Language Pathology Authors: Tags: Audiology Health Care Private Practice Slider Speech-Language Pathology Source Type: blogs
Editor’s note: This is part two of a two-part series. Look for part one, “Finding the Right Market for Your Private Practice.” Private practice is a consistently growing area for communication sciences and disorders (CSD) professionals. Whether making the transition from employee to employer, or trying to expand an established business, private practitioners want to grow their client base. If you’re looking for places to reach potential clients, try some of these approaches to marketing, collaboration and outreach. Get on social media Use social media—such as Facebook, LinkedIn and Twitter&mda...
Source: American Speech-Language-Hearing Association (ASHA) Press Releases - Category: Speech-Language Pathology Authors: Tags: Audiology Private Practice Slider Speech-Language Pathology business management Source Type: blogs
BRONX, NY—(February 28, 2019)—Children with intellectual and developmental disabilities (IDD) have long benefited from the training pediatricians receive to treat autism, epilepsy, cerebral palsy, or other disorders. Their doctors often connect these young patients with many professionals—from physical, occupational, and speech therapists to psychologists, social workers, and special-care dentists. But as children grow up, they soon discover there are far fewer physicians aware of their unique needs.
Source: Einstein News - Category: Universities & Medical Training Source Type: news
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