Asset Details
Do you wish to reserve the book?
Clinical practice guidelines for diagnosis of autism spectrum disorder in adults and children in the UK: a narrative review
Hey, we have placed the reservation for you!
By the way, why not check out events that you can attend while you pick your title.
Oops! Something went wrong.
Looks like we were not able to place the reservation. Kindly try again later.
Are you sure you want to remove the book from the shelf?
Clinical practice guidelines for diagnosis of autism spectrum disorder in adults and children in the UK: a narrative review
Do you wish to request the book?
Clinical practice guidelines for diagnosis of autism spectrum disorder in adults and children in the UK: a narrative review
Please be aware that the book you have requested cannot be checked out. If you would like to checkout this book, you can reserve another copy
We have requested the book for you!
Your request is successful and it will be processed during the Library working hours. Please check the status of your request in My Requests.
Oops! Something went wrong.
Looks like we were not able to place your request. Kindly try again later.
Journal Article
Clinical practice guidelines for diagnosis of autism spectrum disorder in adults and children in the UK: a narrative review
2018
Overview
Background
Research suggests that diagnostic procedures for Autism Spectrum Disorder are not consistent across practice and that diagnostic rates can be affected by contextual and social drivers. The purpose of this review was to consider how the content of clinical practice guidelines shapes diagnoses of Autism Spectrum Disorder in the UK; and investigate where, within those guidelines, social factors and influences are considered.
Methods
We electronically searched multiple databases (NICE Evidence Base; TRIP; Social Policy and Practice; US National Guidelines Clearinghouse; HMIC; The Cochrane Library; Embase; Global health; Ovid; PsychARTICLES; PsychINFO) and relevant web sources (government, professional and regional NHS websites) for clinical practice guidelines. We extracted details of key diagnostic elements such as assessment process and diagnostic tools. A qualitative narrative analysis was conducted to identify social factors and influences.
Results
Twenty-one documents were found and analysed. Guidelines varied in recommendations for use of diagnostic tools and assessment procedures. Although multidisciplinary assessment was identified as the ‘ideal’ assessment, some guidelines suggested in practice one experienced healthcare professional was sufficient. Social factors in operational, interactional and contextual areas added complexity to guidelines but there were few concrete recommendations as to how these factors should be operationalized for best diagnostic outcomes.
Conclusion
Although individual guidelines appeared to present a coherent and systematic assessment process, they varied enough in their recommendations to make the choices available to healthcare professionals particularly complex and confusing. We recommend a more explicit acknowledgement of social factors in clinical practice guidelines with advice about how they should be managed and operationalised to enable more consistency of practice and transparency for those coming for diagnosis.
Publisher
BioMed Central,BioMed Central Ltd,Springer Nature B.V,BMC
Subject
adolescent and developmental psychiatry
/ Adult
/ Adults
/ Autism
/ Autism Spectrum Disorder - diagnosis
/ Child
/ Child & adolescent psychiatry
/ Children
/ Clinical practice guidelines
/ Humans
/ Medicine
/ Pervasive developmental disorders
/ Practice
/ Practice guidelines (Medicine)
/ Practice Guidelines as Topic
/ Practice Patterns, Physicians
/ Review
