Brief Report: Service Use and Associated Expenditures Among Adolescents with Autism Spectrum Disorder Transitioning to Adulthood.

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TitleBrief Report: Service Use and Associated Expenditures Among Adolescents with Autism Spectrum Disorder Transitioning to Adulthood.
Publication TypeJournal Article
Year of Publication2018
AuthorsShea, LL, Xie, M, Turcotte, P, Marcus, S, Field, R, Newschaffer, C, Mandell, D
JournalJ Autism Dev Disord
Volume48
Issue9
Pagination3223-3227
Date Published2018 Sep
ISSN1573-3432
KeywordsAdolescent, Autism Spectrum Disorder, Child, Female, Health Expenditures, Humans, Intellectual Disability, Male, Medicaid, Patient Acceptance of Health Care, Patient Transfer, United States
Abstract

This study compared Medicaid service utilization and expenditures among adolescents with autism spectrum disorder (ASD) to adolescents with intellectual disability (ID) as they aged into adulthood. Medicaid Analytic eXtract (MAX) data was used to identify a national cohort. Winsorization was utilized to control for expenditure outliers. A greater proportion of adolescents with ASD utilized most services. Decreases in the use of key services, including psychiatric outpatient services, were observed for both groups. Changes in medical services, such as increases in inpatient and long term care services, among the ASD cohort suggest medical needs of adolescents with ASD change as they age. Information remains lacking on changing ASD symptom presentation during the transition to adolescence.

DOI10.1007/s10803-018-3563-4
Alternate JournalJ Autism Dev Disord
PubMed ID29627932