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A Multistate Look Into Early Intervention Speech-Language Pathologists' Confidence Identifying and Diagnosing Autism.

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Early intervention speech-language pathologists can identify autism in toddlers but lack confidence in diagnosing it. Addressing practice awareness and training barriers could reduce diagnostic wait times for families.

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Area of Science:

  • Developmental Pediatrics
  • Speech-Language Pathology
  • Autism Spectrum Disorder Diagnostics

Background:

  • Timely autism diagnosis is crucial but often delayed due to long wait times and limited provider access.
  • Speech-language pathologists (SLPs) are qualified to diagnose autism, particularly within early intervention (EI) settings.
  • EI SLPs are positioned to help mitigate diagnostic delays for autistic children.

Purpose of the Study:

  • To explore the experiences of EI SLPs serving autistic children.
  • To assess EI SLPs' confidence in identifying and diagnosing autism.
  • To identify barriers and facilitators impacting diagnostic confidence and wait times.

Main Methods:

  • A survey was distributed to 287 EI SLPs across 23 states.
  • Participants reported on their experiences, beliefs, and confidence levels regarding autism diagnosis.
  • Descriptive and inferential statistics were used to analyze self-reported data.

Main Results:

  • A high percentage of EI SLPs felt confident identifying autism in toddlers.
  • Confidence in diagnosing autism was significantly lower than in identifying it.
  • Increased awareness of scope of practice, autism acceptance, and access to training/experts were identified as facilitators.

Conclusions:

  • EI SLPs possess strong identification skills for autism in toddlers but face barriers to formal diagnosis.
  • Addressing identified barriers, such as enhancing diagnostic training and promoting acceptance, can empower SLPs to diagnose autism.
  • Overcoming these obstacles has the potential to significantly reduce diagnostic wait times for families seeking autism services.