The Medical Home for Children With Autism Spectrum Disorder—Autism Toolkit
What is a
Parents, pediatricians, and other health care professionals are encouraged to work together so that all of the needs of children and youths are met. This partnership is at the core of what the American Academy of Pediatrics (AAP) calls a
Why is it important to have a medical home?
Studies have shown that having a family-centered medical home leads to better treatment. In a family-centered medical home, the pediatrician communicates with the family to be sure that regular care is achieved, such as immunizations and other preventive activities. Your childís pediatrician helps organize and coordinate care for your childís autism spectrum disorder (ASD) and any other long-term conditions she may have.
Many children and teens with ASD see a variety of specialists to manage certain medical conditions. Your childís pediatrician and these specialists can give your child the best care when they communicate with each other and are able to have their suggestions put into an overall plan for your childís health and wellness. A medical home can help provide this support.
Families who receive care in a medical home are also more likely to be connected with community agencies and services. This way they can receive more support from agencies and from other families in similar situations. Children are more likely to receive services and treatments that the pediatrician or specialist has recommended when they receive care in a medical home.
What is a
The childís primary care team plays an important role in your childís and familyís life. They may work together with you to create a written
If you think that your child needs a written care plan, ask your childís pediatrician about making one. Often, pediatricians work with nurses or care coordinators to make this kind of plan.
What is a
There are many different ways to develop your childís care notebook (see the Resources section on page 2).
How can I make my childís medical home successful?
Medical home visits may take a little longer, because your care team needs to identify and address all the issues with your child and your family. Try to make appointments that are long enough to discuss your concerns. You may need to have frequent follow-up visits to make sure that care stays up-to-date.
You need to let the office know that you have extra questions so that they can schedule enough time. Bringing toys, snacks, or another adult to appointments is very helpful. It is also helpful to schedule your child as the first or last patient of the day. If you are worried about discussing issues in front of your child or if you are worried that your childís behavior will make it hard to have a good discussion with the pediatrician, you can ask about scheduling a visit without your child or about having a telephone or video visit. Also, if something changes, it is important to let your childís pediatrician know so that she can help.
Another important aspect of the medical home is giving compassionate care that meets your familyís social and cultural needs. Tell your childís pediatrician a little about how your family works. Let him know about any language, cultural, or religious needs and about all the care that your child gets. This includes complementary and integrative care or care provided through your culture or religion. Your childís pediatrician will give you the best advice if he understands your familyís needs. If you are feeling confused or uncomfortable, let the pediatrician know so that he can help you.
You know your child best, and over time, you will become an expert on your childís condition. Parentsí knowledge and opinions are recognized and respected in the medical home. Be sure to seek information, ask questions, and trust your feelings.