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Optimal Outcome

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A small percentage of individuals with autism spectrum disorders (ASDs) may go on to lose core symptoms of the diagnosis and achieve “optimal outcomes.” Helt et al. (2008) defined an individual with an optimal outcome as having a history of an ASD diagnosis, demonstrating average or above average academic and adaptive functioning, receiving minimal special education supports specific to autism symptoms, and not meeting criteria for a diagnosis of ASD diagnosis as determined by administration of the Autism Diagnostic Observation Schedule (ADOS).

It should be noted that losing an ASD diagnosis is not the only good outcome that can be achieved. Finding strengths in individual children with ASD that give them satisfaction and can be nurtured, maximizing their ability to communicate and have relationships with others, and successfully treating comorbid sources of distress (e.g., anxiety, depression) are other criteria for good outcomes. In fact, comorbid conditions such as anxiety and...

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References and Reading

  • Anderson, D. K., Liang, J. W., & Lord, C. (2014). Predicting young adult outcome among more and less cognitively able individuals with autism spectrum disorders. Journal of Child Psychology and Psychiatry, 55(5), 485–494. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5819743/.

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Correspondence to Katherine Tyson .

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Tyson, K., Fein, D. (2020). Optimal Outcome. In: Volkmar, F. (eds) Encyclopedia of Autism Spectrum Disorders. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-6435-8_2023-4

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  • DOI: https://doi.org/10.1007/978-1-4614-6435-8_2023-4

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Chapter history

  1. Latest

    Optimal Outcome
    Published:
    18 June 2020

    DOI: https://doi.org/10.1007/978-1-4614-6435-8_2023-4

  2. Original

    Optimal Outcome
    Published:
    01 December 2017

    DOI: https://doi.org/10.1007/978-1-4614-6435-8_2023-3