A new model for recognition, referral, and follow‐up of autism spectrum disorder: A nationwide program. Issue 10 (16th September 2022)

• Record Type: Journal Article
• Authors: Dursun, Onur Burak; Turan, Bahadır; Öğütlü, Hakan; Binici, Nagihan Cevher; Örengül, Abdurrahman Cahid; Alataş, Esra; Özdemir, Rabia Madan; Taşlıbeyaz, Elif; Karaman, Selçuk; Mukaddes, Nahit Motavallı
• Other Names: Alkaşi Abdullah investigator.; Bozkurt Abdullah investigator.; Güneş Adem investigator.; Çevikaslan Ahmet investigator.; Erol Ali investigator.; Kiliçoğlu Ali Güven investigator.; Karayağmurlu Ali investigator.; Beşenek Ali Mert investigator.; Aral Armağan investigator.; Adanir Aslı Sürer investigator.; Birdir Atilla investigator.; Mustan Aybüke Tuğçe investigator.; Karaboğa Ayça Ece Çitak investigator.; Çiçek Ayla Uzun investigator.; Arman Ayşe investigator.; Ayaz Ayşe Burcu investigator.; Büyükaslan Ayşe investigator.; Ay Bari investigator.; Ayik Başak investigator.; Karabucak Başak investigator.; Şahin Berkan investigator.; Kalayci Bilge Merve investigator.; Ocakoğlu Binay Kayan investigator.; Özgür Börte Gürbüz investigator.; Özcan Burcu Gökalp investigator.; Karakpici Burçin investigator.; Tumba Can investigator.; İnce Canan investigator.; Tanıdır Canan investigator.; Mutlu Caner investigator.; Ceylan Cansın investigator.; Kaya Ceren investigator.; Achmet Chasan Chatip Chousein investigator.; Aslan Cihan investigator.; Yalvaç Çiğdem Toklu investigator.; Yektaş Çiğdem investigator.; Bilginer Çilem investigator.; Çildir Deniz Argüz investigator.; Yıldız Deniz investigator.; Sapmaz Dicle investigator.; Ayyıldız Didem investigator.; Varmış Dilek Altun investigator.; Güntepe Dilek investigator.; Yılmaz Dinçer investigator.; Kaba Duygu investigator.; Karagöz Duygu investigator.; Kınay Duygu investigator.; Türe Ebru Sekmen investigator.; Topçu Ebru investigator.; Şentürk Ekrem investigator.; İşeri Elvan investigator.; Özen Emel investigator.; Taşyürek Emine investigator.; Atabay Ender investigator.; Çöp Esra investigator.; Güney Esra investigator.; Güzel Esra investigator.; Aşıkhasanoglu Esra Özhan investigator.; Demirdöğen Ezgi Şen investigator.; Çelebi Fahri investigator.; Özbek Fatih investigator.; Durmuş Fatma Benk investigator.; Ari Fatma Pınar investigator.; Yıldırım Fatma investigator.; Gümüştaş Funda investigator.; Güven Gökçen investigator.; Yücel Gökhun İnan investigator.; Coşun Gözde Narin investigator.; Ulaş Gözde investigator.; Bulut Gresa Çarkaxhiu investigator.; Ayaz Güçlü investigator.; Karaçetin Gül investigator.; Dinç Gülser Şenses investigator.; Kara Halil investigator.; Harmancı Halime investigator.; Toz Hamiyet İpek investigator.; Aykutlu Hasan Cem investigator.; Kandemir Hasan investigator.; Güneş Hatice investigator.; Genç Herdem Aslan investigator.; Gül Hesna investigator.; Doğru Hicran investigator.; Adaletli Hilal investigator.; Kılıç Hilal Tuğba investigator.; Aktaş Hüseyin investigator.; Esin İbrahim Selçuk investigator.; Erdoğan İlker investigator.; Kaya İlyas investigator.; Çimen İrem Damla investigator.; Kirtil İsmail Yasir investigator.; Nalbant Kevser investigator.; Tarakçıoğlu Mahmut Cem investigator.; Çakır Mahmut investigator.; Kara Mahmut Zabit investigator.; Kinik Mehmet Fatih investigator.; Karadağ Mehmet investigator.; Sertçelik Mehmet investigator.; Şahin Mehmet investigator.; Keleş Mehriban investigator.; Topal Melike investigator.; Terzioğlu Merve Aktaş investigator.; Çolpan Merve investigator.; Demirtaş Merve Ergüven investigator.; Onat Merve investigator.; Usta Miraç Barış investigator.; Coşkun Murat investigator.; Gülşen Murat investigator.; Erkan Mustafa Can investigator.; Bahalı Mustafa Kayhan investigator.; Demir Nagehan investigator.; Çetin Nazlı Kapubağli investigator.; Kilit Neriman investigator.; Ayaz Neşe investigator.; Çetin Nihal Yurteri investigator.; Nilüfer investigator.; Aliyev Okumuş investigator.; Demir Nuran investigator.; Şimşek Nurcan Eren investigator.; Ünaldi Nurdan investigator.; Soylu Nusret investigator.; Bilgin Nuşin investigator.; Fındık Onur Tuğçe Poyraz investigator.; Yüzügüldü Onur investigator.; Demir Orçun investigator.; Kocaman Orhan investigator.; Tuncer Ömer Faruk investigator.; Küçük Önder investigator.; Üneri Özden investigator.; Çoban Özge Gizli investigator.; Yalçin Özhan investigator.; Hekim Özlem investigator.; Keskiner Özlem investigator.; Uzun Özlem investigator.; Algedik Pınar investigator.; Yılmaz Rabia investigator.; Bostan Recep investigator.; Sanberk Satı investigator.; Gün Seda Erbilgin investigator.; Yilmaz Seheryeli investigator.; Aksu Sehra investigator.; Özkan Selçuk investigator.; Hesapçioğlu Selma Turan investigator.; Erden Semih investigator.; Arslan Semiha Cömertoğlu investigator.; Çelenay Senay investigator.; Kala Serhat investigator.; Nasiroğlu Serhat investigator.; Karakoç Sevcan investigator.; Çiçek Sevgi investigator.; Hocaoğlu Sevgi investigator.; Avcil Sibelnur investigator.; Derin Songül investigator.; Yilmaz Sultan Seval investigator.; Fırat Sümeyra investigator.; Eray Şafak investigator.; Kilinçel Şenay investigator.; Coşkun Şeyma investigator.; Uysal Taciser investigator.; Kadak Tayyip investigator.; Karaosman Tolga investigator.; Mutluer Tuba investigator.; Soylemez Tuğba Eseroğlu investigator.; Kalyoncu Tuğba investigator.; Fidan Tülin investigator.; Kaytanli Umut investigator.; Gündoğdu Ümmügülsüm investigator.; Gündüz Yağmur investigator.; Torun Yasemin Taş investigator.; Yulaf Yasemin investigator.; Güleş Zafer investigator.; Babadaği Zehra investigator.;
• Is Part Of: Autism research. Volume 15:Issue 10(2022)
• Page Start: 1961
• Page End: 1970
• Publication Date: 2022-09-16
• Subjects: autism spectrum disorder -- early identification -- referral model -- scale‐based screening -- screening approaches -- video‐based training; Autism -- Periodicals; Autism -- Research -- Periodicals; 616.85882005
• DOI: 10.1002/aur.2813
• Languages: English
• ISSNs: 1939-3792

Abstract

Abstract: Early diagnosis of autism certainly stands as one of the most important determinants to ensure a better prognosis of the disorder, it is common that the screening programs to ensure this, end up not being implemented in health systems of many countries. This may stem from the disadvantages of classically suggested scale‐based screening (SBS) programs. This study presents a nationwide recognition and referral model for early diagnosis of autism spectrum disorders (ASD), in order to meet the obvious need for new methods. The model consists of interactive video‐based training (IVBAT) of health care workers (HCW), a system where family physicians (FPs) record five probable indicators of autism in their family medicine information system; and is therefore, a practical referral system in which the FP may refer a child with any suggestive finding to a child psychiatrist and may well continue to monitor recently diagnosed cases. The autism teams consist of trained child psychiatrists and coordinators, who delivered trainings to 29, 612 FPs and 23, 511 nurses countrywide. Of 98.8% FPs were trained throughout the country. Total of 1, 863, 096 children were reported to have a brief examination of autism signs in Family Medicine Units by trained FPs and nurses. A total of 55, 314 (2.96%) these children were deemed at risk for ASD and were referred to child psychiatrists. In the evaluation of 55, 314 children by child psychiatrists, 10, 087 cases were diagnosed with developmental disorders, while 3226 of children at risk were diagnosed with autism. The results of this study, which reached to the largest sample to date, suggest that some other alternative methods, in addition to SBS should also be tested in order to screen ASD. Lay Summary: In this study, a nationwide recognition and referral model for early identification of autism spectrum disorders (ASD) is presented. Scale‐based screening (SBS) is the most recommended model for autism, however, it is clear that most countries can not implement this model in their health system. The results of this study, which reached to the largest sample to date, suggest that SBS may not be the only me for screening ASD and that alternative methods should be tried, as there is an obvious need for exploratory approaches.