Before the pandemic, autism diagnostic assessments were typically conducted in person, often involving multiple professionals and various structured, semi-structured, and unstructured measures. However, the pandemic necessitated a shift to telehealth, leading to significant changes in how these assessments were performed. The study revealed substantial variation in how services adapted, with some professionals finding telehealth efficient and flexible, while others considered it inappropriate and unethical.
Key Findings and Recommendations
1. Embrace Telehealth as a Viable Option
The study found that telehealth can be an effective method for conducting autism assessments, provided that rigor and standardization are maintained. Practitioners should consider telehealth as a complement to in-person assessments, especially when in-person interactions are not feasible.
2. Address Technological and Environmental Challenges
Professionals reported various challenges, including poor internet connections and unsuitable home environments for assessments. To mitigate these issues, practitioners should ensure that both they and their clients have access to reliable technology and a private, quiet space for the assessment.
3. Develop New Assessment Tools
Given that traditional tools like the Autism Diagnostic Observation Schedule-2 (ADOS-2) are not validated for telehealth, there is a need for new, reliable assessment measures tailored for remote use. Practitioners should stay informed about ongoing research and be open to integrating new tools into their practice.
4. Enhance Training and Supervision
The shift to telehealth requires new skills and competencies. Practitioners should seek additional training in telehealth-specific assessment techniques and participate in peer supervision to share experiences and strategies.
5. Advocate for Policy and Infrastructure Improvements
The study highlighted the need for updated clinical guidelines and better administrative support. Practitioners should advocate for these changes within their organizations to ensure a more standardized and efficient diagnostic process.
Encouraging Further Research
The study underscores the need for more research to establish the validity and reliability of telehealth autism assessments. Practitioners can contribute to this effort by participating in studies, sharing their experiences, and collaborating with researchers to develop evidence-based practices.
In conclusion, while the pandemic has presented significant challenges, it has also opened up opportunities for innovation in autism diagnostic assessments. By embracing telehealth, addressing technological challenges, developing new tools, enhancing training, and advocating for policy improvements, practitioners can improve their skills and create better outcomes for children and families.
To read the original research paper, please follow this link: Autism Diagnostic Assessments With Children, Adolescents, and Adults Prior to and During the COVID-19 Pandemic: A Cross-Sectional Survey of Professionals
