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This study investigates demographic and clinical factors associated with initiation, continuation, and adherence to behavioral health treatment (BHT) among children with autism spectrum disorder. Among 293 insured children referred for applied behavior analysis (ABA) based BHT, 23% never initiated treatment. Among those initiating treatment, 31% discontinued treatment within 1 year of treatment initiation, and only 15% received 80% or more of recommended treatment hours. Younger age at referral to treatment, private health insurance, and receiving more than 10 h/week of BHT were associated with treatment engagement. Co-occurring psychiatric and medical conditions were related to treatment discontinuation among children 5 years or older. These findings suggest specific subgroups that may benefit from additional support with engaging in recommended behavioral health treatment.
American Psychiatric Association (APA). (2013). Diagnostic and statistical manual of mental disorders. Washington, DC: APA. CrossRef
Carr, T., Shih, W., Lawton, K., King, B., & Kasari, C. (2016). The relationship between treatment attendance, adherence, and outcome in a caregiver-mediated intervention for low-resourced families of young children with autism spectrum disorder. Autism: The International Journal of Research and Practice, 20(6), 643–652. doi: 10.1177/1362361315598634. CrossRef
Christensen, D. L., Baio, J., Van Naarden Braun, K., Bilder, D., Charles, J., Constantino, J. N., et al. (2016). Prevalence and characteristics of autism spectrum disorder among children aged 8 years—Autism and developmental disabilities monitoring network, 11 Sites, United States, 2012. MMWR Surveillance Summaries, 65(3), 1–23. CrossRef
Fava, L., & Strauss, K. (2014). Response to early intensive behavioral intervention for autism -an umbrella approach to issues critical to treatment individualization. International Journal of Developmental, 39, 49–58. doi: 10.1016/j.ijdevneu.2014.05.004.
Fenske, E. C., Zalenski, S., Krantz, P. J., & McClannahan, L. E. (1985). Age at intervention and treatment outcome for autisitc children in a comprehensive intervention program. Analysis and Intervention in Developmental Disabilities, 5, 49–58. CrossRef
Gopalan, G., Goldstein, L., Klingenstein, K., Sicher, C., Blake, C., & McKay, M. M. (2010). Engaging families into child mental health treatment: Updates and special considerations. Journal of Canadian Academy of Child and Adolescent Psychiatry, 19(3), 182–196.
Granpeesheh, D., Tarbox, J., & Dixon, D. R. (2009). Applied behavior analytic interventions for children with autism: A description and review of treatment research. Annals of Clinical Psychiatry, 21(3), 162–173. PubMed
Jensen, V. K., & Sinclair, V. (2002). Treatment of autism in young children: Behavioral intervention and applied behavior analysis. Infant and Young Children, 14(4), 42–52. CrossRef
Kazdin, A. E., Stolar, M. J., & Parciano, P. L. (1995). Risk factors for dropping out of treatment among white and black families. Journal of Family Psychology, 9(4), 402–417. CrossRef
Kazdin, A. E. (1995). Child, parent and family dysfunction as predictors of outcome in cognitive behavioral treatment of antisocial children. Behavior Research and Therapy, 33(3), 271–281. CrossRef
Krieger, N. (1992). Overcoming the absence of socioeconomic data in medical records: Validation and application of a census-based methodology. American Journal of Public Health, 3(5), 703–710. CrossRef
Liptak, G. S., Benzoni, L. B., Mruzek, D. W., Nolan, K. W., Thingvoll, M. A., Wade, C. M., & Fryer, G. E. (2008). Disparities in diagnosis and access to health services for children with autism: Data from the National Survey of Children’s Health. Journal of Developmental Behavioral Pediatrics, 3(3), 152–160. doi: 10.1097/DBP.0b013e318165c7a0CrossRef
Nguyen, C. T., Krakowiak, P., Hansen, R., Hertz-Picciotto, I., & Angkustsiri, K. (2016). Sociodemographic disparities in intervention service utilization in families of children with autism spectrum disorder. Journal of Autism and Developmental Disorders, 46(12), 3729–3738. doi: 10.1007/s10803-016-2913-3. CrossRefPubMed
Nock, M. K., & Kazdin, A. E. (2001). Parent expectancies for child therapy: Assessment and relation to participation in treatment. Journal of Child and Family Studies, 10(2), 155–180. CrossRef
Shine, R., & Perry, A. (2010). Brief report: The relationship between parental stress and intervention outcome of children with autism. Journal on Developmental Disabilities, 16(2), 64–66.
- Demographic and Clinical Characteristics Associated with Engagement in Behavioral Health Treatment Among Children with Autism Spectrum Disorders
Lisa A. Croen
Maria L. Massolo
- Springer US