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dc.contributor.authorHayes, Jennie
dc.contributor.authorFord, Tamsin Jane
dc.contributor.authorMcCabe, Rose
dc.contributor.authorRussell, Ginny
dc.date.accessioned2022-02-04T18:17:19Z
dc.date.available2022-02-04T18:17:19Z
dc.date.issued2022-02
dc.identifier.issn1362-3613
dc.identifier.other10.1177_13623613211030392
dc.identifier.urihttps://www.repository.cam.ac.uk/handle/1810/333658
dc.description.abstractLAY ABSTRACT: When a child or adult is referred for an autism diagnosis, clinicians from different backgrounds work together to make a diagnostic decision. A few studies have asked clinicians in interview how they feel about diagnosis and what the challenges are. We interviewed clinicians in child and adult assessment services in England, and from different professional backgrounds, about the challenges of autism diagnosis and the factors that might influence the assessment process. We found that there were a number of challenges in autism diagnosis, especially when someone coming for diagnosis was considered to be near the diagnostic threshold. Clinicians told us that making a diagnosis was like creating a 'narrative': looking at many different factors that told a story about a person, rather than just looking at the results of diagnostic tests. Clinicians do not always agree with the results of those tests and have to use their specialist clinical judgement to make decisions. Clinicians were concerned about the amount of time people have to wait for an autism assessment, and the resulting pressure on the assessment process. The findings of this work can help us to understand how diagnosis happens and consider ways in which it can be improved for adults, children and families coming for assessment, as well as clinicians.
dc.languageen
dc.publisherSAGE Publications
dc.subjectOriginal Articles
dc.subjectautism spectrum disorders
dc.subjectdiagnosis
dc.subjecthealth services
dc.subjectpolicy
dc.subjectqualitative research
dc.titleAutism diagnosis as a social process.
dc.typeArticle
dc.date.updated2022-02-04T18:17:18Z
prism.endingPage498
prism.issueIdentifier2
prism.publicationNameAutism
prism.startingPage488
prism.volume26
dc.identifier.doi10.17863/CAM.81076
rioxxterms.versionofrecord10.1177/13623613211030392
rioxxterms.versionVoR
rioxxterms.licenseref.urihttps://creativecommons.org/licenses/by/4.0/
rioxxterms.licenseref.startdate2021-07-09
dc.contributor.orcidHayes, Jennie [0000-0002-5506-797X]
dc.contributor.orcidFord, Tamsin Jane [0000-0001-5295-4904]
dc.contributor.orcidRussell, Ginny [0000-0002-6440-1167]
dc.identifier.eissn1461-7005
pubs.funder-project-idEconomic and Social Research Council (ES/V011820/1)
pubs.funder-project-idWellcome Trust (108676/Z/15/Z)
cam.issuedOnline2021-07-09
rioxxterms.freetoread.startdate2021-07-09
rioxxterms.freetoread.startdate2021-07-09


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