Utilization of speech‐language, occupational and physical therapy by diagnosis of autism spectrum disorder.
Background: Although Medicaid coverage of treatment for children with autism spectrum disorder (ASD) is expanding, we know little about when children receive speech‐language, occupational and/or physical therapy. The objective of this study was to examine the relationships between predisposing, enab...
| Publicado en: | Child: Care, Health & Development Vol. 46; no. 5; pp. 563 - 571 |
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| Autores principales: | , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Sep2020
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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=145008472&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 145008472 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 03051862 6NX jtl: Child: Care, Health & Development issn: 03051862 maglogo: Y pubinfo: dt: Sep2020 vid: 46 iid: 5 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 145008472 145008472 145829066 145008472 10.1111/cch.12790 145008472 ppf: 563 ppct: 8 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Utilization of speech‐language, occupational and physical therapy by diagnosis of autism spectrum disorder. aug: au: Yingling, Marissa E. Bell, Bethany A. affil: Kent School of Social Work, University of Louisville, Louisville Kentucky,, USA sug: subj: Speech Therapy Utilization Language Therapy Utilization Occupational Therapy Utilization Physical Therapy Utilization Autism Spectrum Disorder Diagnosis Children with Disabilities Human Medicaid Southeastern United States Urban Areas Age Factors Early Intervention Intellectual Disability Diagnosis Sex Factors Race Factors Ethnic Groups Poverty ab: Background: Although Medicaid coverage of treatment for children with autism spectrum disorder (ASD) is expanding, we know little about when children receive speech‐language, occupational and/or physical therapy. The objective of this study was to examine the relationships between predisposing, enabling and need characteristics and utilization of speech‐language, occupational and physical therapy by diagnosis of ASD. Methods: We integrated administrative, Medicaid and Census data using a large sample of children with ASD who enrolled in a 1915(c) Home and Community Based Medicaid waiver in a south‐eastern state (N = 1,968) to explore (1) the percent of treatment utilization by ASD diagnosis, (2) the type of therapy utilized and (3) the predisposing, enabling and need characteristics associated with utilization. Results: The percent of utilization was 71%; 65.8% utilized SLT, 33.4% utilized OT and 18.4% utilized PT. Enabling (i.e., urbanicity, age of diagnosis and early intervention programme enrolment) and need (i.e., intellectual disability) characteristics were associated with utilization whereas predisposing social characteristics (i.e., sex and child race‐ethnicity and neighbourhood racial composition, poverty and affluence) were not associated with utilization. Conclusions: Findings highlight the value in monitoring when children begin treatment. As governments in the United States and globally work to maximize children's potential, additional research that can inform efforts to facilitate earlier utilization will be key to promoting optimal outcomes. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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