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The Health Home: A Service Delivery Model for Autism and Intellectual Disability
Michael Fueyo1, Tim Caldwell1, Sarah B Mattern1
1The authors are with the Center for Autism and Developmental Disabilities, Philhaven Hospital, Lancaster, Pennsylvania (e-mail: mfueyo@philhaven.org ). Benjamin G. Druss, M.D., M.P.H., is editor of this column.
Abstract:
Autism spectrum disorder (ASD) and intellectual disability (ID) are lifelong conditions with profound impact on the functioning of affected individuals and their families. Optimizing developmental outcomes requires a lifelong perspective on treatment. The patient-centered health care home (health home) model is currently used to improve health outcomes and care integration in a variety of chronic general medical and psychiatric conditions. The authors propose the health home model as a new conceptual framework from which to build systems of care for persons with ASD or ID and their families. The authors describe essential elements of a health home for these populations, which would be located in a behavioral health setting. They also describe an existing model of such a health home, the Center for Autism and Developmental Disabilities in Pennsylvania.
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