School-Clinic Care Coordination for Youth with ASD: A National Survey of School Psychologists
- 10 Downloads
Many youth with autism spectrum disorder (ASD) may benefit from interdisciplinary care coordination. Communication and collaboration between the school and clinic settings is particularly important when youth with ASD are receiving both special education and clinic-based services. The responsibility of initiating coordinated care has historically been with the medical home (e.g., primary care clinicians), however, educational professionals (e.g., school psychologists) are also well positioned to assume a leadership role in care coordination. Little is known about the current state, feasibility, or effectiveness of school psychologists leading care coordination efforts. The current study utilizes a mixed-method approach to understand school psychologists’ engagement in interdisciplinary collaboration across settings, a central tenet to coordinated care, in providing services to youth with ASD.
KeywordsAutism spectrum disorder (ASD) Coordinated care School psychologists Interdisciplinary collaboration
MBM and JDS contributed to the project conceptualization. Data were collected by CRH. SES, MBM, JDS, CRH, and KJB contributed to data analyses. All authors contributed to the writing of the manuscript.
Compliance with Ethical Standards
Conflict of interest
All authors declare no conflict of interest.
All procedures performed in studies involving human participants were in accordance with the Ethical Standards of the Institutional and/or National Research Committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.
- American Academy of Pediatrics Medical Home Initiatives for Children with Special Needs Project Advisory Committee. (2004). Policy statement: Organizational principles to guide and define the child health care system and/or improve the health of all children. Pediatrics, 113(5), 1545–1547.Google Scholar
- Baio, J. (2014). Autism and developmental disabilities monitoring network, 11 sites, United States, 2010. Morbidity and Mortality Weekly Report Surveillance Summaries, 63(2), 1–21.Google Scholar
- Baio, J., Wiggins, L., Christensen, D. L., Maenner, M. J., Daniels, J., Warren, Z., … Dowling, N. F. (2018). Prevalence of autism spectrum disorder among children aged 8 years - Autism and developmental disabilities monitoring network, 11, sites, Untied States, 2014. Morbidity and Mortality Weekly Report Surveillance Summaries, 67(6), 1–23.Google Scholar
- Farmer, J. E., Clark, M. J., Mayfield, W. A., Cheak-Zamora, N., Marvin, A. R., Law, J. K., & Law, P. A. (2014). The relationship between the medical home and unmet needs for children with autism spectrum disorders. Maternal and Child Health, 18(3), 672–680. https://doi.org/10.1007/s10995-013-1292-z.CrossRefGoogle Scholar
- Greenspan, S. I., Brazelton, T. B., Cordero, J., Solomon, R., Bauman, M. L., Robinson, R., et al. (2008). Guidelines for early identification, screening, and clinical management of children with autism spectrum disorders. Pediatrics, 121(4), 828–830. https://doi.org/10.1542/peds.2007-3833.CrossRefPubMedGoogle Scholar
- Kogan, M. D., Strickland, B. B., Blumberg, S. J., Singh, G. K., Perrin, J. M., & van Dyck, P. C. (2008). A national profile of the health care experiences and family impact of autism spectrum disorder among children in the United States, 2005–2006. Pediatrics, 122(6), e1149–e1158. https://doi.org/10.1542/peds.2008-1057.CrossRefPubMedGoogle Scholar
- Muskens, J. B., Velders, F. P., & Staal, W. G. (2017). Medical comorbidities in children and adolescents with autism spectrum disorders and attention deficit hyperactivity disorders: A systematic review. European Child and Adolescent Psychiatry, 26(9), 1093–1103. https://doi.org/10.1007/s00787-017-1020-0.CrossRefPubMedGoogle Scholar
- National Association of School Psychologists. (2010). Model for comprehensive and integrated school psychological services, NASP practice model. Bethesda, MD: NASP. http://www.nasponline.org/standards-and-certification/nasp-practice-model/about-the-nasp-practice-model.
- Qualtrics. (2018). Provo, UT: Qualtrics.Google Scholar
- R Core Team. (2018). R: A language and environment for statistical computing. Vienna: R Foundation for Statistical Computing. https://www.R-project.org/.
- Rosenberg, R. E., Mandell, D. S., Farmer, J. E., Law, J. K., Marvin, A. R., & Law, P. A. (2010). Psychotropic medication use among children with autism spectrum disorders enrolled in a national registry, 2007–2008. Journal of Autism and Developmental Disorders, 40(3), 342–351. https://doi.org/10.1007/s10803-009-0878-1.CrossRefPubMedGoogle Scholar
- Salazar, F., Baird, G., Chandler, S., Tseng, E., O’Sullivan, T., Howlin, P., et al. (2015). Co-occurring psychiatric disorders in preschool and elementary school-aged children with autism spectrum disorder. Journal of Autism and Developmental Disorders, 45(8), 2283–2294. https://doi.org/10.1007/s10803-015-2361-5.CrossRefPubMedGoogle Scholar
- Shahidullah, J. D., Azad, G., Mezher, K. R., McClain, M. B., & McIntyre, L. L. (2018). Linking the medical and educational home to support children with autism spectrum disorder: Practice recommendations. Clinical Pediatrics, 57(13), 1496–1505. https://doi.org/10.1177/000992281877434.CrossRefPubMedGoogle Scholar
- Wise, P. H., Huffman, L. C., & Brat, G. (2007). A critical analysis of care coordination strategies for children with special health care needs. Technical review No. 14, AHRQ Publication No. 07-0054. Rockville, MD: Agency for Healthcare Research and Quality.Google Scholar