Pediatrics On Call

Diagnosing Autism in the Medical Home, How Moving Affects Access to Social Services – Ep. 197 

Apr 9, 2024
Two guests, Katharine Zuckerman and Kathryn Leifheit, discuss diagnosing autism in the medical home and how moving affects access to social services. Topics include early childhood onset, screening tools, post-diagnosis support, health implications of unaffordable housing, impact of relocation on service access, and effects of unstable housing on safety nets.
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INSIGHT

Core Autism Diagnostic Criteria

  • Autism diagnosis requires identifying social communication challenges and restricted, repetitive behaviors starting in early childhood.
  • The degree of impairment differentiates autism from typical developmental variations.
ADVICE

Autism Screening and Early Referral

  • Use structured screening tools like M-CHAT with follow-up interviews to enhance autism identification.
  • Refer early to intervention and audiology to start therapy promptly while waiting for diagnostic evaluation.
ADVICE

Differential Diagnosis of Autism

  • Rule out autism mimickers like anxiety, ADHD, trauma effects, and global developmental delay before diagnosing.
  • Differentiate autism by focusing on social communication impairments coupled with relatively preserved other developmental skills.
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