Developmental and Autism Screening Through 2-1-1 Reaching Underserved Families
Developmental and Autism Screening Through 2-1-1 Reaching Underserved Families
复制标题
DOI：
10.1016/j.amepre.2012.08.011
复制
发表时间：
2012-12-01
影响因子：
5.5
通讯作者：
Shattuck, Paul T.
中科院分区：
文献类型：
--
作者：
Roux, Anne M.;Herrera, Patricia;Shattuck, Paul T.
背景：包括自闭症谱系障碍（ASD）在内的发育障碍的患病率正在增加。早期识别对于早期干预是必要的，这对于减少挑战和终身成本至关重要，特别是对于ASD。由于并非所有儿童都能通过初级保健机构平等地获得发育和自闭症筛查，因此需要非传统方法来覆盖服务不足的人群。目的：在这项概念验证研究中，2-1-1洛杉矶县发育筛查项目（2-1-1 LA项目）通过电话在低收入和种族和民族多样化的儿童人群中提供发育和自闭症筛查。2009年9月1日至2011年10月31日，对2845名儿童的综合数据进行了回顾性分析，这些儿童使用父母发育状态评估（PEDS）工具进行了发育迟缓筛查，并/或使用改良的幼儿自闭症量表（M-CHAT）工具进行了自闭症筛查。大多数接受PEDS筛查的儿童（56%）具有中度至高度的发育迟缓风险，其中28.2%被归类为高风险，这表明需要进一步评估。在接受M-CHAT筛查的1605名儿童中，21.2%的儿童患有ASD的风险升高。后续护理协调提供了2625名儿童，以促进完成转诊诊断评估，幼儿教育，和其他发展或behavioralneeds.Conclusions：该项目的方法增强了获得筛查和转诊摄取的儿童，可能难以获得初级保健的人口。研究结果表明，非传统的发展筛选模型的潜力。(Am J Prev Med 2012;43（6S 5）：S457-S463）（C）2012由Elsevier Inc.出版。美国预防医学杂志（American Journal of Preventive Medicine）
Background: Developmental disorders, including autism spectrum disorders (ASDs), are increasing in prevalence. Early identification is necessary for early intervention, which is critical for reducing challenges and lifetime costs, especially for ASDs. Because not all children have equal access to developmental and autism screening through primary care settings, nontraditional methods are needed to reach underserved populations.Purpose: In this proof-of-concept study, the 2-1-1 Los Angeles County Developmental Screening Project (2-1-1 LA Project) provided developmental and autism screening by telephone in a population of low-income and racially and ethnically diverse children.Methods: Aggregate data were reviewed for 2845 children who were screened for developmental delays using the Parents' Evaluation of Developmental Status (PEDS) instrument and/or autism using the Modified Checklist for Autism in Toddlers (M-CHAT) instrument between September 1, 2009, and October 31, 2011.Results: Data analysis was conducted December 2011 through February 2012. A majority of children (56%) screened with the PEDS had a moderate to high risk of developmental delays, including 28.2% classified as high-risk, which indicates need for further evaluation. Among 1605 children screened with the M-CHAT, 21.2% had an elevated risk of ASDs. Follow-up care coordination was provided for 2625 children to facilitate completion of referrals for diagnostic evaluation, early childhood education, and other developmental or behavioral needs.Conclusions: The project's approach enhanced access to screenings and referral uptake in a population of children that may have difficulty accessing primary care. Findings suggest the potential of nontraditional developmental screening models. (Am J Prev Med 2012;43(6S5):S457-S463) (C) 2012 Published by Elsevier Inc. on behalf of American Journal of Preventive Medicine