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Autism Spectrum Disorder (ASD)自闭症谱系障碍(ASD).ppt
Autism Spectrum Disorder (ASD) This disorder includes Autism (299.0), and the Pervasive Developmental Disorders NOS, and Asperger’s (299.80). It does not include Rett’s Syndrome or Childhood Disintegrative Disorder. Objectives To describe the definitions for and epidemiology of ASD To review the current methods for screening, diagnosing, care and case managing, and treating ASD To review the key features of how ASD presents in the children enrolled New Jersey’s Behavioral Health system of care Definition ASD is a biologically based disorder of neurodevelopment. The deficits are as follows: Reciprocal social interaction Communication impairments Stereotyped and compulsive behavior patterns, activity patterns, or interest patterns ASD is a lifelong developmental, neurological disability that affects: Speech and language Social relationships Psychological functioning Development of cognition, emotions and behaviors Co-occurring disorders are frequently present with ASD. Epidemiology ASD occurs in approximately 6 out of 1000 children in the United States. Asperger’s occurs in approximately 3 out of 1000 children in the United States. The incidence of ASD appears to be increasing because of the following reasons: There are more and more viable births. Therefore, always get a pregnancy, birth, and developmental history. This history is hardest to accomplish with adoption, especially with foreign adoption. Definitions have become much broader in scope than Kanner’s original description. Effective early screening increases the number of children diagnosed. The frequency of ASD diagnosis appears to be increasing as more dollars become available for treating this diagnosis. Early Screening The American Academy of Pediatrics stresses the use of an ALARM in-office approach: Autism is prevalent Listen to parents about developmental concerns Act early with the use of screening Refer to appropriate professionals, organizations, and programs Monitor incoming information and
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