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MICH-29.1 Data Details

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MICH-29.1 Increase the proportion of children (aged 10-35 months) who have been screened for Autism Spectrum Disorder (ASD) and other developmental delays

About the Data: National

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

Data Source: 
National Survey of Children's Health (NSCH); Health Resources and Services Administration, Maternal and Child Health Bureau, and Centers for Disease Control and Prevention, National Center for Health Statistics (HRSA/MCHB and CDC/NCHS)
Changed Since the Healthy People 2020 Launch: 
Yes
Measure: 
percent
Baseline (Year): 
22.6 (2007)
Target: 
24.9
Target-Setting Method: 
10 percent improvement
Numerator: 

Number of children (10-35 months of age) who are screened for autism and other developmental delays in the past year

Denominator: 

Number of children (10-35 months of age)

Comparable Healthy People 2010 Objective: 
Adapted from HP2010 objective
Questions Used to Obtain the National Baseline Data: 

    From the 2007 National Survey of Children's Health:

    [NUMERATOR:]

    Sometimes a child's doctor or other health care provider will ask a parent to fill out a questionnaire at home or during their child's visit. During the past 12 months, did a doctor or other health care provider have you fill out a questionnaire about specific concerns or observations you may have about (Specific Child)'s developmental, communication or social behaviors?

    1. Yes
    2. No

    Did this questionnaire ask about your concerns or observations about how (Specific Child) talks or makes speech sounds?

    1. Yes
    2. No

    Did this questionnaire ask about your concerns or observations about how (Specific Child) interacts with you and others?

    1. Yes
    2. No

    Did this questionnaire ask about your concerns or observations about words and phrases (Specific Child) uses and understands?

    1. Yes
    2. No

    Did this questionnaire ask about your concerns or observations about how (Specific Child) behaves and gets along with you and others?

    1. Yes
    2. No
Data Collection Frequency: 
Periodic
Methodology Notes: 

    Autism Spectrum Disorders (ASD) are defined as a constellation of behaviors indicating social, communicative, and behavioral impairment or abnormalities. The essential features of ASD are (a) impaired reciprocal social interactions, (b) delayed or unusual communication styles, and (c) restricted or repetitive behavior patterns.
    A child is included as a confirmed case of ASD if he or she displays behaviors (as described by a doctor or other health care provider) consistent with the Diagnostic and Statistical Manual of Mental Disorders - Fourth Edition (DSM-IV) diagnostic criteria for Autistic Disorder, Pervasive Developmental Disorder-Not Otherwise Specified (including Atypical Autism), or Asperger's Disorder. Behavioral descriptions are reviewed by autism experts using a coding scheme based on DSM-IV criteria to determine autism case status.

Changes Between HP2010 and HP2020: 
This objective differs from Healthy People 2010 objective 16-14c, which tracked the median age, in months, at first identification of an autism spectrum disorder using data from the Metropolitan Atlanta Developmental Disabilities Surveillance Program (MADDSP). This objective tracks screening for autism and other developmental delays in children aged 10-35 months using data from the National Survey of Children's Health (NSCH).

About the Data: State

Description of the data source, numerator, denominator, survey questions, and other relevant details about the state-level data.

Data Source: 
National Survey of Children's Health (NSCH); Health Resources and Services Administration, Maternal and Child Health Bureau, and Centers for Disease Control and Prevention, National Center for Health Statistics (HRSA/MCHB and CDC/NCHS)
Measure: 
percent
Numerator: 

Number of children (10-35 months of age) who are screened for autism and other developmental delays in the past year

Denominator: 

Number of children (10-35 months of age)

Questions Used to Obtain the State Data: 

      From the 2007 National Survey of Children's Health:

      [NUMERATOR:]

      Sometimes a child's doctor or other health care provider will ask a parent to fill out a questionnaire at home or during their child's visit. During the past 12 months, did a doctor or other health care provider have you fill out a questionnaire about specific concerns or observations you may have about (Specific Child)'s developmental, communication or social behaviors?

      1. Yes
      2. No

      Did this questionnaire ask about your concerns or observations about how (Specific Child) talks or makes speech sounds?

      1. Yes
      2. No

      Did this questionnaire ask about your concerns or observations about how (Specific Child) interacts with you and others?

      1. Yes
      2. No

      Did this questionnaire ask about your concerns or observations about words and phrases (Specific Child) uses and understands?

      1. Yes
      2. No

      Did this questionnaire ask about your concerns or observations about how (Specific Child) behaves and gets along with you and others?

      1. Yes
      2. No
Data Collection Frequency: 
Periodic
Methodology Notes: 

      Autism Spectrum Disorders (ASD) are defined as a constellation of behaviors indicating social, communicative, and behavioral impairment or abnormalities. The essential features of ASD are (a) impaired reciprocal social interactions, (b) delayed or unusual communication styles, and (c) restricted or repetitive behavior patterns.
      A child is included as a confirmed case of ASD if he or she displays behaviors (as described by a doctor or other health care provider) consistent with the Diagnostic and Statistical Manual of Mental Disorders - Fourth Edition (DSM-IV) diagnostic criteria for Autistic Disorder, Pervasive Developmental Disorder-Not Otherwise Specified (including Atypical Autism), or Asperger's Disorder. Behavioral descriptions are reviewed by autism experts using a coding scheme based on DSM-IV criteria to determine autism case status.

Revision History

Any change to the objective text, baseline, target, target-setting method or data source since the Healthy People 2020 launch.

Description of Changes Since the Healthy People 2020 Launch: 
In 2012, the original baseline was revised from 19.5% (2007) to 22.6% (2007) because the objective text did not accurately reflect what is measured by the data source. The objective text was revised from screening of “young children” by age 24 months to screening within the past year of children aged 10 to 35 months. The target was adjusted from 21.5% to 24.9% to reflect the revised baseline using the original target-setting method.