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Journal of Autism and Developmental Disorders

Gepubliceerd in:

05-01-2022 | Original Paper

Trends in Geographic Access to Board Certified Behavior Analysts Among Children with Autism Spectrum Disorder, 2018–2021

Auteurs: Marissa E. Yingling, Matthew H. Ruther, Erick M. Dubuque

Gepubliceerd in: Journal of Autism and Developmental Disorders | Uitgave 12/2022

Abstract

Research has documented inequities in geographic access to Board Certified Behavior Analysts (BCBAs) among children with autism spectrum disorder (ASD). However, research on their accessibility is outdated. Between July 1, 2018 and July 1, 2021 the number of BCBAs in the U.S. increased by 65%, from 27,320 to 45,103. In this study we examined trends in geographic access to BCBAs among children with ASD between 2018 and 2021. The sample included all U.S. counties in 50 states and D.C. (N = 3138). Using GIS software we examined change in county-level access to BCBAs between 2018 and 2021 and mapped ASD/BCBA ratios across all counties in both years. Study results indicate that despite modest improvements (e.g., 266 counties added BCBAs), inequitable access persists.

vorige artikel Parent-Reported Strengths and Positive Qualities of Adolescents and Adults with Autism Spectrum Disorder and/or Intellectual Disability

volgende artikel Brief Report: A Pilot Study Examining the Effects of PEERS® for Adolescents Telehealth for Autistic Adolescents

Andrilla, C. H. A., Patterson, D. G., Garberson, L. A., Coulthard, C., & Larson, E. H. (2018). Geographic variation in the supply of selected behavioral health providers. American Journal of Preventive Medicine, 54(6), S199–S207. https://doi.org/10.1016/j.amepre.2018.01.004CrossRefPubMed

Behavior Analyst Certification Board. (n.d.). BACB certificant data. Retrieved March 14, 2019, from https://www.bacb.com/bacb-certificant-data.

Behavior Analyst Certification Board. (2021). US employment demand for behavior analysts: 2010–2020.

Bekker, J. (2018). Las Vegas families describe waiting game for Autism therapy. Las Vegas Review—Journal.

Bump, B. (2017). A safe haven for autistic children: Crossroads Center uses applied behavior analysis to “reinforce positive” actions. Times Union. Retrieved from https://www.timesunion.com/living/article/A-safe-haven-for-autistic-children-12357167.php.

Centers for Medicare and Medicaid Services. (2014). Medicaid and CHIP FAQs: Services to address Autism. Department of Health and Human Services. Retrieved from http://www.medicaid.gov/federal-policy-guidance/downloads/faq-09-24-2014.pdf.

Council of Autism Service Providers. (2021). Practice parameters for telehealth-implementation of Applied Behavior Analysis, Second Edition. Retrieved from http://casproviders.org/wp-content/uploads/2021/12/Final-Copy-Practice-Parameters-Telehealth-ABA-AMA-References-12.2.2199.pdf.

Critchfield, T. S. (2015). In dreams begin responsibility: Why and how to measure the quality of graduate training in applied behavior analysis. Behavior Analysis in Practice, 8, 123–133.CrossRefPubMedPubMedCentral

Daniels, A. M., & Mandell, D. S. (2014). Explaining differences in age at autism spectrum disorder diagnosis: A critical review. Autism, 18(5), 1–15. https://doi.org/10.1177/1362361313480277CrossRef

Deochand, N., & Fuqua, R. W. (2016). BACB certification trends: State of the states (1999 to 2014). Behavior Analysis in Practice, 9(3), 243–252. https://doi.org/10.1007/s40617-016-0118-zCrossRefPubMedPubMedCentral

Howlin, P., Magiati, I., & Charman, T. (2009). Systematic review of early intensive behavioral interventions for children with autism. American Journal on Intellectual and Developmental Disabilities, 114(1), 23–41. https://doi.org/10.1352/2009.114:23-41CrossRefPubMed

Johnson, S. (2018). Medicaid coverage of autism therapy to expand; provider shortage may still limit access. WV Metro News. Retrieved from http://wvmetronews.com/2018/04/30/medicaid-coverage-of-autism-therapy-to-expand-provider-shortage-may-still-limit-access/.

Lofton, K. L. (2016). Autism services lacking for West Virginia families. West Virginia Public Broadcasting. Retrieved from http://www.wvpublic.org/post/autism-services-lacking-west-virginia-families.

Lovaas, O. I. (1987). Behavioral treatment and normal educational and intellectual functioning in young autistic children. Journal of Consulting and Clinical Psychology, 55(1), 3.CrossRefPubMed

Lynch, S. M. (2008). Race, socioeconomic status, and health in life-course perspective: Introduction to the special issue. Research on Aging, 30(2), 127–136. https://doi.org/10.1177/0164027507312086CrossRef

MacFarlane, J. R., & Kanaya, T. (2009). What does it mean to be Autistic? Inter-state variation in special education critieria for Autism services. Journal of Child and Family Studies, 18(6), 662–669.CrossRef

McBain, R. K., Cantor, J. H., Stein, B. D., & Yu, H. (2020). State insurance mandates and the workforce for children with autism. Pediatrics, 146(4), e20200836. https://doi.org/10.1542/peds.2020-0836CrossRefPubMed

McBain, R. K., Kareddy, V., Cantor, J. H., Stein, B. D., & Yu, H. (2019). Systematic review: United States workforce for Autism-related child healthcare services. Journal of the American Academy of Child & Adolescent Psychiatry. https://doi.org/10.1016/j.jaac.2019.04.027CrossRef

Mello, M. P., Urbano, R. C., Goldman, S. E., & Hodapp, R. M. (2016). Services for children with autism spectrum disorder: Comparing rural and non-rural communities. Education and Training in Autism and Developmental Disabilities, 51(4), 355.

National Autism Center. (2015). Findings and conclusions: National standards project, phase 2. National Autism Center.

Ninci, J., Čolić, M., Hogan, A., Taylor, G., Bristol, R., & Burris, J. (2021). Maintaining effective supervision systems for trainees pursuing a Behavior Analyst Certification Board Certification during the COVID-19 Pandemic. Behavior Analysis in Practice. https://doi.org/10.1007/s40617-021-00565-9CrossRefPubMedPubMedCentral

Ovaska-Few, S. (2018). N.C.’s shortage of autism therapists leaves some on Medicaid waiting months, even years. North Carolina Health News. Retrieved from https://www.northcarolinahealthnews.org/2018/05/01/north-carolinas-shortage-of-autism-specialists-leaves-some-on-medicaid-waiting-months-even-years-for-help/.

Pathman, D. E., & Konrad, T. R. (2012). Growth and changes in the National Health Service Corps (NHSC) Workforce with the American Recovery and Reinvestment Act. The Journal of the American Board of Family Medicine, 25(5), 723–733. https://doi.org/10.3122/jabfm.2012.05.110261CrossRefPubMed

Phillips, J., Edwards-Johnson, J., & Wendling, A. (2018). US federal policies should better support the primary care physician workforce. Family Medicine, 50(1), 7–9. https://doi.org/10.22454/FamMed.2018.784272CrossRefPubMed

Reichow, B., Barton, E., Boyd, B., & Hume, K. (2014). Early intensive behavioral intervention (EIBI) for young children with autism spectrum disorders (ASD): A systematic review. Campbell Systematic Reviews. Retrieved from http://www.campbellcollaboration.org/lib/project/338/.

Rosenblatt, R., Chen, F., Lishner, D., & Doescher, M. (2010). The future of family medicine and implications for rural primary care physician supply (Final Report #125). WWAMI Rural Health Research Center, University of Washington School of Medicine Department of Family Medicine. Retrieved from https://depts.washington.edu/uwrhrc/uploads/RHRC_FR125_Rosenblatt.pdf.

Roth, M., & DiGennaro-Reed, F. (2014). A meta-analysis of behavioral interventions for adolescents and adults with Autism Spectrum Disorders. Journal of Behavioral Education, 23, 258–286.CrossRef

Saporito, S., Chavers, J., Nixon, L., & McQuiddy, M. (2007). Frome here to there: Methods of allocating data between census geography and socially meaningful areas. Social Science Research, 36(3), 897–920.CrossRef

Shipman, S. A., Lan, J., Chang, C.-H., & Goodman, D. C. (2011). Geographic maldistribution of primary care for children. Pediatrics, 127(1), 19–27. https://doi.org/10.1542/peds.2010-0150CrossRefPubMed

Silbaugh, B. C., & El Fattal, R. (2021). Exploring quality in the applied behavior analysis service delivery industry. Behavior Analysis in Practice. https://doi.org/10.1007/s40617-021-00627-yCrossRefPubMedPubMedCentral

State regulated health benefit plans. (2020). Autism Speaks. Retrieved from https://www.autismspeaks.org/state-regulated-health-benefit-plans.

The Council of Autism Service Providers. (2020). Applied behavior analysis treatment of autism spectrum disorder: Practice guidelines for healthcare funders and managers (2nd ed). Retrieved from https://casproviders.org/wp-content/uploads/2020/03/ABA-ASD-Practice-Guidelines.pdf.

Tomlinson, S. R. L., Gore, N., & McGill, P. (2018). Training individuals to implement Applied Behavior Analytic procedures via telehealth: A systematic review of the literature. Journal of Behavioral Education, 27(2), 172–222. https://doi.org/10.1007/s10864-018-9292-0CrossRef

United States Department of Education. (2018). 2017–2018 Civil Rights Data Collection: List of CRDC data elements for school year 2017–2018. Retrieved from https://www2.ed.gov/about/offices/list/ocr/docs/2017-18-crdc-data-elements.pdf.

US Department of Education, Institute for Education Sciences. (2016). Functional behavioral assessment-based interventions. What Works Clearinghouse. Retrieved from https://ies.ed.gov/ncee/wwc/Intervention/1241.

Wilson, R. (2018). Understanding and enhancing the U.S. Department of Housing and Urban Development’s ZIP Code Crosswalk Files. Cityscape: A Journal of Policy Development and Research, 20(2), 277–294.

Wong, C., Odom, S. L., Hume, K., Cox, A. W., Fettig, A., Kucharczyk, S., Brock, M. E., Plavnick, J., Fleury, V., & Schultz, T. (2014). Evidence-based practices for children, youth, and young adults with Autism Spectrum Disorder. The University of North Carolina, Frank Porter Graham Child Development Institute, Autism Evidence-Based Practice Review Group.

Yingling, M. E., & Bell, B. A. (2019). Underutilization of early intensive behavioral intervention among 3-year-old children with Autism Spectrum Disorder. Journal of Autism and Developmental Disorders. https://doi.org/10.1007/s10803-019-04005-0CrossRefPubMed

Yingling, M. E., Bell, B. A., & Hock, R. M. (2019). Treatment utilization trajectories among children with autism spectrum disorder: Differences by race-ethnicity and neighborhood. Journal of Autism and Developmental Disorders, 49(5), 2173–2183. https://doi.org/10.1007/s10803-019-03896-3CrossRefPubMed

Yingling, M. E., Hock, R. M., Cohen, A., & McCaslin, E. (2017). Parent perceived challenges to treatment utilization in a publicly funded early intensive behavioral intervention program for children with Autism Spectrum Disorder. International Journal of Developmental Disabilities. https://doi.org/10.1080/20473869.2017.1324352CrossRefPubMedPubMedCentral

Yingling, M. E., Ruther, M. H., Dubuque, E. M., & Bell, B. A. (2021a). Impact of county sociodemographic factors and state policy on geographic access to behavior analysts among children with autism spectrum disorder. Administration and Policy in Mental Health and Mental Health Services Research. https://doi.org/10.1007/s10488-021-01120-yCrossRefPubMed

Yingling, M. E., Ruther, M. H., Dubuque, E. M., & Mandell, D. S. (2021b). County-level variation in geographic access to Board Certified Behavior Analysts among children with Autism Spectrum Disorder in the United States. Autism, 25(6), 1734–1745. https://doi.org/10.1177/13623613211002051CrossRefPubMed

Zhang, Y., & Cummings, J. (2020). Supply of certified applied behavior analysts in the United States: Implications for service delivery for children with autism. Autism, 71(4), 385–388. https://doi.org/10.1176/appi.ps.201900058CrossRef

Titel: Trends in Geographic Access to Board Certified Behavior Analysts Among Children with Autism Spectrum Disorder, 2018–2021
Auteurs: Marissa E. Yingling
Matthew H. Ruther
Erick M. Dubuque
Publicatiedatum: 05-01-2022
Uitgeverij: Springer US
Gepubliceerd in: Journal of Autism and Developmental Disorders / Uitgave 12/2022
Print ISSN: 0162-3257
Elektronisch ISSN: 1573-3432
DOI: https://doi.org/10.1007/s10803-021-05402-0

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