Development of a Pathway for Multidisciplinary Neurodevelopmental Assessment and Diagnosis in Children and Young People

There is a variable standard of access to quality neurodevelopmental assessment and diagnosis. People may have negative experiences, encountering lengthy waiting times, and inconsistent practices. Practitioners need guidance on standards and practices for assessment and diagnosis matched to new ways...

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Autores principales: Marion Rutherford, Donald Maciver, Lorna Johnston, Susan Prior, Kirsty Forsyth
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Lenguaje:EN
Publicado: MDPI AG 2021
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Acceso en línea:https://doaj.org/article/83869ee69e7b439ab92361b41fe5d306
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spelling oai:doaj.org-article:83869ee69e7b439ab92361b41fe5d3062021-11-25T17:14:43ZDevelopment of a Pathway for Multidisciplinary Neurodevelopmental Assessment and Diagnosis in Children and Young People10.3390/children81110332227-9067https://doaj.org/article/83869ee69e7b439ab92361b41fe5d3062021-11-01T00:00:00Zhttps://www.mdpi.com/2227-9067/8/11/1033https://doaj.org/toc/2227-9067There is a variable standard of access to quality neurodevelopmental assessment and diagnosis. People may have negative experiences, encountering lengthy waiting times, and inconsistent practices. Practitioners need guidance on standards and practices for assessment and diagnosis matched to new ways of working. In this paper, we present a new pathway and recommendations for multidisciplinary neurodevelopmental assessment and diagnosis for children and young people (<19 years), developed by the Scottish Government funded National Autism Implementation Team (NAIT). Our research used the Medical Research Council guidance for the development of complex interventions and included several iterative stages. Stage 1: <i>n</i> = 44 stakeholders attended an event on developing new practices for diagnosis and assessment. Stage 2: a literature synthesis was completed by the research team of clinical guidelines and diagnosis and assessment tools. Stage 3: an event with <i>n</i> = 127 stakeholders included discussion and debate of the data from stages 1 and 2. Recommendations and a draft pathway were written. Stage 4: successive drafts of recommendations and the pathway documentation were circulated among an advisory group, including multidisciplinary clinical experts and people with lived experience, until the final pathway was agreed upon. The finalised pathway includes guidance on terminology, assessment, diagnosis, triage, time standards and engagement of people with lived experience. The new pathway has been adopted by the Scottish Government. The pathway and associated documentation are freely available online for use by others.Marion RutherfordDonald MaciverLorna JohnstonSusan PriorKirsty ForsythMDPI AGarticleguidelineautismneurodevelopmentalpathwayassessmentdiagnosisPediatricsRJ1-570ENChildren, Vol 8, Iss 1033, p 1033 (2021)
institution DOAJ
collection DOAJ
language EN
topic guideline
autism
neurodevelopmental
pathway
assessment
diagnosis
Pediatrics
RJ1-570
spellingShingle guideline
autism
neurodevelopmental
pathway
assessment
diagnosis
Pediatrics
RJ1-570
Marion Rutherford
Donald Maciver
Lorna Johnston
Susan Prior
Kirsty Forsyth
Development of a Pathway for Multidisciplinary Neurodevelopmental Assessment and Diagnosis in Children and Young People
description There is a variable standard of access to quality neurodevelopmental assessment and diagnosis. People may have negative experiences, encountering lengthy waiting times, and inconsistent practices. Practitioners need guidance on standards and practices for assessment and diagnosis matched to new ways of working. In this paper, we present a new pathway and recommendations for multidisciplinary neurodevelopmental assessment and diagnosis for children and young people (<19 years), developed by the Scottish Government funded National Autism Implementation Team (NAIT). Our research used the Medical Research Council guidance for the development of complex interventions and included several iterative stages. Stage 1: <i>n</i> = 44 stakeholders attended an event on developing new practices for diagnosis and assessment. Stage 2: a literature synthesis was completed by the research team of clinical guidelines and diagnosis and assessment tools. Stage 3: an event with <i>n</i> = 127 stakeholders included discussion and debate of the data from stages 1 and 2. Recommendations and a draft pathway were written. Stage 4: successive drafts of recommendations and the pathway documentation were circulated among an advisory group, including multidisciplinary clinical experts and people with lived experience, until the final pathway was agreed upon. The finalised pathway includes guidance on terminology, assessment, diagnosis, triage, time standards and engagement of people with lived experience. The new pathway has been adopted by the Scottish Government. The pathway and associated documentation are freely available online for use by others.
format article
author Marion Rutherford
Donald Maciver
Lorna Johnston
Susan Prior
Kirsty Forsyth
author_facet Marion Rutherford
Donald Maciver
Lorna Johnston
Susan Prior
Kirsty Forsyth
author_sort Marion Rutherford
title Development of a Pathway for Multidisciplinary Neurodevelopmental Assessment and Diagnosis in Children and Young People
title_short Development of a Pathway for Multidisciplinary Neurodevelopmental Assessment and Diagnosis in Children and Young People
title_full Development of a Pathway for Multidisciplinary Neurodevelopmental Assessment and Diagnosis in Children and Young People
title_fullStr Development of a Pathway for Multidisciplinary Neurodevelopmental Assessment and Diagnosis in Children and Young People
title_full_unstemmed Development of a Pathway for Multidisciplinary Neurodevelopmental Assessment and Diagnosis in Children and Young People
title_sort development of a pathway for multidisciplinary neurodevelopmental assessment and diagnosis in children and young people
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/83869ee69e7b439ab92361b41fe5d306
work_keys_str_mv AT marionrutherford developmentofapathwayformultidisciplinaryneurodevelopmentalassessmentanddiagnosisinchildrenandyoungpeople
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AT lornajohnston developmentofapathwayformultidisciplinaryneurodevelopmentalassessmentanddiagnosisinchildrenandyoungpeople
AT susanprior developmentofapathwayformultidisciplinaryneurodevelopmentalassessmentanddiagnosisinchildrenandyoungpeople
AT kirstyforsyth developmentofapathwayformultidisciplinaryneurodevelopmentalassessmentanddiagnosisinchildrenandyoungpeople
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