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Catherine Doyen, Virginie Goupil, Eric Desailly, Marie Joelle Oreve, Kelley Kaye

Le développement de la télémédecine en psychiatrie de l’enfant et de l’adolescent s’affirme comme un besoin au regard de la rareté croissante des professionnels de santé mentale. En France, un cadre légal définit quatre modalités de pratique et la téléconsultation dans le domaine des troubles du spectre de l’autisme a démontré sa faisabilité, la littérature suggérant de nouvelles opportunités d’évaluation avec des instruments standardisés et validés. Le développement de programmes de télémédecine en France dans le champ des troubles du spectre de l’autisme pourrait ainsi compléter et faciliter les parcours de soins des personnes.

Meagan R Talbott, Sarah Dufek, Lonnie Zwaigenbaum, Susan Bryson, Jessica Brian, Isabel M Smith, Sally J Rogers

Families with early concerns about infant symptoms of ASD have limited access to experienced professionals for screening and guidance. Telehealth has been used to reduce access disparities in other pediatric populations and has shown promise in parent-implemented interventions for ASD. We investigated the feasibility of a novel level-2 telehealth assessment of infants' early social communication and ASD symptoms, the Telehealth Evaluation of Development for Infants (TEDI).

Cristiane S Paula, Graccielle Rodrigues Cunha, Daniela Bordini, Decio Brunoni, Ana Claudia Moya, Cleonice Alves Bosa, Jair J Mari, Hugo Cogo-Moreira

Simple and low-cost observational-tools to detect symptoms of Autism Spectrum Disorder (ASD) are still necessary. The OERA is a new assessment tool to screen children eliciting observable behaviors with no substantial knowledge on ASD required. The sample was 99 children aged 3-10: 76 with ASD and 23 without ASD (11/23 had intellectual disability).

R Matthew Reese, Matthew J Braun, Sarah Hoffmeier, Lee Stickle, Louann Rinner, Catherine Smith, Kathryn Ellerbeck, Rene Jamison, Maura Wendland, Lindsey Jarrett, Megan Hadorn

Autism affects as many as 1 in 68 children in the United States. Early identification and access to intervention services promote improved outcomes for children with autism and other developmental delays. Children living in rural and underserved areas have limited access to such services and are diagnosed later than those living more suburban and urban areas. Our Integrated Systems Using Telemedicine (ISUT) Model uses a cost-effective method for families to access diagnostic and other specialty care through telemedicine. This model links families, trained early intervention providers and educators, and university-based medical professionals.

Christopher J Smith, Agata Rozga, Nicole Matthews, Ron Oberleitner, Nazneen Nazneen, Gregory Abowd

Research indicates that a substantial amount of time elapses between parents' first concerns about their child's development and a formal diagnosis of autism spectrum disorder (ASD). Telehealth presents an opportunity to expedite the diagnostic process. This project compared a novel telehealth diagnostic approach that utilizes clinically guided in-home video recordings to the gold standard in-person diagnostic assessment. Participants included 40 families seeking an ASD evaluation for their child and 11 families of typically developing children.

Manahil Alfuraydan, Jodie Croxall, Lisa Hurt, Mike Kerr, Sinead Brophy

There is a significant delay between seeking help and a confirmed diagnosis of Autism Spectrum Disorder (ASD). This delay can lead to poor outcomes for both the families and individuals. Telehealth potentially offers a way of improving the diagnostic pathway for ASD. We conducted a scoping review examining which telehealth approaches are used in the diagnosis and assessment of ASD in children and adults, whether they are feasible and acceptable, and how they compare with face-to-face diagnosis and assessment methods.

Dasha Solomon, Neelkamal Soares

This chapter examines the current literature regarding the use of telehealth, and its potential benefits and limitations for diagnosis, treatment, and coordination of care for children diagnosed with Autism Spectrum Disorder (ASD). Barriers to access drive the need to have telehealth as a modality for delivering evidence-based diagnostic and therapeutic processes, which can be impactful in improving developmental...