1. Autism Implementation Team Update July 2010 Mental Health Connection

2. Stakeholders: • Care Options • Child Study Center • Cook Children’s Medical Center (Departments of Psychology, Psychiatry, and Rehabilitation) • Easter Seals of North Texas • ECI • Hand in Hand • MHMR of Tarrant County • Texas Council on Autism • The Art Station • Parents

3. Goals: • Improve early identification/screening of Autism Spectrum Disorders • Identify gaps in service, especially in early identification/navigation • Collaborate/network among stakeholders to improve service delivery

4. Survey • Identify gaps among key agencies • Survey conducted over 3 months • N = 120* • Ages 0-3 = 46.6% • Ages 4-6 = 53.4% • Participants: • Child Study Center = 25% • Cook Children’s Medical Center (Psychology and Rehabilitation) = 49% • Easter Seals = 26% *ECI of North Tarrant County (data not included)

5. Survey Results:Screening

6. SurveyResults:Screening • Who conducted the screening? • PCP/Pediatrician/other MD = 35% • ISD = 29.7% • ECI = 21.6% • Other health care provider (ex: Speech Therapists, Psychologists) = 13.5%

7. Survey Results:

8. Survey Results:

9. Survey Results:

10. Survey Results:

11. Survey Results: • Previous Treatment: • Speech Therapy = 45% • Occupational Therapy = 25% • ABA = 7% • Physical Therapy = 6% • PPCD = 4% • Medication = 4% • Counseling = 2% • Social Skills Group = 2% • ECI (non specified) = 2% • Equine Therapy = 2% • Unknown = 2%

12. Survey Results:

13. ECI data • HIPPA restrictions • 2 months data collection • 184 cases of suspected ASD identified • Distribution across Tarrant County: • Fort Worth = 22.5% • N/NE Tarrant = 26.25% • South = 10% • West/NW = 16.25% • East/SE = 25%

14. Identify Gaps • Exit from ECI system • Too few Medicaid providers (Speech, ABA, psychologists) • System navigation

15. Collaboration and Next Steps • Pilot program for adults • TEA • DADS/DARS • Autism Resource Center • CSC • ECI • Fewer services in southern part of Tarrant County • Navigator