School of Social Work, Arizona State University, Phoenix.
Soc Work. 2020 Apr 1;65(2):140-148. doi: 10.1093/sw/swaa012.
Autism spectrum disorder (ASD) affects a substantial number of individuals and their families. Early diagnosis followed by intensive behavioral services is critical to reducing social communication deficits and behavioral challenges. Research has continually demonstrated health disparities with Latinx families that perpetuate lower ASD prevalence rates, later ASD diagnosis, and limited access to treatment compared with white children. Moreover, Latinx children who are diagnosed with ASD receive less intense and fewer treatment services. Given the number of Latinx children and those with ASD, social workers are likely to encounter the intersection throughout their careers. Thus, it is critical for social workers to have general knowledge about autism and the complexity of accessing diagnostic and treatment services. In this article, the authors review the literature on Latinx children and ASD, and identify opportunities for social workers to be innovative in their use of frameworks, theories, and practice approaches to reduce disparities in ASD diagnosis and treatment among Latinx children.
自闭症谱系障碍(ASD)影响了大量的个体及其家庭。早期诊断后进行密集的行为干预至关重要,有助于减少社交沟通障碍和行为挑战。研究不断表明,拉丁裔家庭存在健康差距,这导致 ASD 患病率较低、诊断较晚,以及与白人儿童相比,获得治疗的机会有限。此外,被诊断出患有 ASD 的拉丁裔儿童接受的治疗服务强度较低,次数也较少。鉴于拉丁裔儿童的数量以及其中患有 ASD 的儿童数量,社会工作者在职业生涯中很可能会遇到这一交叉点。因此,社会工作者必须具备关于自闭症的基本知识,以及了解获取诊断和治疗服务的复杂性。在本文中,作者回顾了有关拉丁裔儿童和 ASD 的文献,并确定了社会工作者在利用框架、理论和实践方法方面进行创新的机会,以减少拉丁裔儿童在 ASD 诊断和治疗方面的差异。