Abstract
The purpose of this article is to highlight issues about diagnosis and management
of autism spectrum disorders (ASDs) in all settings, along with care coordination
for all children with ASDs. The article outlines differences between the American
Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders, 4th edition, revised (DSM-IV-TR) and the newer version (DSM-V) for ASDs. These changes
may limit the eligibility of some children for services in school, leading to poorer
social/academic outcomes, lower rates of employment, and decreased assistance in eventual
independent living. Primary care providers identified a lack of knowledge regarding
ASDs before the DSM-V was published, describing difficulty in making ASD diagnoses,
recognizing early symptoms of developmental concern, and managing care. Care coordination
is part of the role of the advanced practice nurse, and lack of understanding of ASD
changes in the DSM-V may diminish the ability of advanced practice nurses to screen
for ASDs and make the appropriate referrals.
Key Words
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Biography
Sandra L. Lobar, Associate Professor, College of Nursing and Health Sciences, Florida International University, Miami, FL.
Article info
Publication history
Published online: October 23, 2015
Footnotes
Conflicts of interest: None to report.
Identification
Copyright
Copyright © 2016 by the National Association of Pediatric Nurse Practitioners. Published by Elsevier Inc. All rights reserved.
