Parents’ experiences of the service pathway to an autism diagnosis for their child: What predicts an early diagnosis in Australia?
This publication is included in the Autistic Autism Scholarship Project. one author of this publication is identified as autistic in the project.
About the autistic author markerBent, C., Barbaro, J., & Dissanayake, C. (2020). Parents’ experiences of the service pathway to an autism diagnosis for their child: What predicts an early diagnosis in Australia? Research in Developmental Disabilities, 103, 103689. https://doi.org/10.1016/j.ridd.2020.103689
This publication is integrated into AutiHub through:
Authors
Abstract
BACKGROUND: The early identification and diagnosis of autism is critical to ensure access to appropriate early intervention and support. Few studies have examined the association between potentially modifiable characteristics of the service system and timelier diagnosis. METHODS: An online survey was conducted to examine parental experiences of service pathways to an autism diagnosis for their child, and to identify child, family, and service level characteristics that predict the age and timeliness of diagnosis. Participants included 107 parents of children with autism who were diagnosed by 7 years of age and a smaller subgroup of 29 parents who were diagnosed after 7 years of age. RESULTS: Parents of younger children reported that, on average, it took approximately 12 months and 8 professional consultations to receive a confirmed diagnosis for their child. Parents of older children, as well as those who reported they were a sole caregiver, or were advised by professionals to 'wait and see', reported more time between first raising concerns and diagnosis. CONCLUSIONS: The findings reiterate the importance of proactive professional responses to parental concerns. They also highlight the need for standardised screening and assessment and professional development and training to build capacity in the sector to deliver timely and accurate autism diagnoses.
Bibliography cited by this reference
Cited references are imported from external metadata sources when they are available. The list may be partial.
Cited bibliography overview
These indicators describe the bibliography cited by this publication. An author name is counted each time it appears in one cited reference, so the same person can be counted more than once. Names not yet linked to an author already present in AutiHub are treated as unknown, not as non-autistic. Last computed: 12 Sep 2026 01:04.
- With a DOI
- 34
- Without a DOI, from raw bibliography text
- 3
- References with detected author names
- 37 / 37 (100.0%)
- Without detected author names
- 0
- Without a structured title
- 0
- Without a stable identifier
- 3
- References with raw author names still to review
- 0
- References with external metadata lookup issues
- 0
- From DOI or external metadata
- 146
- From validated raw bibliography text
- 0
- Raw names already validated
- 0
- Raw names still to review
- 0
-
Whitney Guthrie , Lauren B. Swineford , Charly Nottke , Amy M. Wetherby (2013). Early diagnosis of autism spectrum disorder: stability and change in clinical diagnosis and symptom presentation . Journal of Child Psychology and Psychiatry, 54(5), 582-590. Wiley.Crossref OpenAlex OpenCitations
-
American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders, fifth edition (DSM-5) .Type: OtherCrossref
-
Zuleyha Cidav , Jeff Munson , Annette Estes , Géraldine Dawson , Sally J. Rogers , DAVID S. MANDELL (2017). Cost Offset Associated With Early Start Denver Model for Children With Autism . Journal of the American Academy of Child & Adolescent Psychiatry, 56(9), 777-783. Elsevier BV.Crossref OpenAlex OpenCitations
-
Amanda Mossman Steiner , Tina R. Goldsmith , Anne V. Snow , Katarzyna Chawarska (2012). Practitioner’s Guide to Assessment of Autism Spectrum Disorders in Infants and Toddlers . Journal of Autism and Developmental Disorders, 42(6), 1183-1196. Springer Science and Business Media LLC.Crossref OpenAlex OpenCitations
-
Josephine Barbaro *Autistic author. Learn more… , Cheryl Dissanayake (2009). Autism Spectrum Disorders in Infancy and Toddlerhood: A Review of the Evidence on Early Signs, Early Identification Tools, and Early Diagnosis . Journal of Developmental & Behavioral Pediatrics, 30(5), 447-459. Ovid Technologies (Wolters Kluwer Health).
-
Adrienne Perry , Ksusha Blacklock , Jennifer Dunn Geier (2013). The relative importance of age and IQ as predictors of outcomes in Intensive Behavioral Intervention . Research in Autism Spectrum Disorders, 7(9), 1142-1150. Elsevier BV.Crossref OpenAlex OpenCitations
-
Amy M. Daniels , DAVID S. MANDELL (2013). Children’s Compliance with American Academy of Pediatrics’ Well-Child Care Visit Guidelines and the Early Detection of Autism . Journal of Autism and Developmental Disorders, 43(12), 2844-2854. Springer Science and Business Media LLC.Crossref OpenAlex OpenCitations
-
Josephine Barbaro *Autistic author. Learn more… , Cheryl Dissanayake (2010). Prospective Identification of Autism Spectrum Disorders in Infancy and Toddlerhood Using Developmental Surveillance: The Social Attention and Communication Study . Journal of Developmental & Behavioral Pediatrics, 31(5), 376-385. Ovid Technologies (Wolters Kluwer Health).
-
Géraldine Dawson , Emily J.H. Jones , Kristen Merkle , Kaitlin Venema , Rachel Lowy , Susan Faja et al. (2012). Early Behavioral Intervention Is Associated With Normalized Brain Activity in Young Children With Autism . Journal of the American Academy of Child & Adolescent Psychiatry, 51(11), 1150-1159. Elsevier BV.Type: Article DOI: 10.1016/j.jaac.2012.08.018 10.17615/cwnd-bm03OpenCitations
-
TRISTRAM SMITH , Rafael Klorman , Daniel W. Mruzek (2015). Predicting Outcome of Community-Based Early Intensive Behavioral Intervention for Children with Autism . Journal of Abnormal Child Psychology, 43(7), 1271-1282. Springer Science and Business Media LLC.Crossref OpenAlex OpenCitations
-
Josephine Barbaro *Autistic author. Learn more… , Cheryl Dissanayake (2017). Diagnostic stability of autism spectrum disorder in toddlers prospectively identified in a community-based setting: Behavioural characteristics and predictors of change over time . Autism, 21(7), 830-840. SAGE Publications.
-
Robyn L. Young , Neil Brewer , Clare Pattison (2003). Parental Identification of Early Behavioural Abnormalities in Children with Autistic Disorder . Autism, 7(2), 125-143. SAGE Publications.Crossref OpenAlex OpenCitations
-
Catherine Bent , Cheryl Dissanayake , Josephine Barbaro *Autistic author. Learn more… (2015). Mapping the diagnosis of autism spectrum disorders in children aged under 7 years in Australia, 2010–2012 . Medical Journal of Australia, 202(6), 317-320. Wiley.
-
Katarzyna Chawarska , Ami Klin , Rhea Paul , Fred Volkmar (2007). Autism spectrum disorder in the second year: stability and change in syndrome expression . Journal of Child Psychology and Psychiatry, 48(2), 128-138. Wiley.Crossref OpenAlex OpenCitations
-
Sally J. Rogers , Laurie A. Vismara (2008). Evidence-Based Comprehensive Treatments for Early Autism . Journal of Clinical Child & Adolescent Psychology, 37(1), 8-38. Informa UK Limited.Crossref OpenAlex OpenCitations
-
Tamara May , Katrina Williams (2018). Brief Report: Gender and Age of Diagnosis Time Trends in Children with Autism Using Australian Medicare Data . Journal of Autism and Developmental Disorders, 48(12), 4056-4062. Springer Science and Business Media LLC.Crossref OpenAlex OpenCitations
-
Megan L. E. Clark , Josephine Barbaro *Autistic author. Learn more… , Cheryl Dissanayake (2017). Continuity and Change in Cognition and Autism Severity from Toddlerhood to School Age . Journal of Autism and Developmental Disorders, 47(2), 328-339. Springer Science and Business Media LLC.
-
Megan L. E. Clark , Zoe Vinen , Josephine Barbaro *Autistic author. Learn more… , Cheryl Dissanayake (2018). School Age Outcomes of Children Diagnosed Early and Later with Autism Spectrum Disorder . Journal of Autism and Developmental Disorders, 48(1), 92-102. Springer Science and Business Media LLC.
-
Laura Crane , James W Chester , Lorna Goddard , Lucy A Henry , Elisabeth L. Hill (2016). Experiences of autism diagnosis: A survey of over 1000 parents in the United Kingdom . Autism, 20(2), 153-162. SAGE Publications.Crossref OpenAlex OpenCitations
-
Patricia Howlin , Anna Asgharian (1999). The diagnosis of autism and Asperger syndrome: findings from a survey of 770 families . Developmental Medicine & Child Neurology, 41(12), 834-839. Wiley.Type: Article DOI: 10.1111/j.1469-8749.1999.tb00550.xCrossref OpenCitations
-
Helen E. Flanagan , Adrienne Perry , Nancy L. Freeman (2012). Effectiveness of large-scale community-based Intensive Behavioral Intervention: A waitlist comparison study exploring outcomes and predictors . Research in Autism Spectrum Disorders, 6(2), 673-682. Elsevier BV.Crossref OpenAlex OpenCitations
-
Katharine Elizabeth Zuckerman , Olivia Jasmine Lindly , Brianna Kathleen Sinche (2015). Parental Concerns, Provider Response, and Timeliness of Autism Spectrum Disorder Diagnosis . The Journal of Pediatrics, 166(6), 1431-1439.e1. Elsevier BV.Crossref OpenAlex OpenCitations
-
Amy M Daniels , DAVID S. MANDELL (2014). Explaining differences in age at autism spectrum disorder diagnosis: A critical review . Autism, 18(5), 583-597. SAGE Publications.Crossref OpenAlex OpenCitations
-
Melinda Randall , Natalia Albein‐Urios , Amanda Brignell , Alisha Gulenc , Sabine Hennel , Cathy Coates et al. (2016). Diagnosing autism: A ustralian paediatric research network surveys . Journal of Paediatrics and Child Health, 52(1), 11-17. Wiley.Crossref OpenAlex OpenCitations
-
Géraldine Dawson , Emily J.H. Jones , Kristen Merkle , Kaitlin Venema , Rachel Lowy , Susan Faja et al. (2012). Early Behavioral Intervention Is Associated With Normalized Brain Activity in Young Children With Autism . Journal of the American Academy of Child & Adolescent Psychiatry, 51(11), 1150-1159. Elsevier BV.Crossref OpenAlex
-
Géraldine Dawson , Sally J. Rogers , Jeffrey Munson , Milani Smith , Jamie Winter , Jessica Greenson et al. (2010). Randomized, Controlled Trial of an Intervention for Toddlers With Autism: The Early Start Denver Model . Pediatrics, 125(1), e17-e23. American Academy of Pediatrics (AAP).Crossref OpenAlex OpenCitations
-
Patricia Howlin , Anna Moore (1997). Diagnosis in Autism . Autism, 1(2), 135-162. SAGE Publications.Crossref OpenAlex OpenCitations
-
Patricia Howlin , Anna Asgharian (1999). The diagnosis of autism and Asperger syndrome: findings from a survey of 770 families . Developmental Medicine & Child Neurology, 41(12), 834-839. Wiley.OpenAlex OpenCitations
-
Matthew J.F. Eggleston , Hiran Thabrew , Christopher M.A. Frampton , Katherine H.F. Eggleston , Shannon C. Hennig (2019). Obtaining an autism spectrum disorder diagnosis and supports: New Zealand parents’ experiences . Research in Autism Spectrum Disorders, 62, 18-25. Elsevier BV.Crossref OpenAlex OpenCitations
-
Goin-Kochel (2004). Parental report of early autistic symptoms: Differences in ages of detection and frequencies of characteristics among three Autism Spectrum disorders . Journal on Developmental Disabilities, 11(2), 21.Type: OtherCrossref
-
Donald P. Oswald , Shannon M. Haworth , Bernadette K. Mackenzie , Janet H. Willis (2017). Parental report of the diagnostic process and outcome ASD compared with other developmental disabilities . Focus on Autism and Other Developmental Disabilities, 32(2), 152-160. SAGE Publications.Crossref OpenAlex
-
The Victorian ASELCC Team , Giacomo Vivanti , Cheryl Dissanayake (2016). Outcome for Children Receiving the Early Start Denver Model Before and After 48 Months . Journal of Autism and Developmental Disorders, 46(7), 2441-2449. Springer Science and Business Media LLC.Crossref OpenAlex OpenCitations
-
Samantha L. Ward , Karen A. Sullivan , Linda Gilmore (2016). Practitioner Perceptions of the Assessment and Diagnosis of Autism in Australia . Australian Psychologist, 51(4), 272-279. Informa UK Limited.Crossref OpenAlex OpenCitations
-
Lauren Taylor , Valsamma Eapen , Murray Maybery , Sue Midford , Jessica Paynter , Lyndsay Quarmby et al. (2016). Diagnostic evaluation for autism spectrum disorder: a survey of health professionals in Australia . BMJ Open, 6(9), e012517. BMJ.Crossref OpenAlex OpenCitations
-
Giacomo Vivanti , Andrew Whitehouse (2019). National Guideline for the Assessment and Diagnosis of Autism Spectrum Disorders in Australia . In Encyclopedia of Autism Spectrum Disorders (pp. 1-3). Springer New York.Type: Book chapter DOI: 10.1007/978-1-4614-6435-8_102480-1 OpenAlex: https://openalex.org/W2947027749OpenAlex
-
Whitehouse (2018). National guideline for the assessment and diagnosis of autism spectrum disorders in Australia .Type: OtherCrossref
-
Daniel L. Segal, Meghan A. Marty , Frederick L. Coolidge (2017). Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) . The SAGE Encyclopedia of Abnormal and Clinical Psychology. SAGE Publications, Inc..OpenAlex