ASD Community of Practice Model
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The document outlines a community practice model aimed at improving early detection and diagnosis of autism spectrum disorder (ASD) in Tennessee, highlighting gaps and needs in the current system. It details a collaborative effort among various health institutions to train pediatricians in culturally competent assessments and the use of specific diagnostic tools. The model emphasizes the importance of ongoing support, consultation, and evaluation to ensure effective training and care for children with ASD.
ASD Community of Practice Model
- 1. ASD Community of Practice Model Bruce L. Keisling, Ph.D. Associate Director Boling Center for Developmental Disabilities University of Tennessee Health Science Center
- 3. Increasing ASD Rates in TN Highest at Youngest Ages (Source: US DOE)
- 5. Need for Earlier Detection and Diagnosis • For the 2007‐2008 school year, TN Early Intervention System (TEIS) estimated 132 children under three years of age were enrolled in TEIS and diagnosed or suspected of having ASD (TEIS, 2008) • This contrasts with a reported 481 children ages three to five with ASD enrolled in Tennessee schools during the 2006 school year (TN DOE 1996‐2007). • Efforts by trained professionals to improve early detection of ASD using valid tools are clearly indicated.
- 6. ASD Community of Practice • Collaboration among TNAAP, Vanderbilt University Kennedy Center (VUKC), LeBonheur Children’s Medical Center, TN Early Intervention System and TennCare, and with participation of medium‐term and long‐term LEND trainees • Identify, train and support through the Community of Practice model (Kind, Benjamin et al. 2007) west Tennessee medical home pediatricians to detect, diagnose and care for children with ASD
- 7. Community of Practice: Local Members • BCDD: Two developmental pediatricians, clinical psychologist and LEND family faculty coordinator • One pediatrician, large urban practice • One pediatrician, small suburban practice • One bilingual pediatrician, small practice caring for Spanish‐speaking families • One pediatrician, supervisor of university‐ based (resident) continuity clinic
- 8. Community of Practice: Training • Provide training in family‐centered, culturally competent assessment and care of children with ASD to include the administration and interpretation of the Screening Tool for Autism in Two‐Year‐Olds (STAT) (Stone, Coonrod et al. 2000; Stone, Coonrod et al. 2004). • Replicate the VKC training model (Warren, Stone, & Humberd 2009) for use of STAT in diagnosis of ASD in community pediatric practices
- 9. Community of Practice: Follow Through • Model uses adult‐learning strategies and includes: periodic group meetings and discussions; regular consultation through email, phone and password‐protected intranet site; journal club; ongoing technical assistance • Evaluate the effectiveness of the training, fidelity to the model; provide confirmatory, interdisciplinary evaluations for some cases