Project Detail
Interagency Autism Coordinating Committee (IACC) logo
Office of Autism Research Coordination (OARC) logo

The relationship between state EPSDT policies, well-child care and age of autism  

This is an individual National Research Service Award for pre-doctoral research training, which provides support for promising doctoral candidates who will be performing dissertation research and training in a scientific health-related field. Early identification of autism is critical to achieving the best possible outcomes for children. Delayed diagnosis translates into a missed opportunity to provide crucial services to reduce the disorder's severity and improve developmental outcomes and quality of life. Efforts to reduce age of diagnosis must be informed by a broader understanding of the mechanisms through which policies affect health practice and the extent to which health practice leads to improvements in child health outcomes. The proposed study will address these issues through the following questions: 1) To what extent do states' Early and Periodic Screening, Diagnosis and Treatment (EPSDT) policies affect child-level compliance with American Academy of Pediatrics (AAP) guidelines for well-child care?, 2) Are children with autistic disorder whose well-child care complies with AAP guidelines diagnosed earlier?, and 3) Is having a usual source of care independently associated with age of diagnosis, independent of adherence to these AAP guidelines? These questions will be investigated through an in-depth examination of service use claims over the two-year period prior to diagnosis in a sample of preschool- aged children who were enrolled in Medicaid sometime between 2001 and 2005. The proposed study has the potential to affect public health policy and intervention strategies in the areas of well-child care and the early detection and diagnosis of autistic disorder. In addition, findings may help to inform state policy decisions relative to the allocation of resources for the early detection of autistic disorder. Project Status


Funder National Institutes of Health
Fiscal Year Funding $41,380.00
Current Award Period 2010-2012
Project Number 1F31MH091833-01
Principal Investigator Daniels, Amy
Received ARRA Funding? No
Strategic Plan Question Question 5: Where Can I Turn For Services? (Services)
Subcategory Services Utilization and Access
Strategic Plan Objective Green dot: Objective has greater than or equal to the recommended funding. 5SA. Support two studies that assess how variations and access to services affect family functioning in diverse populations, including underserved populations, by 2012. IACC Recommended Budget: $1,000,000 over 3 years.
Federal or Private? Federal
Institution Johns Hopkins University
State/Country Maryland
Web Link 1 The relationship between state EPSDT policies, well-child care and age of autism (External web link)
Web Link 2 No URL available.
Web Link 3 No URL available.
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