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We investigated if shifts in the coding of qualifying conditions in the California Department of Developmental Services (DDS) have contributed to the increase in California children with autism observed in recent years. Qualifying condition codes for mental retardation (MR) and autism in DDS electronic files were compared to hard-copy records for samples of children born 1987, 1990, 1994, and 1997. Contrary to expectations, we did not find evidence of a coding shift from “MR only” to “both MR and autism” or an increase in the proportion of children with coded autism who lacked supportive diagnostic documentation in records (possible “misclassifications”). These results indicate that changes in DDS coding practices are unlikely to explain the increase in DDS clients with autism.
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American Psychiatric Association. (1987). Diagnostic and statistical manual of mental disorders (3rd ed Rev). Washington, DC: American Psychiatric Association.
American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed). Washington, DC: American Psychiatric Association.
Armitage, P., Berry, G., & Matthews, J. N. S. (2002). Statistical methods in medical research (4th ed., pp. 504–509). Oxford: Blackwell Science.
Autism and Developmental Disabilities Monitoring Network Surveillance Year 2002 Principal Investigators; Centers for Disease Control and Prevention. (2007). Prevalence of autism spectrum disorders–autism and developmental disabilities monitoring network, 14 sites, United States, 2002. MMWR Surveillance Summary, 56(1), 12–28.
Barbaresi, W. J., Katusic, S. K., Colligan, R. C., Weaver, A. L., & Jacobsen, S. J. (2005). The incidence of autism in Olmsted County, Minnesota, 1976–1997: results from a population-based study. Archives of Pediatrics and Adolescent Medicine, 159(1), 37–44. doi: 10.1001/archpedi.159.1.37. PubMedCrossRef
Department of Developmental Services. (1999). Changes in the population of persons with autism and pervasive developmental disorders in California’s developmental services system: 1987 through 1998. http://www.dds.cahwnet.gov/Autism/Home.cfm. Accessed 21 May 2009.
Department of Developmental Services. (2003). Changes in the California caseload. An update: 1999 through 2002. http://dds.cahwnet.gov/Autism/Home.cfm. Accessed 21 May 2009.
Hillman, R. E., Kanafani, N., Takahashi, T. N., & Miles, J. H. (2000). Prevalence of autism in Missouri: Changing trends and the effect of a comprehensive state autism project. Missouri Medicine, 97(5), 159–163. PubMed
Jick, H., Beach, K. J., & Kaye, J. A. (2006). Incidence of autism over time. Epidemiology (Cambridge, Mass.), 17(1), 120–121. doi: 10.1097/01.ede.0000190553.72757.15.
Lotter, V. (1966). Epidemiology of autistic conditions in young children. I. Prevalence. Social Psychiatry. Sozialpsychiatrie. Psychiatrie Sociale, 1, 124–137. doi: 10.1007/BF00584048.
USDHHS. (1989). The International Classification of Diseases 9th Revision, Clinical Modification. DHHS Publication No. (PHS) 89-1260.
- Investigation of Shifts in Autism Reporting in the California Department of Developmental Services
Judith K. Grether
Nila J. Rosen
Karen S. Smith
Lisa A. Croen
- Springer US