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Accepted (AM)Open Access (License Unspecified), Open
Journal article
Developmental and Autism Screening Through 2-1-1 Reaching Underserved Families
American journal of preventive medicine, v 43(6), pp S457-S463
01 Dec 2012
PMID: 23157765
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
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
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Details
- Title
- Developmental and Autism Screening Through 2-1-1 Reaching Underserved Families
- Creators
- Anne M. Roux - Washington University in St. LouisPatricia Herrera - 2 1 1 LA Cty, Los Angeles, CA USACheryl M. Wold - Wold & Associates Consulting, Pasadena, CA USAMargaret C. Dunkle - George Washington UniversityFrances P. Glascoe - Vanderbilt UniversityPaul T. Shattuck - George Institute for Global Health
- Publication Details
- American journal of preventive medicine, v 43(6), pp S457-S463
- Publisher
- Elsevier
- Number of pages
- 7
- Grant note
- Weingart Foundation P50CA095815 / NATIONAL CANCER INSTITUTE; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Cancer Institute (NCI) Robert Wood Johnson Foundation; Robert Wood Johnson Foundation (RWJF) S. Mark Taper Foundation First 5 LA T32MH019960 / NATIONAL INSTITUTE OF MENTAL HEALTH; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Mental Health (NIMH) W.M. Keck Foundation
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- A.J. Drexel Autism Institute
- Web of Science ID
- WOS:000311142200008
- Scopus ID
- 2-s2.0-84869410243
- Other Identifier
- 991021960499604721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health