Autism Spectrum Disorder (ASD) is a complex neurodevelopmental condition that requires intensive, individualized care. However, access to necessary treatments can be significantly hampered by social determinants of health (SDOH) such as lack of health insurance, low income, and transportation issues. A recent case report titled Addressing Health Inequities in the United States: A Case Report on Autism Spectrum Disorder (ASD) and Social Determinants of Health highlights these challenges and provides actionable insights for practitioners.
This blog aims to guide practitioners on how to implement the outcomes of this research to improve care for children with ASD.
Understanding the Barriers
The case report discusses a five-year-old male with moderate to severe ASD and avoidant/restrictive food intake disorder (ARFID). His care was limited by several SDOH, including:
- Lack of health insurance
- Low socioeconomic status
- Transportation issues
- Language barriers
These barriers led to inadequate access to essential therapies such as Applied Behavioral Analysis (ABA), speech therapy (ST), occupational therapy (OT), and physical therapy (PT).
Implementing Research Outcomes
Healthcare providers can play a pivotal role in addressing these barriers. Here are some strategies based on the research findings:
1. Multidisciplinary Approach
Adopt a multidisciplinary approach that includes ABA, ST, OT, and PT. Collaborate with local non-profit organizations to provide these services at low or no cost.
2. Addressing Transportation Issues
Assist families in gaining access to special transportation services (STS) to minimize the emotional and financial burden of using public transportation.
3. Advocating for Comprehensive IEPs
Work closely with schools to ensure Individualized Education Plans (IEPs) are comprehensive and tailored to the child's specific needs. Educate parents on how to advocate for more services.
4. Mental Health Support for Caregivers
Provide mental health support for caregivers. Studies show that caregiver burnout is common and can negatively impact ASD outcomes. Regular psychological care for caregivers can significantly improve the overall quality of care.
Encouraging Further Research
While the case report provides valuable insights, it also underscores the need for ongoing research to develop more effective strategies for addressing SDOH in ASD care. Practitioners are encouraged to engage in or support further research in this area.
To read the original research paper, please follow this link: Addressing Health Inequities in the United States: A Case Report on Autism Spectrum Disorder (ASD) and Social Determinants of Health.
