Management of Children With Autism Spectrum Disorders

PEDIATRICS (Impact Factor: 5.47). 12/2007; 120(5):1162-82. DOI: 10.1542/peds.2007-2362
Source: PubMed


Pediatricians have an important role not only in early recognition and evaluation of autism spectrum disorders but also in chronic management of these disorders. The primary goals of treatment are to maximize the child's ultimate functional independence and quality of life by minimizing the core autism spectrum disorder features, facilitating development and learning, promoting socialization, reducing maladaptive behaviors, and educating and supporting families. To assist pediatricians in educating families and guiding them toward empirically supported interventions for their children, this report reviews the educational strategies and associated therapies that are the primary treatments for children with autism spectrum disorders. Optimization of health care is likely to have a positive effect on habilitative progress, functional outcome, and quality of life; therefore, important issues, such as management of associated medical problems, pharmacologic and nonpharmacologic intervention for challenging behaviors or coexisting mental health conditions, and use of complementary and alternative medical treatments, are also addressed.

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    • "ASD is characterized by a deficit of social interaction and personal skills, impairment in verbal and non-verbal communication, repetitive patterns of behavior , and notable consuming interests (American Psychiatric Association 2013). The diagnostic assessment for autism requires an elaborate screening process, which involves substantial consultations with many specialists and other physicians (Myers and Johnson 2007). The global prevalence of autism is estimated to be one in 160 people, and many studies have reported that the combination of genetic and environmental factors implicate a strong association in some aspects of ASD (Bailey et al. 1995; Campbell et al. 2006; Elsabbagh et al. 2012; Hallmayer et al. 2011); however, the development of ASD continues to be largely unclear. "

    10/2015; 2:374-401. DOI:10.1007/s40489-015-0059-4
    • "Proactive management of ASD is an instrumental requirement for maximizing functioning of the child with ASD and for reducing family stress (Myers & Johnson, 2007). Collaborative efforts by family members are needed to engage in effective information gathering and communication with health care providers in order to facilitate obtaining appropriate services (Levetown, 2008). "
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    ABSTRACT: This article considers the value of intergenerational and specifically, grandparental support, in the management of adaptive tasks posed by raising a young child with autism. The tasks addressed range from accessing early intervention to enhancing family social functioning. We note unique social, financial, and health-related stressors faced by families of children with autism. We outline an innovative, stress theory-based framework, the Autism Proactive Intergenerational Adaptation (APIA) Model, which delineates the role of grandparents in contributing to family adaptation to the stresses of raising a child with autism. We focus on proactive family coping strategies in building resilience and ameliorating the adverse impact of stressors on quality of life (QOL) for individual family members and for the family unit. We discuss barriers and facilitators of intergenerational alliances involving grandparental participation and support.
    Journal of Intergenerational Relationships 06/2015; 13(2):150-166. DOI:10.1080/15350770.2015.1026759
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    • "walking and first words) (Wetherby, Brosnan-Maddox, Peace, & Newton, 2008). Further, while there has been a reported increase in screening for ASD since the American Academy of Pediatrics recommendation for screening of all children at 18 and 24 months of age (Myers & Johnson, 2007), the rate of screening remains low. In a 2012 study, a sample of 157 primary care physicians reported a 55% consistent use of autism screening tools (Keil, Breunig, Fleischfresser, & Oftedahl), up from 28% in 2009 (Gillis, 2009), and up from 8% in 2006 (DosReis, Weiner, Johnson, & Newschaffer, 2006). "
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    ABSTRACT: Autism diagnosis rates trail significantly in the African American community. This pre-test post-test pilot study evaluated an African American inner-city church health ambassadors (HAs) autism spectrum disorder (ASD) awareness training session. The participants included 12 HAs who attended the 1hour training session organized by the National Baptist Convention, USA, Inc. Results of surveys showed higher mean scores post training for (1) HA attitudes about the potential for children to improve with applied behavior analysis therapy; (2) HA self-efficacy for having information about ASD screening materials; (3) strategies HAs could use to help parents/caregivers of children with developmental delays and challenging behaviors; (4) HA confidence in referrals for children with signs of ASD; (5) HA knowledge of measures to take to maximize a child's chance of receiving an ASD evaluation; and (6) HA comfort for talking to parents about children with challenging behaviors. Several of these effects were maintained 3months later. Findings underscore the usefulness of the intervention for increasing the dissemination of knowledge about ASD and the opportunity to positively affect ASD screening, early intervention, and policy standards applicable to this vulnerable population. Copyright © 2015. Published by Elsevier Inc.
    Journal of pediatric nursing 05/2015; DOI:10.1016/j.pedn.2015.04.008 · 1.01 Impact Factor
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