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Related Concept Videos

Autism Spectrum Disorder01:19

Autism Spectrum Disorder

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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.
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Understanding Mississippi's Current Practices Concerning Autism Screening at 18 & 24 Months.

Tiffany C Jackman1, Warren May2, Elizabeth Crais3

  • 1Department of Health Science and Administration, University of West Florida , Pensacola, Florida, USA.

Social Work in Public Health
|June 2, 2020
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Summary

Pediatricians in Mississippi face barriers to consistent Autism Spectrum Disorder (ASD) screening, despite its importance for early intervention. Implementing electronic health record (EHR) tools could improve screening rates for children.

Keywords:
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Area of Science:

  • Developmental Pediatrics
  • Child Psychology
  • Public Health

Background:

  • Routine screening for Autism Spectrum Disorder (ASD) at 18 and 24 months is recommended by the American Academy of Pediatrics (AAP) for early identification and intervention.
  • Early diagnosis of ASD is crucial for improving outcomes, and pediatricians play a vital role in this process.
  • ASD can co-occur with other conditions, complicating diagnosis and screening.

Purpose of the Study:

  • To explore Mississippi pediatricians' perspectives on current practices and barriers to routine ASD screening at 18 and 24-month well-child visits.
  • To understand the challenges faced by healthcare providers in implementing recommended ASD screening protocols.
  • To identify potential strategies for improving ASD screening in Mississippi.

Main Methods:

  • A qualitative phenomenology study was conducted.
  • Key informant interviews with Mississippi pediatric providers were used to gather data.
  • Qualitative analysis, including coding for commonalities and patterns, was employed to identify practices and barriers.

Main Results:

  • While ASD screening implementation is increasing, it is not consistently conducted by healthcare providers.
  • Perceived barriers to routine ASD screening were identified among Mississippi pediatricians.
  • A need for an electronic health record (EHR)-embedded screening tool was suggested for easier access and monitoring.

Conclusions:

  • Mississippi children are at risk of delayed ASD diagnosis due to existing barriers in the clinical environment.
  • Addressing these barriers is essential to support pediatricians in conducting timely and consistent ASD screening.
  • Improvements in screening practices are necessary to ensure early identification and intervention for ASD in Mississippi's youngest population.