What is it about?

We evaluated the clinical and socioeconomic characteristics of children diagnosed with ASD in the Community Child Health (CCH) clinics of a Mid-Eastern Scottish NHS Trust over a 12- month period between June 2016 and May 2017. A retrospective review of all patients seen in two Community Paediatric clinics between June 2016 and Jan 2017 was carried out. ASD was diagnosed by a multidisciplinary approach involving detailed assessment by the Educational and Clinical Psychologists, Speech / Language Therapist and the Community Paediatrician, using the ICD-10 checklist.

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Why is it important?

About 1% of School-age children meet the criteria for ASD diagnosis worldwide. Autism spectrum disorders are characterized by severe deficits in socialization, communication, and repetitive or unusual behaviours. 69 of 543 patients were diagnosed with ASD, with ages ranging between 39 months and 16 years 5 months (mean of 113 months) with a male preponderance of 81%. The greatest proportion of patients lived in the most deprived 60% (Quintile 1 to 3) of the community (75%).

Perspectives

ASD constitutes an increasing public health significance demanding high levels of healthcare investments. 13% of the CCH caseload had ASD, corresponding to 3.6 per 1000 of the children (0-15 yrs) population. •The commonest co-morbidities were difficulties with Sleep (43.5%), behaviour (25%), learning (19%), ADHD (19%), SALD (9%) and emotional problems (9%). •The commonest multi-agency professionals involved were the OT (20%), SALT (17%), CAMHS (14%), Educational-(10%) and Clinical Psychologists (8%).

Dr Michael O Ogundele
Mid Cheshire Hospitals NHS Foundation Trust Postgraduate Medical Centre

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This page is a summary of: CLINICAL AND EPIDEMIOLOGICAL CHARACTERISTICS OF CHILDREN AND ADOLESCENTS WITH AUTISM SPECTRUM DISORDER IN A SCOTTISH NHS COMMUNITY CHILD HEALTH SERVICE, October 2018, Morressier,
DOI: 10.26226/morressier.5b5f433cb56e9b005965b912.
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