Spectrum of care: Current management of childhood autism spectrum disorder (ASD) in New Zealand

Australas Psychiatry. 2018 Jun;26(3):294-298. doi: 10.1177/1039856217716290. Epub 2017 Jul 11.

Abstract

Objectives: The purpose of this research was to compare the current status of assessment and intervention for New Zealand children and adolescents who have autism spectrum disorder (ASD) with recommendations outlined in the 2008 New Zealand ASD Guideline.

Methods: ASD coordinators and New Zealand District Health Board (DHB) staff working with children and adolescents who have ASD were electronically surveyed.

Results: Responses were received from 32 staff in 17 (85%) surveyed DHBs. Positive findings included the presence of ASD coordinators in 85% of DHBs, clear pathways for management in 73.1% of DHBs and good communications between paediatric, psychiatric and educational teams in some DHBs regions. Areas for improvement included wait times to assessment, access to longer-term support and intervention for families, and training for staff in ASD and cultural issues.

Conclusions: Since the launch of the NZ ASD Guidelines, significant progress has been made. However, further work is needed to ensure services for children and adolescents with ASD are accessible, well-coordinated and focussed on both assessment and intervention.

Keywords: assessment; autism spectrum disorder; children; intervention; service.

MeSH terms

  • Adolescent
  • Adolescent Health Services / statistics & numerical data*
  • Autism Spectrum Disorder / diagnosis*
  • Autism Spectrum Disorder / therapy*
  • Child
  • Child Health Services / statistics & numerical data*
  • Child, Preschool
  • Humans
  • Male
  • Mental Health Services / statistics & numerical data*
  • New Zealand
  • Practice Guidelines as Topic