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Cited by 75Autism Spectrum Disorder ResearchChild Nutrition and Feeding IssuesFamily and Disability Support Research

Screening for autism spectrum disorder in underserved communities: Early childcare providers as reporters

Janvier, Yvette M, Harris, Jill F, Coffield, Caroline N, Louis, Barbara, Xie, Ming, Cidav, Zuleyha, Mandell, David S·2016·Autism
DOI 10.1177/1362361315585055
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Abstract

Early diagnosis of autism typically is associated with earlier access to intervention and improved outcomes. Daycares and preschools largely have been ignored as possible venues for early identification. This may be especially important for minority children in the United States who are typically diagnosed with autism later than White children, limiting their access to early specialized interventions and possibly resulting in poorer outcomes. Early childcare providers within underserved communities completed autism screening tools for a sample of low-risk young children ( n = 967) in their programs. Early childcare providers returned screening tools for 90% of the children for whom parental consent had been received. A total of 14% of children screened positive for autism spectrum disorder and 3% of the sample met criteria for autism spectrum disorder. Among those who screened positive, 34% were lost to follow-up. Findings suggest that early childcare providers can effectively screen young children for autism spectrum disorder in preschool/daycare settings, thus improving access to early diagnosis and reducing potential healthcare disparities among underserved populations.

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Crossref · 10.1177/1362361315585055

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45 of 45 references verified0 citation errors · 0 not checkable

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  • In that US study, many caregivers who were offered an autism evaluation for their child declined, demonstrating low acceptability of follow-through actions when a child screens positive.

    “However, although 88% of caregivers consented to screening, which may reflect setting (80% were from Head Start sites) and age (3 to 5 years), many caregivers who were offered an autism evaluation for their child declined, demonstrating low acceptability of the follow-through actions when a child screens positive.”

    From Navigating the Challenges: A Commentary on Barriers to Autism Screening in Childcare Centers (2026) · cites this paper as Janvier et al., 2016

  • A US study in underserved communities showed high acceptability for autism screening (88%) and early childcare providers completed screeners for 90% of children for whom caregivers gave consent.

    “In contrast, a US study (Janvier et al., 2016) showed more promising results regarding screening for autism in underserved communities. Acceptability for screening was high (88%), and early childcare providers completed screeners for 90% of the children for whom caregivers gave consent.”

    From Navigating the Challenges: A Commentary on Barriers to Autism Screening in Childcare Centers (2026) · cites this paper as Janvier et al., 2016

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Authors
Janvier, Y. M., Harris, J. F., Coffield, C. N., Louis, B., Xie, M., Cidav, Z., & Mandell, D. S.
Affiliations
  • Children's Specialized Hospital (US)
  • Rutgers, The State University of New Jersey (US)
  • The Gifted Child Clinic, NJ, USA
  • University of Pennsylvania (US)
Corresponding author
Harris, Jill F
ORCID
Venue
Autism
Publisher
SAGE Publications
Published
2015-05-19
Volume
20
Issue
3
Pages
364-373
ISSN
  • 1362-3613 (ISSN-L)
  • 1461-7005
DOI
10.1177/1362361315585055
OpenAlex
W2213020947
Cited by
75
References
45
Citations by year
2026: 5 · 2025: 3 · 2024: 4 · 2023: 6 · 2022: 8 · 2021: 15 · 2020: 10 · 2019: 8 · 2018: 6 · 2017: 7 · 2016: 3
FWCI
3.21
Type
journal article
Language
en
Open access
closed
Licence
journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations
  • Autism (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
  • Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
  • Social Sciences › Psychology › Clinical Psychology › Family and Disability Support Research
Keywords
autism spectrum disorder, autism screening, early diagnosis, daycare centers, preschool, underserved populations, minority children, health care disparities, low-risk children
MeSH terms
Autism Spectrum Disorder, School Teachers, Child, Child Day Care Centers, Child, Preschool, Female, Humans, Infant, Male, Minority Groups, United States, Early Intervention, Educational, Early Diagnosis

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