Relatively few young adults with autism spectrum disorders receive assistance after high school

Feb 07, 2011

Use of medical, mental health and case management services for young adults with an autism spectrum disorder appears to decline after high school, according to a report in the February issue of Archives of Pediatrics & Adolescent Medicine, one of the JAMA/Archives journals.

"The number of young adults in the United States diagnosed as having an spectrum disorder is increasing rapidly as ever-larger cohorts of children identified as having an autism spectrum disorder age through adolescence," according to background information in the article. "Regardless of the root cause, the facts remain that treated prevalence is increasing and that the implications of this trend for service systems are poorly understood."

Paul T. Shattuck, Ph.D., of Washington University, St. Louis, and colleagues analyzed data from a nationally representative telephone questionnaire surveying parents and guardians of young adults between the ages of 19 and 23 years with an . Surveys were conducted from April 2007 to February 2008.

Overall rates of service use ranged from 9.1 percent for speech therapy to 41.9 percent for case management. Other services utilized included medical services (23.5 percent) and mental health services (35 percent). About two-fifths of youths (39.1 percent) had not received any of these services. These rates are lower than estimates gathered six years earlier when all patients were still in high school. During that time, 46.2 percent received services, 46.9 percent received medical services, 74.6 percent were getting speech therapy and 63.6 percent had a case manager.

The adjusted odds of not receiving any of the services was 3.31 times higher for African American youths compared to white youths, and was 5.96 times higher for those with incomes of $25,000 or less compared with those making $75,000 or more. Additionally, the adjusted odds of not using case management services were 5.88 times higher among those making $25,000 or less compared with those with incomes of $75,000 or greater.

"Rates of service disengagement are high after exiting . Disparities by race and socioeconomic status indicate a need for targeted outreach and services," the authors conclude. "This study represents an important step in the process of building a foundation of evidence that can help improve services and foster independence and health among youths with autism spectrum disorders."

Explore further: More effective kidney stone treatment, from the macroscopic to the nanoscale

More information: Arch Pediatr Adolesc Med. 2011;165[2]:141-146.

add to favorites email to friend print save as pdf

Related Stories

Autism in California increases twelve-fold

May 07, 2009

California saw a 12-fold increase during the past two decades in the number of autistic people who are receiving services through regional centers, a new state study reveals.

Study estimates one in 91 individuals have autism

Nov 04, 2009

(PhysOrg.com) -- Autism spectrum disorders (ASD) are neurodevelopmental disorders marked by impaired social interactions, restricted interests, repetitive behaviors, and communication impairment, which persist throughout ...

UK national autism research study results published

Sep 22, 2009

The first ever major study into adults living with autism was published today by the NHS Information Centre. The report, entitled 'Autism Spectrum Disorders in adults living in households throughout England 2007' was written ...

Recommended for you

Ebola virus in Africa outbreak is a new strain

19 hours ago

The Ebola virus that has killed scores of people in Guinea this year is a new strain—evidence that the disease did not spread there from outbreaks in some other African nations, scientists report.

User comments : 0

More news stories

Unraveling the 'black ribbon' around lung cancer

It's not uncommon these days to find a colored ribbon representing a disease. A pink ribbon is well known to signify breast cancer. But what color ribbon does one think of with lung cancer?

A sharp eye on Southern binary stars

Unlike our sun, with its retinue of orbiting planets, many stars in the sky orbit around a second star. These binary stars, with orbital periods ranging from days to centuries, have long been the primary ...