Episode 5: SLPs role in early identification of autism, parents' social skills, & clinical practice research with Megan Roberts
Apr 27, 2019
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Megan Roberts, a researcher in clinical practice, discusses the role of speech-language pathologists in early autism identification. They explore diagnosing autism spectrum disorder, challenges in early intervention, and clinician-researcher collaboration. The discussion also focuses on alternative approaches, the influence of parents' pragmatic skills, and a clinical trial on language development in autistic children. The episode ends with book recommendations and gratitude for Autism Awareness Month.
Early identification of autism is crucial and speech pathologists play a unique role in identifying signs and providing timely support.
Professionals should have open and transparent discussions with parents, explaining observations and concerns, and offering ongoing support throughout the complex diagnostic process.
Efforts should be made to prioritize and support the production of clinical practice research to bridge the gap between research and effective clinical interventions.
Deep dives
The Importance of Early Identification of Autism
Early identification of autism is crucial for effective treatment and intervention. Current processes for diagnosing autism vary from state to state, but in general, a multidisciplinary team is involved. This team includes developmental and behavioral pediatricians, speech pathologists, occupational therapists, and others. The diagnostic criteria for autism focus on social communication difficulties and restricted and repetitive interests. Early intervention speech pathologists are uniquely positioned to identify signs of autism and should speak up if they have concerns to ensure timely support for children and their families.
Challenges in the Diagnosis of Autism
The diagnostic process for autism can be complex and lengthy, with long waitlists and a shortage of developmental and behavioral pediatricians in certain areas. Parents often have to navigate various evaluations and assessments to receive a formal diagnosis. There are also instances where children may exhibit behaviors that resemble autism but do not meet all the criteria for a diagnosis. It is important for professionals to have open and transparent discussions with parents, explaining their observations and concerns, and offering ongoing support throughout the evaluation process.
The Need for Clinical Practice Research
Clinical practice research plays a crucial role in providing evidence-based interventions and strategies for speech pathologists. Unfortunately, there is a lack of clinical practice research published in ASHA journals. Such research is essential for clinicians to access practical tools and techniques they can immediately apply in their practice. Barriers to producing clinical practice research include the challenges of conducting research in real-world settings, limited accessibility to high-impact journals that clinicians can access, and a lack of reviewers with expertise in clinical practice research. Efforts should be made to prioritize and support the production of clinical practice research to bridge the gap between research and effective clinical interventions.
Advancing Autism Diagnosis through Improved Screening Methods
The podcast episode discusses the importance of improving screening methods for autism diagnosis. The speaker highlights the challenges in accurately diagnosing autism, particularly with children who fall into the 'gray' area. The traditional approach of using a single cut-off point for diagnosis often leads to a difficult balancing act. The speaker proposes a new method that uses multiple cut-off points, allowing for more precise diagnosis and the prioritization of both high-risk and low-risk cases. This approach shows promising results, with the potential to reduce wait times and provide early intervention services to children in need.
Individualizing Language Intervention for Children with Autism
The podcast episode also explores the importance of individualized language intervention for children with autism. The speaker emphasizes the significance of considering both the child's characteristics and the parent's pragmatic skills when designing intervention strategies. By recognizing that parents bring their own strengths, weaknesses, and preferences to the table, it becomes possible to tailor language intervention approaches to better suit each individual case. Through collaborative partnerships between researchers and clinicians, the goal is to develop adaptive interventions that optimize child and parent outcomes. The ongoing research project aims to examine the efficacy of different strategies and identify the most effective ways to support the language development of children with autism.