Healthcare issues for children on the autism spectrum

Fred R Volkmar1, Lisa A Wiesner, Alexander Westphal

  • 1Yale University School of Medicine, New Haven, Connecticut, USA. fred.volkmar@yale.edu

Insights

Autism has a strong genetic basis and early diagnosis is key for intervention. Healthcare professionals need increased knowledge to improve care for individuals with autism and related disorders.

Area of Science:

  • Neurodevelopmental Disorders
  • Genetics and Genomics
  • Healthcare Delivery

Background:

  • Autism Spectrum Disorder (ASD) is a complex neurodevelopmental condition with a significant genetic component.
  • Research highlights associations with genetic syndromes like Fragile X and tuberous sclerosis, underscoring its biological underpinnings.
  • Early identification and intervention are crucial for improving outcomes in individuals with ASD.

Purpose of the Study:

  • To summarize recent advancements in healthcare and health delivery for autism and related disorders.
  • To focus on scientific literature published within the last five years.
  • To identify key challenges and opportunities in providing comprehensive care for the autism population.

Main Methods:

  • Systematic review of published literature.
  • Analysis of research on genetic factors, diagnostic approaches, and treatment efficacy.
  • Synthesis of findings related to healthcare professional knowledge and patient/family preferences.

Main Results:

  • Autism Spectrum Disorder (ASD) has a strong genetic etiology, with high familial recurrence rates.
  • Large-scale studies have debunked links between ASD and the measles-mumps-rubella (MMR) vaccine.
  • Drug trials for associated behavioral and emotional difficulties are increasing, and alternative treatments are popular among parents.

Conclusions:

  • Healthcare professional understanding of autism has improved, yet knowledge gaps persist.
  • Physicians and healthcare providers play a vital role in facilitating access to services for individuals with ASD.
  • Promoting awareness of evidence-based treatments is essential for effective support of individuals with autism and their families.
Abstract

Related Concept Videos

Autism Spectrum Disorder01:19

Autism Spectrum Disorder

Autism spectrum disorder (ASD) is a neurodevelopmental condition marked by persistent deficits in social communication and interaction alongside restrictive and repetitive behaviors or interests. ASD is sometimes accompanied by intellectual impairment.
These core symptoms manifest differently among individuals, ranging from mild to severe. The disorder's complexity extends beyond its clinical presentation, encompassing a diverse range of biological, cognitive, and sociocultural influences.
Modeling in Therapy01:26

Modeling in Therapy

Modeling, a key technique in therapy, uses observational learning to help clients acquire and practice new skills by watching therapists demonstrate desired behaviors. This approach, rooted in Albert Bandura's concept of vicarious learning, plays a significant role in therapeutic interventions for various psychological conditions, including social anxiety, ADHD, and depression.
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in situations...
Issues And Trends In Healthcare Delivery System01:29

Issues And Trends In Healthcare Delivery System

The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Attention-Deficit/Hyperactivity Disorder01:30

Attention-Deficit/Hyperactivity Disorder

Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterized by persistent inattention, hyperactivity, and impulsivity. It affects approximately 5-8% of children globally, with around 60-70% of cases persisting into adulthood. ADHD has significant implications for educational attainment, social interactions, and occupational success.
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings.
Specialized Care Centers and Settings-I01:30

Specialized Care Centers and Settings-I

Specialized care settings or centers are situated in convenient locations within the community and offer care to a specific group or population. They consist of daycare facilities, mental health facilities, rural health facilities, educational institutions, industries, shelters for the homeless, and rehabilitation facilities.
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
Ethical Issues01:27

Ethical Issues

Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare: