Community introduction of practice parameters for autistic spectrum disorders: advancing early recognition.
OBJECTIVES: Within a strong interdisciplinary framework, improvement in the quality of care for children with autistic spectrum disorders through a 2 year implementation program of Practice Parameters, aimed principally at improving early detection and intervention. METHOD: We developed Practice Par...
| Publicado en: | Journal of Autism & Developmental Disorders Vol. 36; no. 2; pp. 249 - 263 |
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| Autores principales: | , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Apr2006
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106286892&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106286892 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01623257 AUT jtl: Journal of Autism & Developmental Disorders issn: 01623257 maglogo: N pubinfo: dt: Apr2006 vid: 36 iid: 2 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 106286892 106286892 2009200725 10.1007/s10803-005-0053-2 NLM16447011 106286892 ppf: 249 ppct: 14 formats: fmt: @attributes: type: P tig: atl: Community introduction of practice parameters for autistic spectrum disorders: advancing early recognition. aug: au: Holzer L Mihailescu R Rodrigues-Degaeff C Junier L Muller-Nix C Halfon O Ansermet F affil: Hopital Nestle, Service Universitaire de Psychiatrie de l'Enfant et de l'Adolescent (SUPEA), CTJA/48 avenue de Beaumont, 1012, Lausanne, Switzerland; Laurent.Holzer@inst.hospvd.ch sug: subj: Asperger Syndrome Diagnosis Asperger Syndrome Epidemiology Autism Spectrum Disorder Diagnosis Autism Spectrum Disorder Epidemiology Community Mental Health Services Administration Early Childhood Intervention Health Screening Practice Patterns Administration Rett Syndrome Diagnosis Rett Syndrome Epidemiology Age Factors Age of Onset Behavior Rating Scales Biochemical Instruments Checklists Child Child Development Disorders, Pervasive Diagnosis Child Development Disorders, Pervasive Therapy Child, Preschool Clinical Assessment Tools Community Trials Cost Benefit Analysis Funding Source Health Services Needs and Demand Health Status Indicators Hearing Tests Infant Intelligence Tests Interview Guides Language Tests Medical Practice, Evidence-Based Neuropsychological Tests P-Value Psychological Tests Quality of Health Care Standards Reliability Scales Human Child: 6-12 years Child, Preschool: 2-5 years Infant: 1-23 months ab: OBJECTIVES: Within a strong interdisciplinary framework, improvement in the quality of care for children with autistic spectrum disorders through a 2 year implementation program of Practice Parameters, aimed principally at improving early detection and intervention. METHOD: We developed Practice Parameters (PPs) for Pervasive Developmental Disorders and circulated the PPs to all child and adolescent psychiatrists practicing in the region. RESULTS: PP development and parallel information strategies resulted in a significant decrease of 1.5 years in the mean-age-at-diagnosis. However, further analysis indicated that improvement was only transient. CONCLUSION: Despite the encouraging improvement in mean-age-at-diagnosis 2 years after PP implementation, other indicators showed a failure to maintain the improvements. A systematic screening program would be the most reliable method to reinforce the PPs. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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