Project Description:
The American Academy of Pediatrics issued a surveillance and screening algorithm to promote early identification of autism in primary care using validated screening measures (Johnson, Myers, & the Council on Children with Disabilities, 2007). Despite the availability of the algorithm, there is a dearth of literature regarding the feasibility of implementing the guidelines and information regarding physicians screening practices is largely unknown. An estimated 44% of pediatricians reportedly care for at least 10 children with autism, but only 8% report that they routinely screened for autism (Dosreis, Weiner, Johnson, & Newschaffer, 2006). Conducting routine developmental screenings is a critical step towards earlier diagnosis and initiation of appropriately targeted interventions. Research indicates that early intervention leads to improved developmental outcomes (Baird, 2001; Turner, Stone, Pozdol, & Coonrod, 2006). The present study provides preliminary data regarding physicians screening practices and barriers associated with implementing the algorithm. Key factors hypothesized to contribute to difficulties implementing the algorithm include limited training or experience administering standardized assessment measures, limited time during well-child visits, and difficulties with reimbursement. Physician's experiences and their perceived challenges may help to inform and improve physician education, practice guidelines, and models of delivering primary care (Golnik, Ireland, & Borowski, 2009).
Unserved or Under-served Populations:
Racial or Ethnic Minorities, Disadvantaged Circumstances, Limited English
