TY - JOUR
T1 - Identification, evaluation, and management of children with autism spectrum disorder
AU - Council on Children with Disabilities, Section on Developmental and Behavioral Pediatrics
AU - Hyman, Susan L.
AU - Levy, Susan E.
AU - Myers, Scott M.
AU - Kuo, Dennis Z.
AU - Apkon, Chairperson Susan
AU - Davidson, Lynn F.
AU - Ellerbeck, Kathryn A.
AU - Foster, Jessica E.A.
AU - Noritz, Garey H.
AU - O'Connor Leppert, Mary
AU - Saunders, Barbara S.
AU - Stille, Christopher
AU - Yin, Larry
AU - Brei, Timothy
AU - Davis, Beth Ellen
AU - Lipkin, Paul H.
AU - Norwood, Kenneth
AU - Coleman, Cara
AU - Mann, Marie
AU - Simpser, Edwin
AU - Smith, Peter J.
AU - Yeargin-Allsopp, Marshalyn
AU - Kuznetsov, Alexandra
AU - Weitzman, Carol C.
AU - Childers, Chairperson David Omer
AU - Levine, Jack M.
AU - Peralta-Carcelen, Myriam
AU - Poon, Jennifer K.
AU - Smith, Peter J.
AU - Blum, Nathan Jon
AU - Takayama, John Ichiro
AU - Baum, Rebecca
AU - Voigt, Robert G.
AU - Bridgemohan, Carolyn
AU - Bauer, Nerissa S.
AU - Goldson, Edward
AU - Macias, Michelle M.
AU - McGuinn, Laura Joan
AU - Augustyn, Marilyn
AU - Davis, Beth Ellen
AU - Meng, Alice
AU - High, Pamela C.
AU - McCarty, Carolyn
AU - Paul, Linda
N1 - Publisher Copyright:
© 2020 by the American Academy of Pediatrics
PY - 2020/1/1
Y1 - 2020/1/1
N2 - Autism spectrum disorder (ASD) is a common neurodevelopmental disorder with reported prevalence in the United States of 1 in 59 children (approximately 1.7%). Core deficits are identified in 2 domains: social communication/interaction and restrictive, repetitive patterns of behavior. Children and youth with ASD have service needs in behavioral, educational, health, leisure, family support, and other areas. Standardized screening for ASD at 18 and 24 months of age with ongoing developmental surveillance continues to be recommended in primary care (although it may be performed in other settings), because ASD is common, can be diagnosed as young as 18 months of age, and has evidenced-based interventions that may improve function. More accurate and culturally sensitive screening approaches are needed. Primary care providers should be familiar with the diagnostic criteria for ASD, appropriate etiologic evaluation, and co-occurring medical and behavioral conditions (such as disorders of sleep and feeding, gastrointestinal tract symptoms, obesity, seizures, attention-deficit/hyperactivity disorder, anxiety, and wandering) that affect the child's function and quality of life. There is an increasing evidence base to support behavioral and other interventions to address specific skills and symptoms. Shared decision making calls for collaboration with families in evaluation and choice of interventions. This single clinical report updates the 2007 American Academy of Pediatrics clinical reports on the evaluation and treatment of ASD in one publication with an online table of contents and section view available through the American Academy of Pediatrics Gateway to help the reader identify topic areas within the report.
AB - Autism spectrum disorder (ASD) is a common neurodevelopmental disorder with reported prevalence in the United States of 1 in 59 children (approximately 1.7%). Core deficits are identified in 2 domains: social communication/interaction and restrictive, repetitive patterns of behavior. Children and youth with ASD have service needs in behavioral, educational, health, leisure, family support, and other areas. Standardized screening for ASD at 18 and 24 months of age with ongoing developmental surveillance continues to be recommended in primary care (although it may be performed in other settings), because ASD is common, can be diagnosed as young as 18 months of age, and has evidenced-based interventions that may improve function. More accurate and culturally sensitive screening approaches are needed. Primary care providers should be familiar with the diagnostic criteria for ASD, appropriate etiologic evaluation, and co-occurring medical and behavioral conditions (such as disorders of sleep and feeding, gastrointestinal tract symptoms, obesity, seizures, attention-deficit/hyperactivity disorder, anxiety, and wandering) that affect the child's function and quality of life. There is an increasing evidence base to support behavioral and other interventions to address specific skills and symptoms. Shared decision making calls for collaboration with families in evaluation and choice of interventions. This single clinical report updates the 2007 American Academy of Pediatrics clinical reports on the evaluation and treatment of ASD in one publication with an online table of contents and section view available through the American Academy of Pediatrics Gateway to help the reader identify topic areas within the report.
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U2 - 10.1542/PEDS.2019-3447
DO - 10.1542/PEDS.2019-3447
M3 - Article
C2 - 31843864
AN - SCOPUS:85077404110
SN - 0031-4005
VL - 145
JO - Pediatrics
JF - Pediatrics
IS - 1
M1 - e20193447
ER -