Impact of Adherence to Best Practice Guidelines on the Diagnostic and Assessment Services for Autism Spectrum Disorder
Despite their range and complexity, adherence to Scottish Intercollegiate Guidelines Network guideline for the diagnosis and assessment of autism spectrum disorders (ASD) was shown to be high within child development and specialist diagnostic clinics serving a geographical cohort of children diagnosed under the age of 7 years. A retrospective analysis of comprehensive clinical notes demonstrated that the recommended discretionary use of structured history instruments was increased after medical training (p = 0.003). 56 % (51/90) of children received the diagnosis of ASD at their initial specialist appointment. 51 % underwent the recommended discretionary structured observational instrument. This further assessment was more likely to be required for older children in the reaudited group (p = 0.001). The implications for service capacity planning when delivering best practice recommendations are discussed.
KeywordsGuidelines Autism spectrum disorder ASD specific history Observational instruments Paediatric medical training
We are grateful to colleagues in the diagnostic and assessment clinics in Lothian, South-east Scotland for their co-operation. This study was funded by the Friends Foundation Autism Research and Development Fund at the Royal Hospital for Sick Children in Edinburgh.
Conflict of interest
The authors declare that they have no conflict of interest. Professor Anne O’Hare was Vice Chair of the SIGN 98 Guideline
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