CHARACTERISTICS OF NEURODEVELOPMENTAL DISORDERS IN THE CLINICAL POPULATION OF A MENTAL HEALTH CENTER
|
|
- Alberta Lydia Berry
- 5 years ago
- Views:
Transcription
1 ANTON et al. ORIGINAL PAPERS CHARACTERISTICS OF NEURODEVELOPMENTAL DISORDERS IN THE CLINICAL POPULATION OF A MENTAL HEALTH CENTER Miruna RĂDAN 1, Mihaela GĂIȘTEANU 1 1 Alessandrescu-Rusescu National Institute for Maternal and Child Health, Bucharest, Romania ABSTRACT Neurodevelopmental disorders (ND) are characterized by deficits that produce impairments of personal, social, academic or occupational functioning which appear early in life and usually persist into adulthood. At present, there is limited knowledge on the prevalence of children s mental disorders in Romania. This paper presents a study that aims to provide a perspective on the occurrence rates and characteristics of mental disorders in the clinical population of the Children s Mental Health Center (CMH) of the Alessandrescu- Rusescu National Institute for Maternal and Child Health (NIMCH) during and , with a special focus on neurodevelopmental disorders. The subjects were assigned to three groups: the autism spectrum disorder (ASD) group, the neurodevelopmental (ND) group and the learning disorders group (LD). The study targeted: 1) Occurrence rates of the disorders, 2) Comorbidity, 3) Risk factors - medical and psychosocial adversities, 4) Group characteristics - age, sex, intelligence, 5) Psychosocial support (family and school). The results show a high and raising occurrence of ND among children admitted at the CMH. Children with learning disorders represent a growing group, associated with maximum risk factors. The outcomes of the study provide an outline of the ND disorders profiles for the MHC children that may be used to design future research, to develop specific interventions and to improve medical services. Keywords: Neurodevelopmental disorder, autism spectrum disorder, learning disorder, comorbidity, services. Corresponding author: Miruna Rădan, PhD, Alessandrescu-Rusescu National Institute for Maternal and Child Health, Bucharest, CMH Center, Calea Griviței 71, , Bucharest, Romania Phone, Fax: address: radan.miruna@iomc.ro Volume 4, Issues 3-4, July-December,
2 RĂDAN et al. INTRODUCTION Autism is a neurodevelopmental disorder which affects an increasing number of children. According to the World Health Organization, mental health may be defined as a state of wellbeing in which the individual fulfills his or her own potential by achieving the skills for coping with and leading a productive life [3, 4]. For children, this condition involves the attainment of expected cognitive, emotional and social development milestones that make them able to function well at home, in school and in the community [5, 6] % children worldwide suffer from mental disorders [7]. The impact is significant at the individual, family and community level, causing distress, increased risks and economic burden [2]. Mental disorders are one of the leading causes of disability [8]. Starting in childhood, they affect the whole life span of many people [8]. National epidemiological data on children s psychiatric morbidity in Romania is limited. A recent report of the Ministry of Health, based on public health services data, shows that children s mental disorders are underdiagnosed, as compared to international values [9]. Between 1% and 5% of the total children s population is diagnosed and receives basic mental health services [9]. The health authority report provides data for eight categories of mental disorders, but not for neurodevelopmental disorders (ND) - intellectual disabilities, communication disorders, specific learning disorders and motor disorders - that affect many children in our country. At present, there are 29 Centers for Children s Mental Health in Romania [9]. The services they offer are not sufficient to meet the needs of the population [9] and vary both in quantity and quality. Standardized best practices and a system for monitoring the outcomes of therapy have not yet been implemented. OBJECTIVE This paper presents a retrospective observational study aiming to provide a perspective on the occurrence rates and characteristics of mental disorders in the clinical population seeking treatment at the Children s Mental Health Center (CMH) of the National Institute for Maternal and Child Health (NIMCH). Our study has a focus on the group of ND disorders affecting the majority of the children referred to our outpatient services. The study targeted the following aspects: 1) Occurrence rates of the disorders; 2) Comorbidity; 3) Risk factors - medical and psychosocial adversities; 4) Group characteristics - age, sex, intelligence; 5) Psychosocial support (family and school). MATERIALS AND METHODS Participants Children included in the study were admitted in the CMH NIMCH during two periods of time, and The study included the following groups of subjects: 1) Autistic spectrum disorders group (ASD), N=112 children; 2) Neurodevelopmental disorders groups (ND) G1, N1=147 and G2, N2=118 subjects; 3) Learning disorders (LD) group N=40. The ASD, ND and LD groups in the study represent the total number of cases for each disorder out of all the new cases registered in one year. Children have been selected from the total number of new cases registered in one year at the CMH according to psychiatric diagnosis criteria for each category. Procedure We used data collected from the children s CMH medical records. The records include the professional assessments conducted by a children s psychiatrist, a clinical psychologist, a medical rehabilitation doctor and a speech therapist, with recommendations for treatment/intervention and 16 Romanian Journal of Child and Adolescent Psychiatry
3 Characteristics of neurodevelopmental disorders in the clinical population of a mental health center periodical follow-ups. Information about early development, personal medical history of the child and family, results of recommended additional medical investigations, such as EEG and MRI were also recorded. Children s specialized evaluations involved neurological testing, clinical medical examinations, parent interviews, standardized psychological tests and speech and language testing. The instruments used for the psychological assessment were standardized scales and tests: the Wechsler Scales of Intelligence for Children WISC- IV, (2003), the Stanford-Binet Scales of Intelligence (1986, Fourth Edition), the Merrill-Palmer Scales of Development (1948, 2004), the Autism Diagnostic Observation Schedule (ADOS, 2001), The Childhood Autism Rating Scale CARS (1992, Fourth Edition), and various behavioral scales and inventories. Psychiatric diagnoses were made based on the International Classification of Diseases ICD 10 [10], and the Diagnostic and Statistics Manual of Mental Disorders Fifth Edition [1]. Microsoft Office and Excel 2007 were used to organize, analyze and present the data. RESULTS Autism spectrum disorders (ASD) rates and associated problems The ASD occurrence rate in the CMH compared to the number of new cases in a year over four 12 month periods shows a constant and substantial increase between 2004 and Figure 2 ASD associated problems 112 children were diagnosed with ASD in the first 4 years of our study. Their group profile indicates high values of ASD associated problems. Almost half have an intellectual disability. ADHD/ODD is present in 27.7% of the cases, while 25.9% have three comorbid disorders, such as speech disorders, anxiety, tics, feeding disorders, sleep and elimination disorders. A group of children with multiple adversities including other medical and psycho-social problems was also identified, accounting for 24.1% of the ASD group. Figure 1 Autism spectrum disorders rates compared to the total number of new cases in a year Volume 4, Issues 3-4, July-December,
4 RĂDAN et al. Neurodevelopmental disorder (ND) rates disabilities have the highest rates out of all disorders for both groups, increasing from 33.4% to 46.6% in the second year. ASD represent 23% of the new cases in 2013 and decrease to 13.5% in 2014, while the other categories of disorders show little variation; there is a small rise in the percentage of communication and language disorders, from 19.7% to 22.5%, and a small decrease in ADHD values, from 10.9% to 7.10%. Figure 3 - The main diagnostic categories compared to the total number of new cases in 2013 Figure 5 Neurodevelopmental disorders profile in 2013 Figure 4 - The main diagnostic categories rates compared to the total number of new cases in 2014 The percentages for ND disorders, compared to the other categories of disorders recorded over two 12 month periods, indicate that over 60% of the children receiving services belong to this category. According to the types of developmental Figure 6 Neurodevelopmental disorders profile in disorders, the profiles for the two groups identified in and in 2014 are slightly different. Intellectual 18 Romanian Journal of Child and Adolescent Psychiatry
5 Characteristics of neurodevelopmental disorders in the clinical population of a mental health center Learning disorders (LD) Comprehensive assessments for diagnosing specific learning disorders were not available for most of our subjects, as in Romania standardized evaluation instruments for this category are lacking. The LD diagnosis is a category not often used in clinical practice. The LD group of this study included children who met most of the DSM 5 criteria for the disorder and experienced persistent academic difficulties. Figure 8 - Intelligence scores for the LD group The characteristics of the LD group (N = 40) show that boys account for 77.5% of subject, almost 50% of whom are referred to the centre after the age of 9, 35% after the age of 10, and only 30% between 6 and 7. 30% have low average IQ scores, 22.5% have borderline IQ scores and 15% have IQs of % are in the high average range and only 7.5% have superior intelligence scores. Figure 7 - Learning disorders rates compared to the total number of new cases in a year Our data indicated lower rates than expected for the disorder, as compared with reported international prevalence [1], but values increased over the three years of the study, from 5.11% to 10.52%. Figure 9 - LD comorbid disorders 80% of the LD subjects have comorbid disorders. Anxiety disorders, ADHD, externalizing Volume 4, Issues 3-4, July-December,
6 RĂDAN et al. disorders and other neurodevelopmental disorders are associated with LD. Over half of ADHD comorbid subjects have been identified with more than two comorbidities. 22.5% of the children have speech and language disorders. Attention difficulties are present in 27% of the children who do not have a clinical ADHD diagnosis. 5% of the LD children have supportive families to help them cope with their difficulties, while school support is available just for 2.5%. DISCUSSION The outcomes of the study show high occurrence rates for the neurodevelopmental disorders among children who address the CMH. In 2014 ND represent 67.8% of the new cases. The percentages of this group of disorders are increasing compared to other mental health problems for the time intervals and The intellectual disorders and of learning disorders rates within the group are growing, while ASD and ADHD rates have a decreasing trend. A small rise in percentage is observed for speech and language disorders. High comorbidity rates, with more than two disorders, are present in the LD, the ASD and the ADHD groups. We found that multiple medical and psychosocial adversities are associated to 24.1% of the ASD category. Children with LD have comorbid communication disorders and high rates of attention problems. Age, sex and IQ characteristics of the LD group, as well as the low availability of social support may signal additional risks that need further investigation. Although this study has statistical limitations, the results provide an outline of the ND disorder profiles for CMH children that may be used to design future research, to develop specific interventions and to improve services. Our findings point to the need of collecting community level data in order to establish standardized best practices and to plan for services. Increasing demands for services from various categories of children with complex associated problems such as those with neurodevelopmental disorders and high comorbidities call for specialized and better adapted interventions. Children in high risk categories should be make the focus of comprehensive assessment and treatment. Our data shows that children with learning disorders are an underdiagnosed, growing group, that meets maximum risk indicators. Their treatment requires standardized assessment techniques and multidisciplinary teams of professionals with adequate training. The present study highlights a group of disorders that affect a large number of children, offering information on the occurrence rates, comorbidities and possible risk signals for children registered with an outpatient clinic. Further research and national surveys should document efficient and flexible strategies for children s mental health services. Common efforts of practitioners, researchers and policy makers are needed in order to find better solutions for children with neurodevelpmental disorders in Romania. Acknowledgements This paper is based on a presentation given at the International Conference MENTAL HEALTH PSYCHOLOGY, MEDICINE AND ANTHROPOLOGY FOR LIFE QUALITY 2016, organized by The International Society for Applied Psychology, The Francisc Rainer Institute of Anthropology and The Natural Sciences Museum Ploiești, 9-11 September, Ploiești, Romania REFERENCES 1. American Psychiatric Association (2013), Diagnostic and Statistical Manual of Mental Disorders, Fifth 20 Romanian Journal of Child and Adolescent Psychiatry
7 Characteristics of neurodevelopmental disorders in the clinical population of a mental health center Edition. Arlington, VA, American Psychiatric Association. 2. Kieling C. et al. (2011), Child and adolescent mental health worldwide: evidence for action. The Lancet, 378, (9801): DOI: 3. Mental health policy and service guidance package: Child and adolescent mental health policies and plans, (2005), World Health Organization. Geneva, Switzerland. Available at: 4. Waddell C. et al. (2013), Creating Comprehensive Children s Mental Health Indicators for British Columbia Canadian journal of community mental health, 32(1): Published by Canadian Periodical for Community Studies Inc. DOI: /cjcmh World Health Report 2002: Reducing Risks, Promoting Healthy Life, (2002), Geneva, Switzerland: WHO. Available at: 6. Perou, R. et al. (2013), Mental Health Surveillance Among Children USA, , U.S. Department of Health and Human Services Centers for Disease Control and Prevention, MMWR, 62(2), Supplement: Available at 7. Child and adolescent mental health, World Health Organization. Available at: 8. Merikangas, K.R. et al. (2009), Epidemiology of mental disorders in children - Dialogues in Clinical Neuroscience, 11(1): Guvernul României, Ministerul sănătăţii, Ministerul educaţiei naţionale și cercetării științifice, Ministerul muncii, familiei, protecţiei sociale, (2016) Strategia naţională pentru sănătatea mintală a copilului și adolescentului , București, Available at: Strategia-sanatate-mintala-copii-2016.pdf 10. ICD-10 Clasificarea tulburărilor mentale şi de comportament. Descrieri clinice şi îndreptare diagnostice (2016), coord. Mircea Lăzărescu, (transalation of The ICD-10 Classification of Mental and Behavioural Disorders. Clinical description and diagnostic guidelines, World Health Organization, 1992, 1993), editura Trei. AAAAA AAAAA AAAAA Volume 4, Issues 3-4, July-December,
8 RĂDAN et al. AAAAA 22 Romanian Journal of Child and Adolescent Psychiatry
NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE Centre for Clinical Practice SCOPE
NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE Centre for Clinical Practice 1 Guideline title SCOPE Autism: the management and support of children and young people on the autism spectrum 1.1 Short
More informationINFORMATION PAPER: INTRODUCING THE NEW DSM-5 DIAGNOSTIC CRITERIA FOR AUTISM SPECTRUM DISORDER
INFORMATION PAPER: INTRODUCING THE NEW DSM-5 DIAGNOSTIC CRITERIA FOR AUTISM SPECTRUM DISORDER What is the DSM-5? The Diagnostic and Statistical Manual of Mental Disorders (the DSM) is developed by the
More informationSimons VIP Phenotyping: What we ve learned so far. Ellen Hanson, Ph.D. and Raphael Bernier, Ph.D. Family Meeting Summer, 2015
Simons VIP Phenotyping: What we ve learned so far Ellen Hanson, Ph.D. and Raphael Bernier, Ph.D. Family Meeting Summer, 2015 Outline Brief review of data collection procedures Discussion of Neurodevelopmental
More informationAUTISM SPECTRUM DISORDER: DSM-5 DIAGNOSTIC CRITERIA. Lisa Joseph, Ph.D.
AUTISM SPECTRUM DISORDER: DSM-5 DIAGNOSTIC CRITERIA Lisa Joseph, Ph.D. Autism Spectrum Disorder Neurodevelopmental disorder Reflects understanding of the etiology of disorder as related to alterations
More informationPediatric Primary Care Mental Health Specialist Certification Exam. Detailed Content Outline
Pediatric Primary Care Mental Health Specialist Certification Exam Detailed Content Outline Description of the Specialty The Pediatric Primary Care Mental Health Specialist (PMHS) builds upon the Advanced
More informationWhat is Autism? -Those with the most severe disability need a lot of help with their daily lives whereas those that are least affected may not.
Autism Summary Autism What is Autism? The Autism Spectrum Disorder (ASD) is a developmental disability that can have significant implications on a child's ability to function and interface with the world
More informationFactors related to neuropsychological deficits in ADHD children
Factors related to neuropsychological deficits in ADHD children MD S. DRUGĂ Mindcare Center for Psychiatry and Psychotherapy, Child and Adolescent Psychiatry Department, Bucharest, Romania Clinical Psychologist
More informationADHD and Behavioural Paediatrics. Dr Tsui Kwing Wan Department of Paediatrics and Adolescent Medicine Alice Ho Miu Ling Nethersole Hospital
ADHD and Behavioural Paediatrics Dr Tsui Kwing Wan Department of Paediatrics and Adolescent Medicine Alice Ho Miu Ling Nethersole Hospital DSM V Diagnostic Criteria Inattention and/or Hyperactivity impulsivity
More informationAutism Spectrum Disorders Centers of Excellence. July 19, 2017
Autism Spectrum Disorders Centers of Excellence July 19, 2017 Presenters Karrie Steving serves as Children s System of Care Administrator for Mercy Maricopa Integrated Care (Mercy Maricopa), the Regional
More informationLiving with the Spectrum: Autism and Family Life
Living with the Spectrum: Autism and Family Life One Approach to Teaching Family Studies Students about Interdisciplinary Care Jennifer S. Reinke, PhD, LAMFT, CFLE University of Wisconsin Stout a cluster
More informationPSYCHOLOGY 5201 CLINICAL ASSESSMENT TECHNIQUES COURSE OUTLINE (FALL 2016 WINTER 2017)
PSYCHOLOGY 5201 CLINICAL ASSESSMENT TECHNIQUES COURSE OUTLINE (FALL 2016 WINTER 2017) Professor: Dr. E. Rawana Phone extension: 8453 Office No: SN 1012 Office Hours: Wednesday, 3:00 4:00 pm Teaching Assistant:
More information6/5/2018 SYLVIA J. ACOSTA, PHD
SYLVIA J. ACOSTA, PHD ASSOCIATE PROFESSOR SUMMER INSTITUTE JUNE 1 Introduction to Autism Spectrum Disorder (ASD) for Educators JUNE 15, 2018 2 Objectives Participants will: Identify the 2 diagnostic categories
More informationDr Jane McCarthy MB ChB MD MRCGP FRCPsych
Dr Jane McCarthy MB ChB MD MRCGP FRCPsych Consultant Psychiatrist in Intellectual Disability, East London NHS Foundation Trust and Visiting Senior Lecturer, Institute of Psychiatry, Psychology & Neuroscience,
More informationDOWNLOAD OR READ : UNDERSTANDING AUTISM SPECTRUM DISORDERS FREQUENTLY ASKED QUESTIONS PDF EBOOK EPUB MOBI
DOWNLOAD OR READ : UNDERSTANDING AUTISM SPECTRUM DISORDERS FREQUENTLY ASKED QUESTIONS PDF EBOOK EPUB MOBI Page 1 Page 2 understanding autism spectrum disorders frequently asked questions understanding
More informationThe Nuts and Bolts of Diagnosing Autism Spectrum Disorders In Young Children. Overview
The Nuts and Bolts of Diagnosing Autism Spectrum Disorders In Young Children Jessica Greenson, Ph.D. Autism Center University of Washington Overview Diagnostic Criteria Current: Diagnostic & Statistical
More informationFact Sheet 8. DSM-5 and Autism Spectrum Disorder
Fact Sheet 8 DSM-5 and Autism Spectrum Disorder A diagnosis of autism is made on the basis of observed behaviour. There are no blood tests, no single defining symptom and no physical characteristics that
More informationAutism Spectrum Disorder What is it? Robin K. Blitz, MD Resident Autism Diagnostic Clinic Lecture Series #1
Autism Spectrum Disorder What is it? Robin K. Blitz, MD Resident Autism Diagnostic Clinic Lecture Series #1 Learning Objectives What can we talk about in 20 minutes? What is Autism? What are the Autism
More informationApplied Behavior Analysis Therapy for Treatment of Autism Spectrum Disorder
Applied Behavior Analysis Therapy for Treatment of Autism Spectrum Disorder Policy Number: Original Effective Date: MM.12.022 01/01/2016 Line(s) of Business: Current Effective Date: HMO; PPO; Fed 87; FEP;
More informationMatthew P. Janicki, Ph.D.
Matthew P. Janicki, Ph.D. State Policy Summit: Innovations in Adult Programming - Autism Services, Education, Resources, & Training Collaborative Philadelphia, PA March 22, 2016 CONTEXT Data from the
More informationASHA Comments* (ASHA Recommendations Compared to DSM-5 Criteria) Austism Spectrum Disorder (ASD)
DSM-5 (Criteria and Major Changes for SLP-Related Conditions) Individuals meeting the criteria will be given a diagnosis of autism spectrum disorder with three levels of severity based on degree of support
More informationAutism Spectrum Disorder What is it?
Autism Spectrum Disorder What is it? Robin K. Blitz, MD Resident Autism Diagnostic Clinic Lecture Series #1 Learning Objectives What can we talk about in 20 minutes? What is Autism? What are the Autism
More informationDEVELOPMENTAL BEHAVIOURAL REFERRAL
Date DEVELOPMENTAL BEHAVIOURAL REFERRAL Completed By Role: Paediatrician/GP How long Other professionals involved with the child (e.g. psychologist, OT, speech therapist) Reason for this referral List
More information1/30/2018. Adaptive Behavior Profiles in Autism Spectrum Disorders. Disclosures. Learning Objectives
Adaptive Behavior Profiles in Autism Spectrum Disorders Celine A. Saulnier, PhD Associate Professor Emory University School of Medicine Vineland Adaptive Behavior Scales, Third Edition 1 Disclosures As
More informationTable 1: Comparison of DSM-5 and DSM-IV-TR Diagnostic Criteria. Autism Spectrum Disorder (ASD) Pervasive Developmental Disorders Key Differences
Comparison of the Diagnostic Criteria for Autism Spectrum Disorder Across DSM-5, 1 DSM-IV-TR, 2 and the Individuals with Disabilities Act (IDEA) 3 Definition of Autism Colleen M. Harker, M.S. & Wendy L.
More informationA Critique of Thurber, Sheehan, & Valtinson s (2007) Appliance of a Piagetian Framework in Analyzing a Subject with Autism. Frederick Herrmann
Critique of Thurber (2007) 1 Running head: CRITIQUE OF THURBER (2007) A Critique of Thurber, Sheehan, & Valtinson s (2007) Appliance of a Piagetian Framework in Analyzing a Subject with Autism Frederick
More informationLone Star College-Tomball Community Library Tomball Parkway Tomball, TX
Lone Star College-Tomball Community Library 30555 Tomball Parkway Tomball, TX 77375 http://www.lonestar.edu/library.htm 832-559-4211 PSYCHOLOGY ELECTRONIC JOURNAL LIST Scholarly Electronic Journals The
More informationThe Clinical Progress of Autism Spectrum Disorders in China. Xi an children s hospital Yanni Chen MD.PhD
The Clinical Progress of Autism Spectrum Disorders in China Xi an children s hospital Yanni Chen MD.PhD Conception The autism spectrum disorders (ASDs) are neurodevelopmental disability characterized by
More informationWHAT IS AUTISM? Chapter One
WHAT IS AUTISM? Chapter One Autism is a life-long developmental disability that prevents people from understanding what they see, hear, and otherwise sense. This results in severe problems with social
More informationApplied Behavior Analysis for Autism Spectrum Disorders
Applied Behavior Analysis for Autism Spectrum Disorders I. Policy University Health Alliance (UHA) will reimburse for Applied Behavioral Analysis (ABA), as required in relevant State of Hawaii mandates,
More informationAdaptive Behavior Profiles in Autism Spectrum Disorders
Adaptive Behavior Profiles in Autism Spectrum Disorders Celine A. Saulnier, PhD Associate Professor Emory University School of Medicine Director of Research Operations Marcus Autism Center Vineland Adaptive
More informationSUPPORT INFORMATION ADVOCACY
THE ASSESSMENT OF ADHD ADHD: Assessment and Diagnosis in Psychology ADHD in children is characterised by developmentally inappropriate overactivity, distractibility, inattention, and impulsive behaviour.
More informationAdult ADHD for GPs. Maria Mazfari Associate Nurse Consultant Adult ADHD Tina Profitt Clinical Nurse Specialist Adult ADHD
Adult ADHD for GPs Maria Mazfari Associate Nurse Consultant Adult ADHD Tina Profitt Clinical Nurse Specialist Adult ADHD I m a Believer.. Are You? What is ADHD? ADHD is a valid clinical condition defined
More informationEducation Options for Children with Autism
Empowering children with Autism and their families through knowledge and support Education Options for Children with Autism Starting school is a major milestone in a child s life, and a big step for all
More informationAssessment and Diagnosis
Amaze Position Statement Assessment and Diagnosis Key points Autism assessment and diagnostic services should be available to all people who require them, irrespective of age, gender, locality, financial
More informationMEDICAL POLICY SUBJECT: APPLIED BEHAVIOR ANALYSIS FOR THE TREATMENT OF AUTISM SPECTRUM DISORDERS
MEDICAL POLICY PAGE: 1 OF: 7 If the member's subscriber contract excludes coverage for a specific service it is not covered under that contract. In such cases, medical policy criteria are not applied.
More informationAutism 101: An Introduction for Families
Autism 101: An Introduction for Families Lindsey Miller, ARNP Rachel Montague, Ph.D. June 5, 2012 Overview of Presentation What are Autism Spectrum Disorders? Prevalence & causes Characteristics & related
More informationWeek 2: Disorders of Childhood
Week 2: Disorders of Childhood What are neurodevelopmental disorders? A group of conditions with onset in the developmental period Disorders of the brain The disorders manifest early in development, often
More informationApplied Behavior Analysis Therapy for Treatment of Autism Spectrum Disorder
Applied Behavior Analysis Therapy for Treatment of Autism Spectrum Disorder Policy Number: Original Effective Date: MM.12.022 01/01/2016 Line(s) of Business: Current Effective Date: HMO; PPO; Fed 87; FEP;
More informationHearing Loss and Autism. diagnosis and intervention
Hearing Loss and Autism diagnosis and intervention Outline 1. Definitions 2. Prevalence 3. Diagnosis 4. Ideas for Intervention Definitions Definitions Autism A group of complex disorders of brain development
More informationDr Jane McCarthy Consultant Psychiatrist, East London NHS Foundation Trust & Visiting Senior Lecturer, Department of Forensic & Neurodevelopmental
Dr Jane McCarthy Consultant Psychiatrist, East London NHS Foundation Trust & Visiting Senior Lecturer, Department of Forensic & Neurodevelopmental Sciences Department, King s College London Prevalence
More informationFrom: What s the problem? Pathway to Empowerment. Objectives 12/8/2015
Overcoming Intellectual Disability and Autism to Achieve Vocational & Academic Success Pathway to Empowerment Objectives 1 2 4 Learn to distinguish between intellectual disability and autism spectrum disorders.
More informationWhich assessment tool is most useful to diagnose adult autism spectrum disorder?
Original Contribution Kitasato Med J 2017; 47: 26-30 Which assessment tool is most useful to diagnose adult autism spectrum disorder? Katsuo Inoue, 1 Shinya Tsuzaki, 2 Shizuko Suzuki, 3 Takeya Takizawa,
More informationAutism Spectrum Disorder What is it?
Autism Spectrum Disorder What is it? Robin K. Blitz, MD Director, Developmental Pediatrics Resident Autism Diagnostic Clinic Lecture Series #1 Learning Objectives What can we talk about in 20 minutes?
More informationLauren: Hi everyone. I m Lauren Robinson, a medical student at the University of
PedsCases Podcast Scripts This is a text version of a podcast from Pedscases.com on Autism Spectrum Disorder. These podcasts are designed to give medical students an overview of key topics in pediatrics.
More informationCOMORBIDITY PREVALENCE AND TREATMENT OUTCOME IN CHILDREN AND ADOLESCENTS WITH ADHD
COMORBIDITY PREVALENCE AND TREATMENT OUTCOME IN CHILDREN AND ADOLESCENTS WITH ADHD Tine Houmann Senior Consultant Child and Adolescent Mental Health Center, Mental Health Services Capital Region of Denmark
More informationADHD Guidance September 2013
ADHD Guidance September 2013 This guidance has been developed from the SASC convened ADHD Consensus Meeting chaired by Prof Philip Asherson held at Oxford University in May 2013 and subsequent consultations
More informationDSM 5 Criteria to Diagnose Autism
DSM 5 Criteria to Diagnose Autism Patient Name Patient Date of Birth Patient Health Plan Provider Name and Credential Date of Exam Only a doctoral level clinician (MD, PhD, and/or PsyD) can complete this
More informationBEHAVIOR ANALYSIS FOR THE TREATMENT OF AUTISM SPECTRUM DISORDERS
Page: 1 of 7 MEDICAL POLICY MEDICAL POLICY DETAILS Medical Policy Title APPLIED BEHAVIOR ANALYSIS FOR THE TREATMENT OF AUTISM SPECTRUM Policy Number 3.01.11 Category Behavioral Health/ Government Mandate
More informationDr Veenu Gupta MD MRCPsych Consultant, Child Psychiatrist Stockton on Tees, UK
Dr Veenu Gupta MD MRCPsych Consultant, Child Psychiatrist Stockton on Tees, UK Extremely Preterm-EP Very Preterm-VP Preterm-P Late Preterm-LP There is greater improvement of survival at extremely low
More informationAutism Brief to the Standing Senate Committee on Social Affairs, Science and Technology November 9, 2006
Autism Brief to the Standing Senate Committee on Social Affairs, Science and Technology November 9, 2006 The Canadian Psychological Association (CPA) is pleased to have been invited by the Standing Senate
More informationOklahoma Psychological Association DSM-5 Panel November 8-9, 2013 Jennifer L. Morris, Ph.D.
Oklahoma Psychological Association DSM-5 Panel November 8-9, 2013 Jennifer L. Morris, Ph.D. DSM-5 continues developmental progression, starting with disorders that are observed in early life. Disorders
More informationSTATE OF WEST VIRGINIA
STATE OF WEST VIRGINIA DEPARTMENT OF HEALTH AND HUMAN RESOURCES OFFICE OF INSPECTOR GENERAL Earl Ray Tomblin BOARD OF REVIEW Karen L. Bowling Governor 1400 Virginia Street Cabinet Secretary Oak Hill, WV
More informationAttention Deficit Hyperactivity Disorder
AMS-MOH CLINICAL PRACTICE GUIDELINES 1/2014 Attention Deficit Hyperactivity Disorder Academy of Medicine, Singapore College of Paediatrics and Child Health, Singapore College of Family Physicians Singapore
More informationQ: What can you tell us about the work you do and your involvement with children with autism?
If you know one person with autism, you know one person with autism April is Autism Awareness & Acceptance month and in an attempt to further educate the public about autism, Catriona Monthy, a registered
More informationAUTISM SPECTRUM DISORDERS: SCREENING IN PRIMARY CARE AND ACCESSING RESOURCES IN WATERLOO AND WELLINGTON
AUTISM SPECTRUM DISORDERS: SCREENING IN PRIMARY CARE AND ACCESSING RESOURCES IN WATERLOO AND WELLINGTON Nikhil Koushik, PhD., C., Psych Heather Jennings MSW, RSW, RECE AUTISM SPECTRUM DISORDERS: SCREENING
More informationAutism and Related Disorders:
Autism and Related Disorders: CHLD 350a/PSYC350 Lecture II: Assessment Katherine D. Tsatsanis, Ph.D. Yale Child Study Center Clinical Director, Developmental Disabilities Clinic Pervasive Developmental
More informationAutism Grows Up: Transitions to Adulthood. Elizabeth Reeve MD, HealthPartners Medical Group
Autism Grows Up: Transitions to Adulthood Elizabeth Reeve MD, HealthPartners Medical Group Agenda Brief overview Transition issues Impact on person with autism Impact on the family Community resources
More informationHOW TO USE THIS GUIDE
1 2 Autism Services, Education, Resources, and Training (ASERT) is a statewide initiative funded by the Bureau of Autism Services, Pennsylvania Department of Human Services. ASERT is a key component of
More informationDisclosures. Speakers and Consultancy fees from. Lundbeck Janssen Eli Lilly
Dr S H Jawed Consultant General Adult Psychiatrist, Dorothy Pattison Hospital, Walsall Joint Lead Consultant for Adult Neurodevelopmental Service, DWMHP NHS Trust Regional Lead, UK Adult ADHD Network (UKAAN)
More informationMEDICAL POLICY SUBJECT: APPLIED BEHAVIOR ANALYSIS FOR THE TREATMENT OF AUTISM SPECTRUM DISORDERS
MEDICAL POLICY SUBJECT: APPLIED BEHAVIOR ANALYSIS FOR PAGE: 1 OF: 8 If a product excludes coverage for a service, it is not covered, and medical policy criteria do not apply. If a commercial product, including
More informationDifferential Diagnosis. Not a Cookbook. Diagnostic Myths. Starting Points. Starting Points
Educational Identification of Individuals with Autism Spectrum Disorders Ohio Center for Autism and Low Incidence (OCALI) 5220 N. High Street Columbus, OH 43214 Main Line: 866-886-2254 Fax: 614-410-1090
More informationMaking Sense. Adults with Asperger Syndrome
Making Sense Adults with Asperger Syndrome What is Asperger syndrome? Asperger syndrome is a lifelong neurodevelopmental condition which is part of the Autism Spectrum (also sometimes called Autism Spectrum
More informationtopic : Co-Morbid Conditions by Cindy Ring, MSW, LSW and Michele LaMarche, BCBA
ABA Literature Summary e-newsletter OCTOBER 2011 ISSUE 5 topic : Co-Morbid Conditions by Cindy Ring, MSW, LSW and Michele LaMarche, BCBA 1. Co-Morbidity Rates and Types in Individuals with Autism............
More informationMedical Necessity Criteria
SECTION 3: MEDICAL NECESSITY CRITERIA 3.0 Definition of Medical Necessity Medical necessity is the principal criteria by which the Fresno County Mental Health Plan (FCMHP) decides to accept and approve
More informationDevelopmental trajectories in cognitive development in 22q11 deletion syndrome
Developmental trajectories in cognitive development in 22q11 deletion syndrome Ann Swillen, Ph.D. Center for Human Genetics UZ Leuven & KU Leuven, Belgium Cultural background Parenting Maturation School,
More informationNo An act relating to health insurance coverage for early childhood developmental disorders, including autism spectrum disorders. (S.
No. 158. An act relating to health insurance coverage for early childhood developmental disorders, including autism spectrum disorders. (S.223) It is hereby enacted by the General Assembly of the State
More informationTHE HOSPITAL FOR SICK CHILDREN DEPARTMENT OF PSYCHIATRY PARENT INTERVIEW FOR CHILD SYMPTOMS (P. I. C. S.
A Child s Name or ID: Date: 2013 THE HOSPITAL FOR SICK CHILDREN DEPARTMENT OF PSYCHIATRY PARENT INTERVIEW FOR CHILD SYMPTOMS (P. I. C. S. - 6) Revised for DSM-III - R (1989) and DSM-IV (1995, 2008) GENERAL
More informationOutline & Objectives
21/11/2017 ADHD Assessment and brief Intervention service: a multi-disciplinary perspective Kapil Sayal Outline & Objectives To be aware of the service context and development To understand these aspects
More informationAutism/Pervasive Developmental Disorders Update. Kimberly Macferran, MD Pediatric Subspecialty for the Primary Care Provider December 2, 2011
Autism/Pervasive Developmental Disorders Update Kimberly Macferran, MD Pediatric Subspecialty for the Primary Care Provider December 2, 2011 Overview Diagnostic criteria for autism spectrum disorders Screening/referral
More informationMisunderstood Girls: A look at gender differences in Autism
Misunderstood Girls: A look at gender differences in Autism By Lauren Lowry Hanen Certified SLP and Clinical Staff Writer Several years ago I worked on a diagnostic assessment team. I remember the first
More informationAn Autism Primer for the PCP: What to Expect, When to Refer
An Autism Primer for the PCP: What to Expect, When to Refer Webinar November 9, 2016 John P. Pelegano MD Chief of Pediatrics Hospital for Special Care Disclosures None I will not be discussing any treatments,
More informationThis is a pre-publication version of the article published in the Journal of Clinical Practice in Speech Language Pathology
CHANGING THE WAY WE DIAGNOSE AUTISM 1 This is a pre-publication version of the article published in the Journal of Clinical Practice in Speech Language Pathology Changing the way we diagnose autism: Implications
More informationApproved by: Integrated Health Quality Management Subcommittee Effective Date: Department of Origin: Integrated Healthcare Services.
Reference #: MC/M020 Page 1 of 5 PRODUCT APPLICATION: PreferredOne Administrative Services, Inc. (PAS) ERISA PreferredOne Administrative Services, Inc. (PAS) Non-ERISA PreferredOne Community Health Plan
More informationThe use of Autism Mental Status Exam in an Italian sample. A brief report
Life Span and Disability XX, 1 (2017), 93-103 The use of Autism Mental Status Exam in an Italian sample. A brief report Marinella Zingale 1, Simonetta Panerai 2, Serafino Buono 3, Grazia Trubia 4, Maurizio
More informationCollaborative, evidence based understanding of students with ASD
Collaborative, evidence based understanding of students with ASD Rebecca Sutherland Speech Pathologist Child Development Unit Children s Hospital at Westmead Positive Partnerships www.positivepartnerships.com.au
More informationJ. Indian Assoc. Child Adolesc. Ment. Health 2016; 12(4): Original Article
291 J. Indian Assoc. Child Adolesc. Ment. Health 2016; 12(4):291-308 Original Article To study the age of recognition of symptoms and their correlates in children diagnosed with autism spectrum disorders:
More informationAUTISM CLINICS DIAGNOSIS
AUTISM CLINICS Questions to ask when choosing a clinic: What insurance do you take? Does it cover evaluations? Does it cover therapy? Who does the evaluations? What are their qualifications? What kind
More informationAttention Deficit Hyperactivity Disorder Overview and New Perspectives
1st Annual Regional Psychiatry Conference Psychiatry for the Non-Psychiatrist Attention Deficit Hyperactivity Disorder Overview and New Perspectives Thomas B. Henry, MD Board Certified Child & Adolescent
More informationNeurodevelopmental Disorders
Neurodevelopmental Disorders Intellectual Disability Disorder Autism Spectrum Disorder (ASD) Attention-Deficit Hyperactivity Disorder (ADD/ADHD) Motor Disorders/Tourette s Disorder Intellectual Disability
More informationSomerset Protocol for Autistic Spectrum Disorders Assessment (ASDA)
1 Aims Somerset Protocol for Autistic Spectrum Disorders Assessment (ASDA) 1.1 To follow best practice guidelines for the assessment of children and young people around the diagnosis of complex communication
More informationStructuring Epilepsy Services: Why psychology is vital in the management of childhood epilepsy. Colin Reilly Educational Psychologist Young Epilepsy
Structuring Epilepsy Services: Why psychology is vital in the management of childhood epilepsy. Colin Reilly Educational Psychologist Young Epilepsy Epilepsy is more than just seizures!!! The Disability
More informationFinal Report of Activity February 21 st, 2006 to April 30 th, 2006 CHEO Grant 052
Final Report of Activity February 21 st, 2006 to April 30 th, 2006 CHEO Grant 052 1- Title of Study: The prevalence of neuropsychiatric disorders in children and adolescents on an inpatient treatment unit:
More informationAutism: the management and support of children and young people on the autism spectrum. Review Questions
Autism: the management and support of children and young people on the autism spectrum 1.1 EXPERIENCE OF CARE AND THE ORGANISATION AND DELIVERY OF CARE 1.1 What services and treatments are effective in
More informationDeconstructing the DSM-5 By Jason H. King
Deconstructing the DSM-5 By Jason H. King Assessment and diagnosis of autism spectrum disorder For this month s topic, I am excited to share my recent experience using the fifth edition of the Diagnostic
More informationImplementing NICE guidance
Implementing NICE guidance Penny Williams Speech and Language Therapist NICE clinical guideline 128 September 2011 What this presentation covers Background Development Scope of the Guideline Key Recommendations
More informationChapter Three BRIDGE TO THE PSYCHOPATHOLOGIES
Chapter Three BRIDGE TO THE PSYCHOPATHOLOGIES Developmental Psychopathology: From Infancy through Adolescence, 5 th edition By Charles Wenar and Patricia Kerig When do behaviors or issues become pathologies?
More informationWhat can genetic studies tell us about ADHD? Dr Joanna Martin, Cardiff University
What can genetic studies tell us about ADHD? Dr Joanna Martin, Cardiff University Outline of talk What do we know about causes of ADHD? Traditional family studies Modern molecular genetic studies How can
More informationDevelopmental Disabilities. Medical and Psychosocial Aspects Presented by: Dr. Anna Lamikanra
Developmental Disabilities Medical and Psychosocial Aspects Presented by: Dr. Anna Lamikanra Themes Decreased Independence Social Barriers Communication Difficulties Sexual Issues Limited Vocational Opportunities
More informationOther Disorders Myers for AP Module 69
1 Other s Myers for AP Module 69 Describe the general characteristics of somatic symptom disorders. How does culture influence people s expression of physical complaints? Compare the symptoms of conversion
More informationMyths! Myths and Realities of Evaluation, Identification, and Diagnosis of ASD 10/11/10. Facts. The Ziggurat Group
Myths and Realities of Evaluation, Identification, and Diagnosis of ASD Ruth Aspy, Ph.D., Barry Grossman, Ph.D. The Ziggurat Group Myths and the Culture of Misunderstanding Belief in Myths Causes Harm
More informationLeneh Buckle, BSc, MA
Redefining autism: recent developments in diagnostic criteria Leneh Buckle, BSc, MA Introduction to me Grew up in Canada, now in UK Autistic family Studies neuroscience and psychology bioethics (incl.
More informationThey are updated regularly as new NICE guidance is published. To view the latest version of this NICE Pathway see:
Coexisting mental disorders in adults with autism spectrum disorder bring together everything NICE says on a topic in an interactive flowchart. are interactive and designed to be used online. They are
More informationCAMHS - Childrens Scrutiny Panel Rutland Adam McKeown Head of FYPC Group 1 & Adult LD.
CAMHS - Childrens Scrutiny Panel Rutland Adam McKeown Head of FYPC Group 1 & Adult LD www.leicspart.nhs.uk Contents Overview of CAMHS Services provided by LPT Current overall CAMHS performance context
More informationDr Clare Sheahan, Dr Diana Howlett (plus wider input via CCHP Autism Core group)
Clinical Guideline AUTISM DIAGNOSTIC ASSESSMENT CARE PATHWAY Autism Spectrum Health Care Pathway (0-18) FOR STAFF SETTING MAIN AUTHORS Community Paediatricians, speech and language therapists, CAMHS team
More informationA Longitudinal Pilot Study of Behavioral Abnormalities in Children with Autism
Volume 1, Issue 4 Research Article A Longitudinal Pilot Study of Behavioral Abnormalities in Children with Autism Robin A. Libove 1, Thomas W. Frazier 2, Ruth O Hara 1, Jennifer M. Phillips 1, Booil Jo
More informationSUPPORTING COGNITIVE DEVELOPMENT IN HEART CHILDREN
SUPPORTING COGNITIVE DEVELOPMENT IN HEART CHILDREN PARENTING YOUR HEART CHILD CONFERENCE NOVEMBER 3, 2018 DR. NNEKA ALEXANDER PEDIATRIC PSYCHOLOGIST NNEKA.ALEXANDER@CHOA.ORG OUTLINE Risk factors for cognitive
More informationASSESSMENT ELEMENTARY POINT PERSON TRAINING PRESENTED BY: PAM LEONARD SABRINA BEAUDRY
ASSESSMENT ELEMENTARY POINT PERSON TRAINING PRESENTED BY: PAM LEONARD SABRINA BEAUDRY 1/26/11 IDEA Partnership 2 ASSESSMENT FOR ASD ELIGIBILITY DETERMINATION October 2010 Jointly Developed By: The Autism
More information8/23/2017. Chapter 21 Autism Spectrum Disorders. Introduction. Diagnostic Categories within the Autism Spectrum
Chapter 21 Overview Core features of autism spectrum disorders (ASDs) Studies seeking an etiology for ASDs Conditions associated with ASDs Interventions and outcomes Introduction ASDs Class of neurodevelopmental
More informationQUALITY OF LIFE OF MOTHERS HAVING CHILDREN WITH AUTISTIC SPECTRUM DISORDERS AND LEARNING DISABILITIES
QUALITY OF LIFE OF MOTHERS HAVING CHILDREN WITH AUTISTIC SPECTRUM DISORDERS AND LEARNING DISABILITIES MOHD. FAIJULLAH KHAN 1, M. KHYOTHUNGLO HUMTSOE 2 1 Department of Teacher Training and Non Formal Education,
More information