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. 2020 Jun 13;9(6):1850.
doi: 10.3390/jcm9061850.

Phase 2 and Later of COVID-19 Lockdown: Is it Possible to Perform Remote Diagnosis and Intervention for Autism Spectrum Disorder? An Online-Mediated Approach

Antonio Narzisi  1
Affiliations

Phase 2 and Later of COVID-19 Lockdown: Is it Possible to Perform Remote Diagnosis and Intervention for Autism Spectrum Disorder? An Online-Mediated Approach

Antonio Narzisi. J Clin Med. .

Abstract

COVID-19 is still in phase 2. The lockdown has been significantly reduced compared to phase 1. The centers and institutions that deal with the diagnosis and intervention of children with autism spectrum disorder (ASD) require rapid functional adaptation to respond to patients' needs. The possibility of using technology to activate and manage diagnostic (preliminary diagnosis) and intervention processes should be explored. Two developed telemedicine working models for diagnosis and intervention, including synchronous and asynchronous transmissions, are presented. They are proposals not yet supported by the data. The diagnosis step is composed by two different and consecutives phases: (A) pre-specialistic consultation (PSC) and (B) specialistic assessment. The intervention step implemented well-recognized evidence-based models for preschoolers, school-aged, and older children in an online format. Parents' support is also included. The described working models have the purpose of carrying out preliminary specialistic answers to the families without aiming to replace preferable in-person assessment. Based on previous research findings, the telemedicine approach is accepted by parents, increases their sense of competence, increases the parent intervention adhesion, and improves the social communication competencies for children with ASD. In conclusion, the presented working models must be considered partial responses to the current emergency status and at the same time as possible integrations into traditional approaches.

Keywords: COVID-19; autism; children; diagnosis; intervention; parents; remote.

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Conflict of interest statement

No conflict of interest is reported.

Figures

Figure 1
Figure 1
Working model for (preliminary) diagnosis. PSC: pre-specialistic consultation; SA: specialistic assessment; ASD: Autism Spectrum Disorder; ADOS-BOSCC: Autism Diagnostic Observation Schedule-Brief Observation of Social Communication Change; VABS: Vineland Adaptive Behaviour Scales; ADI-R: Autism Diagnostic Interview-Revised; DSM-5: Diagnostic and Statistical Manual of Mental Disorders-5.
Figure 2
Figure 2
Working model for intervention.
See this image and copyright information in PMC

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