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Journal of Disability Policy Studies, Vol. 18, No. 4, 245-253 (2008)
DOI: 10.1177/1044207307311527

Early Autism Detection

Implications for Pediatric Practice and Public Policy

Jennifer L. Crane

George Mason University, Fairfax, Virginia, jcrane1{at}gmu.edu

Adam Winsler

George Mason University, Fairfax, Virginia

Autistic spectrum disorders (ASD) present numerous challenges for early diagnosis and intervention. Recent research has concentrated on identifying symptoms of ASD in infants and toddlers. This article examines the feasibility of detecting ASD in infants and toddlers using early behaviors related to ASD and the impact that recent government policy changes and professional guidelines for family practitioners and pediatricians have had on early screening for young children with ASD. Empirical evidence from retrospective video analysis implies that ASD may be detected in infants and toddlers. Recent policy changes and guidelines for pediatricians and other practitioners recommend more intense efforts be made for developmental surveillance and referrals, but the impact of these policies on practice and on the lives of children with ASD and their families has been limited. Policy recommendations are made.

Key Words: assessment/evaluation • autism • behavioral pediatrics • early intervention • medical ethics • policy • toddlers • developmental surveillance

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