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Monday, February 3, 2014

What Happens After Screening?

To a large extent, the literature on autism consists of uncertainty surrounded by gaps in knowledge.  Disability Scoop reports:
Despite a heavy emphasis on expanded screening for autism, a new study suggests that little is known about whether such efforts are leading to earlier diagnosis and treatment.
In a new review, researchers found that routine screening for autism has increased the number of kids flagged as possibly having the developmental disorder, but it remains unclear whether or not children go on to receive further evaluation.
“We found a considerable lack of follow-up on what happens to children who score at high risk for developing autism,” said Amy Daniels, assistant director for public health research at Autism Speaks and the lead author of the study published in the February issue of the Journal of the American Academy of Child and Adolescent Psychiatry.
For the review, researchers looked at 40 studies published between 1990 and 2013 examining the effectiveness of 35 different approaches for screening young children for autism.
They found that few studies addressed whether or not children determined to be at high risk for autism went on to receive a diagnosis or treatment. And among the studies that did look at how kids fared after screening, researchers found that some children were not receiving continued care or referrals to specialists even after being flagged as at risk.