Despite improvements in access and early diagnosis of autism spectrum disorder(ASD),age at initial diagnosis continues to occur closer to 4 years of age.1 The US Centers for Disease Control and Prevention recently pub...Despite improvements in access and early diagnosis of autism spectrum disorder(ASD),age at initial diagnosis continues to occur closer to 4 years of age.1 The US Centers for Disease Control and Prevention recently published data that shows a trend in improved access and identification for children from black or Latino groups.2 However,there is still a significant discrepancy in access to care for children and families from culturally and linguistically diverse(CLD)backgrounds,and from underserved areas.Early identification and appropriate interventions are key for attaining optimal outcomes.3 Deferred identification in general results in delayed intervention access and increases the risk for prolonged experiences in ineffective environments for a child’s intellectual,emotional,and social development.Deleterious effects are amplified in children from immigrant and historically marginalized communities.4,5 Under-resourced communities are particularly at risk of delayed ASD diagnosis as they have the least amount of access to developmental screening,diagnoses,and services.This context threatens young children’s neurodevelopment and the well-being of their mental health.展开更多
文摘Despite improvements in access and early diagnosis of autism spectrum disorder(ASD),age at initial diagnosis continues to occur closer to 4 years of age.1 The US Centers for Disease Control and Prevention recently published data that shows a trend in improved access and identification for children from black or Latino groups.2 However,there is still a significant discrepancy in access to care for children and families from culturally and linguistically diverse(CLD)backgrounds,and from underserved areas.Early identification and appropriate interventions are key for attaining optimal outcomes.3 Deferred identification in general results in delayed intervention access and increases the risk for prolonged experiences in ineffective environments for a child’s intellectual,emotional,and social development.Deleterious effects are amplified in children from immigrant and historically marginalized communities.4,5 Under-resourced communities are particularly at risk of delayed ASD diagnosis as they have the least amount of access to developmental screening,diagnoses,and services.This context threatens young children’s neurodevelopment and the well-being of their mental health.