Risk factors underlying depressive symptoms among parents/primary care providers of kids with autism spectrum disorder: A study from Muscat, Oman

2019 ◽  
Vol 55 (4) ◽  
pp. 600-606 ◽  
Author(s):  
Muna Alshekaili ◽  
Naser Al‐Balushi ◽  
Mohammed Al‐Alawi ◽  
Hassan Mirza ◽  
Salim Al‐Huseini ◽  
...  
Keyword(s):  
Risk Factors ◽  
Primary Care ◽  
Autism Spectrum Disorder ◽  
Depressive Symptoms ◽  
Primary Care Providers ◽  
Autism Spectrum ◽  
Spectrum Disorder ◽  
Care Providers

To reduce the average age of autism diagnosis, screen preschoolers in primary care

Autism ◽  
2020 ◽  
pp. 136236132096897
Author(s):  
Katharine E Zuckerman ◽  
Sarabeth Broder-Fingert ◽  
R Christopher Sheldrick
Keyword(s):  
Primary Care ◽  
Autism Spectrum Disorder ◽  
Low Income ◽  
Primary Care Providers ◽  
Autism Spectrum ◽  
Additional Treatment ◽  
Spectrum Disorder ◽  
Screening Tools ◽  
Care Providers ◽  
Minority Children

The American Academy of Pediatrics recommends autism spectrum disorder screening at the 18- and 24-month well-child visits. However, despite widespread toddler screening, many children are not diagnosed until school age, and delayed diagnosis is more common among low-income and minority children. Offering autism spectrum disorder screening at preschool well-child checks might reduce disparities and lower the overall age of diagnosis and service initiation. However, screening tools that span the preschool ages and are tailored for primary care are needed. Lay abstract Pediatric primary care providers check for autism signs, usually using a standard checklist, at 18- and 24-month well-child visits. When the checklist shows possible autism, children should be referred for additional treatment and evaluation with an autism specialist. However, many children with autism spectrum disorder are not detected as toddlers. Low-income and minority children are particularly likely to have a late autism spectrum disorder diagnosis. Checking for autism at preschool-aged well-child visits might be one way to identify autism spectrum disorder earlier, especially for low-income and minority children.

ECHO Autism Transition: Enhancing healthcare for adolescents and young adults with autism spectrum disorder

Autism ◽  
2019 ◽  
Vol 24 (3) ◽  
pp. 633-644 ◽  
Author(s):  
Micah O Mazurek ◽  
Gary Stobbe ◽  
Rachel Loftin ◽  
Beth A Malow ◽  
Mavara M Agrawal ◽  
...  
Keyword(s):  
Primary Care ◽  
Autism Spectrum Disorder ◽  
Young Adults ◽  
Primary Care Providers ◽  
Autism Spectrum ◽  
Spectrum Disorder ◽  
Care Providers ◽  
Adults With Autism ◽  
Youth And Young Adults ◽  
Young Adults With Autism

Transition-age youth and young adults with autism spectrum disorder have complex healthcare needs, yet the current healthcare system is not equipped to adequately meet the needs of this growing population. Primary care providers lack training and confidence in caring for youth and young adults with autism spectrum disorder. The current study developed and tested an adaptation of the Extension for Community Healthcare Outcomes model to train and mentor primary care providers ( n = 16) in best-practice care for transition-age youth and young adults with autism spectrum disorder. The Extension for Community Healthcare Outcomes Autism Transition program consisted of 12 weekly 1-h sessions connecting primary care providers to an interdisciplinary expert team via multipoint videoconferencing. Sessions included brief didactics, case-based learning, and guided practice. Measures of primary care provider self-efficacy, knowledge, and practice were administered pre- and post-training. Participants demonstrated significant improvements in self-efficacy regarding caring for youth/young adults with autism spectrum disorder and reported high satisfaction and changes in practice as a result of participation. By contrast, no significant improvements in knowledge or perceived barriers were observed. Overall, the results indicate that the model holds promise for improving primary care providers’ confidence and interest in working with transition-age youth and young adults with autism spectrum disorder. However, further refinements may be helpful for enhancing scope and impact on practice.

scholarly journals Linking the Medical and Educational Home to Support Children With Autism Spectrum Disorder: Practice Recommendations

2018 ◽  
Vol 57 (13) ◽  
pp. 1496-1505 ◽  
Author(s):  
Jeffrey D. Shahidullah ◽  
Gazi Azad ◽  
Katherine R. Mezher ◽  
Maryellen Brunson McClain ◽  
Laura Lee McIntyre
Keyword(s):  
Primary Care ◽  
Autism Spectrum Disorder ◽  
Medical Home ◽  
Children With Autism ◽  
Primary Care Providers ◽  
Autism Spectrum ◽  
Spectrum Disorder ◽  
Care Providers ◽  
Care Clinic ◽  
Practice Recommendations

Children with autism spectrum disorder (ASD) present with complex medical problems that are often exacerbated by a range of other intellectual and psychiatric comorbidities. These children receive care for their physical and mental health from a range of providers within numerous child-serving systems, including their primary care clinic, school, and the home and community. Given the longitudinal nature in which care is provided for this chronic disorder, it is particularly necessary for services and providers to coordinate their care to ensure optimal efficiency and effectiveness. There are 2 primary venues that serve as a “home” for coordination of service provision for children with ASD and their families—the “medical home” and the “educational home.” Unfortunately, these venues often function independently from the other. Furthermore, there are limited guidelines demonstrating methods through which pediatricians and other primary care providers (PCPs) can coordinate care with schools and school-based providers. The purpose of this article is 2-fold: (1) we highlight the provision of evidence-based care within the medical home and educational home and (2) we offer practice recommendations for PCPs in integrating these systems to optimally address the complex medical, intellectual, and psychiatric symptomology affected by autism.

scholarly journals Standards of diagnostic assessment for autism spectrum disorder

2019 ◽  
Vol 24 (7) ◽  
pp. 444-451 ◽  
Author(s):  
Jessica A Brian ◽  
Lonnie Zwaigenbaum ◽  
Angie Ip
Keyword(s):  
Autism Spectrum Disorder ◽  
Health Care Providers ◽  
Wait Time ◽  
Primary Care Providers ◽  
Autism Spectrum ◽  
Spectrum Disorder ◽  
Diagnostic Evaluation ◽  
Diagnostic Process ◽  
Care Providers ◽  
Community Based

Abstract The rising prevalence of autism spectrum disorder (ASD) has created a need to expand ASD diagnostic capacity by community-based paediatricians and other primary care providers. Although evidence suggests that some children can be definitively diagnosed by 2 years of age, many are not diagnosed until 4 to 5 years of age. Most clinical guidelines recommend multidisciplinary team involvement in the ASD diagnostic process. Although a maximal wait time of 3 to 6 months has been recommended by three recent ASD guidelines, the time from referral to a team-based ASD diagnostic evaluation commonly takes more than a year in many Canadian communities. More paediatric health care providers should be trained to diagnose less complex cases of ASD. This statement provides community-based paediatric clinicians with recommendations, tools, and resources to perform or assist in the diagnostic evaluation of ASD. It also offers guidance on referral for a comprehensive needs assessment both for treatment and intervention planning, using a flexible, multilevel approach.

scholarly journals Early detection for autism spectrum disorder in young children

2019 ◽  
Vol 24 (7) ◽  
pp. 424-432 ◽  
Author(s):  
Lonnie Zwaigenbaum ◽  
Jessica A Brian ◽  
Angie Ip
Keyword(s):  
Autism Spectrum Disorder ◽  
Health Care Professionals ◽  
Neurodevelopmental Disorder ◽  
Primary Care Providers ◽  
Educational Interventions ◽  
Autism Spectrum ◽  
Spectrum Disorder ◽  
Care Providers ◽  
Intervention Planning

Abstract Autism spectrum disorder (ASD) is a life-long neurodevelopmental disorder, characterized by impairments in social communication, repetitive, restricted patterns of behaviour, and unusual sensory sensitivities or interests. ASD significantly impacts the lives of children and their families. Currently, the estimated prevalence of ASD is 1 in 66 Canadians aged 5 to 17 years. General paediatricians, family physicians, and other health care professionals are, therefore, seeing more children with ASD in their practices. The timely diagnosis of ASD, and referral for intensive behavioural and educational interventions at the earliest age possible, may lead to better long-term outcomes by capitalizing on the brain’s neuroplasticity at younger ages. This statement provides clear, comprehensive, evidence-informed recommendations and tools to help community paediatricians and other primary care providers monitor for the earliest signs of ASD—an important step toward an accurate diagnosis and comprehensive needs assessment for intervention planning.

scholarly journals Post-diagnostic management and follow-up care for autism spectrum disorder

2019 ◽  
Vol 24 (7) ◽  
pp. 461-468 ◽  
Author(s):  
Angie Ip ◽  
Lonnie Zwaigenbaum ◽  
Jessica A Brian
Keyword(s):  
Autism Spectrum Disorder ◽  
Psychosocial Care ◽  
Primary Care Providers ◽  
Autism Spectrum ◽  
Spectrum Disorder ◽  
Care Providers ◽  
Care Services ◽  
Care And Support ◽  
Diagnostic Management

Abstract Paediatricians and other primary care providers are well positioned to provide or coordinate ongoing medical and psychosocial care and support services for children with autism spectrum disorder (ASD). This statement provides recommendations and information on a range of interventions and resources, to help paediatric care providers optimize care for children with ASD and support their families. The management of ASD includes treating medical and psychiatric co-morbidities, behavioural and developmental interventions, and providing supportive social care services to enhance quality of life for affected children and families.

Abstract P720: Primary Stroke Prevention by Primary Care Providers: An Unmet Need

Stroke ◽  
2021 ◽  
Vol 52 (Suppl_1) ◽  
Author(s):  
Raymond Reichwein ◽  
Alicia Richardson ◽  
Cesar Velasco
Keyword(s):  
Risk Factors ◽  
Primary Care ◽  
Primary Prevention ◽  
Care Setting ◽  
Stroke Risk ◽  
Primary Care Setting ◽  
Primary Care Providers ◽  
Large Vessel ◽  
Care Providers ◽  
Stroke Risk Factors

Introduction: The majority of patients who present with acute ischemic stroke (AIS) have known stroke risk factors which are not optimally managed. It has been suggested that a CHADS-VASC score can assist with primary prevention by calculating future stroke risk. This however, has not been widely adapted in the primary care setting. Methods: From 2018-2019, 686 AIS patients were included in retrospective analysis. Data elements included: historical stroke risk factors, historical CHADS-VASC score, antiplatelet/anticoagulant use at time of presentation, discharge location, and mRS. Results: Of the 686 AIS patients, 77% were age > 60, and 52% were male. Etiology subtypes were small vessel/lacunar 20%, large vessel 22%, cardioembolic 20%, undetermined 31% (cryptogenic 15%), and other determined 5%. On presentation, the majority of patients had 2 or more stroke risk factors and a calculated historical CHADS-VASC score > 2 (Table 1). Over half of the patients with large vessel or small vessel/lacunar etiology were not on any antiplatelets and 53% of patients with known history of atrial fibrillation weren’t on anticoagulants. Forty-nine percent of patients had a mRS > 3 at discharge. Conclusion: Patients with several stroke risk factors are sub optimally managed by primary care providers. Primary prevention education for PCPs in management of higher stroke risk individuals and additional analysis of the CHADS-VASC tool for this setting is needed. If widely adapted, this tool may prevent strokes by providing adequate risk reduction in the primary care setting.

Sign in / Sign up

Export Citation Format

Share Document