Journal
JOURNAL OF AUTISM AND DEVELOPMENTAL DISORDERS
Volume 47, Issue 2, Pages 347-358Publisher
SPRINGER/PLENUM PUBLISHERS
DOI: 10.1007/s10803-016-2953-8
Keywords
Autism; Adolescence; Emergency department; Service utilization
Categories
Funding
- Penn State University College of Medicine Junior Faculty Development Program Award
- National Center for Advancing Translational Sciences, National Institutes of Health [UL1 TR000127]
- Center for Applied Studies in Health Economics (CASHE)
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There has been an increase in utilization of the Emergency Department (ED) in individuals with autism spectrum disorder (ASD) which may reflect a deficit of services (Green et al., Journal of the American Academy of Child and Adolescent Psychiatry 40(3):325-332, 2001; Gurney et al., Archives of Pediatric and Adolescent Medicine 160:825-830, 2006; Leichtman et al., American Journal of Orthopsyhciatry 72(2):227-235, 2001). The current study examined the rates of ED utilization between 2005 and 2013 in ASD youth 12- to 21-years-old. Adolescents with ASD accessed ED services four times as often as adolescents without ASD. Older adolescents and those living in rural areas showed a significant increase in ED visits over time. Post hoc analysis revealed increased ED utilization for females and behavioral health ED services over time. Better access to and greater understanding of services for adolescents with ASD is a critical need.
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