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Assessment of autism in a survey of adults

Assessment of autism in a survey of adults. Adult Psychiatric Morbidity Survey 2007. Policy focus. More common among... boys (4:1) people with a learning disability 1% of children. What is already known?. Autism spectrum conditions. Characterised by difficulty with...

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Assessment of autism in a survey of adults

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  1. Assessment of autism in a survey of adults Adult Psychiatric Morbidity Survey 2007

  2. Policy focus

  3. More common among... boys (4:1) people with a learning disability 1% of children What is already known?

  4. Autism spectrum conditions Characterised by difficulty with... Social communication Social interaction Social imagination

  5. 4) A disorder that, although its presentation may change and moderate with age, has a childhood onset and is life-long Clinical setting Developmental history Involvement of parent Self-report screening tool? Assessment of autism

  6. The Psychiatric Morbidity Survey Series Carers 2001 Prisoners 1997 Looked After Children 2001 Homeless Persons 1994 Children and Adolescent Follow-up 2002 Institutional Residents 1994 Children and Adolescents 2004 Children and Adolescents 1998 Adult Household Follow-up 2002 Adult Household 2000 Adult Household 2007 Adult Household 1993 2000 2007 1993

  7. APMS 2007: ASD assessment phases

  8. Phase one AQ20 distribution (7,400 adults)

  9. Probability of selection to phase two, by phase one AQ20 score Probability of selection to phase two AQ score at phase one

  10. Phase two ADOS assessments (618) • 618 ADOS assessments • 19 cases of ASD diagnosed • 5 had an AQ20 score of less than 10 • Weighting corrects for sampling and non-response • Estimate 72 cases in phase one sample • 1% prevalence in adults • No association with age

  11. Prevalence of ASD by sex

  12. ASD by highest educational qualification

  13. In conclusion... Poor screening tool Few ASD cases diagnosed Inclusion of people who scored low at phase one Rates of ASD not increasing Disadvantaged group Communal establishments

  14. Acknowledgements • NatCen • Susan Purdon, Katharine Sadler, Jenny Harris, DhritiJotangia • University of Leicester • Terry Brugha, Howard Meltzer, Jane Smith • ARU, Cambridge University • Fiona Scott • NHS Information Centre for health and social care • Netta Hollings, Vicky Cooper, Andy Sutherland • DH policy research Unit • ZoltanBozoky

  15. Thank you www.natcen.ac.uk

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