The Medical Home and Use of Mental and Non-mental Specialty Services Among Children with Autism Spectrum Disorder (ASD)
Abstract
This study assessed the relationship between the medical home and use of health services among children with autism spectrum disorder (ASD). Data from 2016 to 2018 National Survey of Children's Health was analyzed. Outcome measures were receipt of mental and non-mental specialty care, difficulty receiving needed mental and non-mental specialty care and unmet need for mental care. Having a medical home was associated with significantly lower odds of having unmet mental health need for children with ASD ages 11-17 (OR 0.14, 95% CI 0.07-0.30) but not for those ages 3-10 (OR 0.54, 95% CI 0.21-1.43). Having a medical home was also associated with lower odds of difficulty getting needed mental health care (OR 0.38, 95% CI 0.22-0.66) as well as non-mental specialty care (OR 0.24, 95% CI 0.13-0.44).
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Caregivers of children with ASD who reported ineffective care coordination also reported more difficulty accessing mental health care and higher rates of unmet need for mental health care than counterparts reporting effective care coordination.
“Caregivers of children with ASD who reported ineffective care coordination also reported more difficulty accessing mental health care and higher rates of unmet need for mental health care than counterparts reporting effective care coordination (Ezeh et al., 2022).”
From Adequate Care Coordination is Associated with Reduced Unmet Mental Health Needs for Children (2026) · cites this paper as Ezeh et al., 2022
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Adequate Care Coordination is Associated with Reduced Unmet Mental Health Needs for Children
Graaf, G., Gigli, K., Hughes, P., & Thomas, K. C. (2026) · Child and Adolescent Social Work Journal · doi:10.1007/s10560-026-01101-w
- Authors
- Ezeh, T. H., Lee, B. K., & Rast, J. E.
- Affiliations
- Drexel University (US)
- Corresponding author
- Ezeh, Tobechukwu H.
- Venue
- Journal of Autism and Developmental Disorders
- Published
- 2022-06-02
- Volume
- 53
- Issue
- 3
- Pages
- 1202-1212
- ISSN
- 0162-3257 (ISSN-L)
- 1573-3432
- OpenAlex
- W4281664259
- Cited by
- 3
- References
- 8
- Citations by year
- 2026: 3
- FWCI
- 0.00
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Journal of Autism and Developmental Disorders (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Health Resources and Services Administration (R40MC37542)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Health Sciences › Health Professions › Speech and Hearing › Adolescent and Pediatric Healthcare
- Social Sciences › Psychology › Clinical Psychology › Family and Disability Support Research
- Keywords
- patient-centered medical home, autism spectrum disorder, children, mental health services, specialist care, unmet mental health needs, health care access, barriers to care, National Survey of Children's Health
- MeSH terms
- Autism Spectrum Disorder, Adolescent, Child, Child Development Disorders, Pervasive, Child, Preschool, Health Services Accessibility, Health Services Needs and Demand, Humans, Patient-Centered Care
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