ERIC Number: EJ1195870
Record Type: Journal
Publication Date: 2018-Dec
Pages: 9
Abstractor: As Provided
ISBN: N/A
ISSN: ISSN-0162-3257
EISSN: N/A
Expanding the Capacity of Primary Care to Treat Co-Morbidities in Children with Autism Spectrum Disorder
Van Cleave, Jeanne; Holifield, Chloe; Neumeyer, Ann M.; Perrin, James M.; Powers, Erin; Van, Linda; Kuhlthau, Karen A.
Journal of Autism and Developmental Disorders, v48 n12 p4222-4230 Dec 2018
We examined barriers and facilitators to expanding primary care's capacity to manage conditions associated with autism spectrum disorder (ASD). We conducted semi-structured interviews with specialists, primary care providers (PCPs), primary care staff, and parents of children with ASD, discussing health/behavior problems encountered, co-management, and patient/family experience. Participants endorsed primary care as the right place for ASD-associated conditions. Specialists advising PCPs, in lieu of referrals, efficiently uses their expertise. PCPs' ability to manage ASD-associated conditions hinged on how behavioral aspects of ASD affected care delivery. Practices lacked ASD-specific policies but made individual-level accommodations and broader improvements benefitting children with ASD. Enhancing access to specialty expertise, particularly around ASD-associated behaviors, and building on current quality improvements appear important to expanding primary care.
Descriptors: Primary Health Care, Comorbidity, Children, Autism, Pervasive Developmental Disorders, Health, Behavior Problems, Specialists, Expertise, Child Care, Delivery Systems
Springer. Available from: Springer Nature. 233 Spring Street, New York, NY 10013. Tel: 800-777-4643; Tel: 212-460-1500; Fax: 212-348-4505; e-mail: customerservice@springernature.com; Web site: https://bibliotheek.ehb.be:2123/
Publication Type: Journal Articles; Reports - Research
Education Level: N/A
Audience: N/A
Language: English
Sponsor: Health Resources and Services Administration (DHHS)
Authoring Institution: N/A
Grant or Contract Numbers: UA3MC11054