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MICH-29.3 Data Details

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MICH-29.3 Increase the proportion of children with ASD enrolled in special services by 48 months of age

About the Data

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

Data Source: 
Metropolitan Atlanta Developmental Disabilities Surveillance Program (MADDSP); Centers for Disease Control and Prevention, National Center on Birth Defects and Developmental Disabilities (CDC/NCBDDD)
Changed Since the Healthy People 2020 Launch: 
Yes
Measure: 
percent
Baseline (Year): 
52.4 (2006)
Target: 
57.6
Target-Setting Method: 
10 percent improvement
Numerator: 

Number of 8-year-old children with Autism Spectrum Disorder (ASD) enrolled in special education services by 48 months of age

Denominator: 

Number of 8-year-old children with Autism Spectrum Disorder

Comparable Healthy People 2010 Objective: 
Not applicable
Data Collection Frequency: 
Periodic
Methodology Notes: 

    Autism Spectrum Disorders (ASD) are defined as a group 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 in the Metropolitan Atlanta Developmental Disabilities Surveillance Program (MADDSP) as a confirmed case of ASD if he or she displays behaviors (as described on a comprehensive evaluation by a qualified professional) that are consistent with the diagnostic criteria listed in the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR) for any of the following conditions: Autistic Disorder, Pervasive Developmental Disorder-Not Otherwise Specified (PDD-NOS, including Atypical Autism), or Asperger's Disorder.

    To determine MADDSP case status, information is abstracted from health and education records and then reviewed by an ASD clinician reviewer using a coding scheme based on DSM-IV-TR criteria for Autistic Disorder, PDD-NOS, and Asperger’s Disorder.

    A qualified professional is defined as a medical, clinical, or educational professional in a position to observe children with developmental disabilities (including, but not limited to, psychologist, physician, teacher, learning specialist, speech/language pathologist, occupational therapist, physical therapist, nurse, social worker).

    An ASD clinician reviewer is defined as a qualified diagnostician with specialized training and experience in autism assessment and diagnosis.

Caveats and Limitations: 
The Metropolitan Atlanta Developmental Disabilities Surveillance Program (MADDSP) estimates the prevalence of children with one or more developmental disabilities, including ASD, in five counties (Clayton, Cobb, DeKalb, Fulton, and Gwinnett) of the metropolitan Atlanta area.

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 2014, the word “an” was removed from the objective text to reflect how the term ASD is currently used.