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Pediatrics. 2015 Oct;136 Suppl 1:S41-59. doi: 10.1542/peds.2014-3667D.

Early Screening of Autism Spectrum Disorder: Recommendations for Practice and Research.

Author information

1
Department of Pediatrics, University of Alberta, Edmonton, Alberta, Canada; lonniez@ualberta.ca.
2
Department of Anatomy and Neurobiology, Boston University School of Medicine, Boston, Massachusetts;
3
Department of Psychology, University of Connecticut, Storrs, Connecticut;
4
Department of Neurosciences, University of California San Diego, La Jolla, California;
5
Harvard Medical School and Massachusetts General Hospital for Children, Boston, Massachusetts;
6
Integrated Center for Child Development, Newton, Massachusetts;
7
A.J. Drexel Autism Institute, Drexel University, Philadelphia, Pennsylvania;
8
Department of Clinical Sciences, Florida State University College of Medicine, Tallahassee, Florida;
9
Division of Developmental and Behavioral Pediatrics, University of Massachusetts Memorial Children's Medical Center, Worcester, Massachusetts;
10
Graduate School of Education & Information Studies, University of California Los Angeles, Los Angeles, California;
11
Departments of Psychology and.
12
Department of Psychology, Hebrew University of Jerusalem Mount Scopus, Jerusalem, Israel;
13
Speech and Hearing Sciences, University of Washington, Seattle, Washington;
14
Department of Pediatrics, University of California Davis MIND Institute, Sacramento, California;
15
Yale Child Study Center, New Haven, Connecticut;
16
Genomic Medicine Institute, Cleveland Clinic, Cleveland, Ohio;
17
Department of Psychology, University of Massachusetts, Boston, Massachusetts;
18
Center for Autism and Related Disorders, Tarzana, California;
19
Department of Occupational Therapy, Thomas Jefferson University, Philadelphia, Pennsylvania;
20
USC Mrs T.H. Chan Division of Occupational Science and Occupational Therapy, Los Angeles, California; and.
21
Behavioral Development & Educational Services, New Bedford, Massachusetts.

Abstract

This article reviews current evidence for autism spectrum disorder (ASD) screening based on peer-reviewed articles published to December 2013. Screening provides a standardized process to ensure that children are systematically monitored for early signs of ASD to promote earlier diagnosis. The current review indicates that screening in children aged 18 to 24 months can assist in early detection, consistent with current American Academy of Pediatrics' recommendations. We identify ASD-specific and broadband screening tools that have been evaluated in large community samples which show particular promise in terms of accurate classification and clinical utility. We also suggest strategies to help overcome challenges to implementing ASD screening in community practice, as well as priorities for future research.

PMID:
26430169
DOI:
10.1542/peds.2014-3667D
[Indexed for MEDLINE]
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