{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T14:37:43Z","timestamp":1786631863551,"version":"build-2736575974"},"reference-count":52,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T00:00:00Z","timestamp":1781827200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T00:00:00Z","timestamp":1781827200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Autism Research"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    The increasing prevalence of autism has led to considerable system challenges as specialist\u2010driven approaches have struggled to keep pace. Recent research has challenged status quo models by demonstrating that community\u2010based pediatric clinicians can accurately diagnose autism in young children. This research provides an opportunity to further expand capacity of community systems to conduct developmentally relevant, context\u2010specific assessments of autistic people over their lifespan. In this Commentary, we propose a\n                    <jats:italic>personalized lifespan approach to autism assessment<\/jats:italic>\n                    as a precision care and system organization framework that considers the ongoing and evolving needs of autistic people and aligns the necessary expertise and resources to provide focused assessment when it is most informative. This framework consists of three key principles: (1) assessment is not a one\u2010time, one\u2010size\u2010fits\u2010all event; instead, assessment continues across the lifespan; (2) assessments should generate information that is relevant to the individual's current needs and life stage; and (3) wherever possible, community\u2010based expertise should be engaged to promote the right assessment at the right time in the right place. Adopting this framework can reduce system access challenges, while also addressing the ongoing assessment needs of an autistic person across their life course.\n                  <\/jats:p>","DOI":"10.1002\/aur.70294","type":"journal-article","created":{"date-parts":[[2026,6,20]],"date-time":"2026-06-20T05:23:51Z","timestamp":1781933031000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Personalized Lifespan Approach to Autism Assessment: A Clinical and System Framework for Developmentally Informed Assessment Across the Life\u2010Course"],"prefix":"10.1002","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8376-9768","authenticated-orcid":false,"given":"Melanie","family":"Penner","sequence":"first","affiliation":[{"name":"Holland Bloorview Kids Rehabilitation Hospital  Toronto Ontario Canada"},{"name":"Department of Paediatrics University of Toronto  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca","family":"McNally Keehn","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Indiana University School of Medicine  Indianapolis Indiana USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,19]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/DBP.0000000000000996"},{"key":"e_1_2_10_3_1","unstructured":"BC Provincial Health Services Authority.2022.\u201cBC Autism Assessment Network.\u201dProvincial Health Services Authority. Accessed July 21 2023.http:\/\/www.phsa.ca\/our\u2010services\/programs\u2010services\/bc\u2010autism\u2010assessment\u2010network."},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10803-019-04253-0"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/pch\/pxz117"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2017-2164"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10803-009-0874-5"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2023.1242748"},{"key":"e_1_2_10_9_1","unstructured":"Cognoa Editorial Team.2023.\u201cThe State of Pediatric Autism Diagnosis in the U.S.: Gridlocks Inequities and Missed Opportunities Persist.\u201dCognoa Inc. 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Accessed February 11 2025.https:\/\/digital.nhs.uk\/data\u2010and\u2010information\/publications\/statistical\/autism\u2010statistics\/april\u20102023\u2010to\u2010march\u20102024."},{"key":"e_1_2_10_32_1","doi-asserted-by":"publisher","DOI":"10.2196\/13094"},{"key":"e_1_2_10_33_1","doi-asserted-by":"publisher","DOI":"10.1177\/1088357612468028"},{"key":"e_1_2_10_34_1","doi-asserted-by":"publisher","DOI":"10.1177\/1362361316685879"},{"issue":"16","key":"e_1_2_10_35_1","first-page":"1","article-title":"Practice Patterns and Determinants of Wait Time for Autism Spectrum Disorder Diagnosis in Canada","volume":"9","author":"Penner M.","year":"2018","journal-title":"Molecular Autism"},{"key":"e_1_2_10_36_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2022.52879"},{"key":"e_1_2_10_37_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10803-021-04964-3"},{"key":"e_1_2_10_38_1","doi-asserted-by":"publisher","DOI":"10.1177\/1362361315569745"},{"key":"e_1_2_10_39_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2004.055921"},{"key":"e_1_2_10_40_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.reia.2025.202575"},{"key":"e_1_2_10_41_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.ss7402a1"},{"key":"e_1_2_10_42_1","doi-asserted-by":"publisher","DOI":"10.1097\/CHI.0b013e318179964f"},{"key":"e_1_2_10_43_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2019-1895G"},{"key":"e_1_2_10_44_1","doi-asserted-by":"publisher","DOI":"10.1097\/DBP.0000000000001172"},{"key":"e_1_2_10_45_1","doi-asserted-by":"publisher","DOI":"10.1177\/1362361313481507"},{"key":"e_1_2_10_46_1","doi-asserted-by":"publisher","DOI":"10.1002\/aur.3088"},{"key":"e_1_2_10_47_1","doi-asserted-by":"publisher","DOI":"10.18553\/jmcp.2023.29.4.378"},{"key":"e_1_2_10_48_1","doi-asserted-by":"publisher","DOI":"10.1097\/DBP.0b013e3181ba0e4e"},{"key":"e_1_2_10_49_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2021-054771"},{"key":"e_1_2_10_50_1","unstructured":"Whitehouse A. 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K.Evans V.Eapen andJ.Wray.2018.\u201cA National Guideline for the Assessment and Diagnosis of Autism Spectrum Disorders in Australia.\u201dhttps:\/\/www.autismcrc.com.au\/knowledge\u2010centre\/resource\/national\u2010guideline."},{"key":"e_1_2_10_51_1","doi-asserted-by":"publisher","DOI":"10.1002\/aur.2255"},{"key":"e_1_2_10_52_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10803-019-04131-9"},{"key":"e_1_2_10_53_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpp.13271"}],"container-title":["Autism Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/aur.70294","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/aur.70294","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/aur.70294","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T13:48:31Z","timestamp":1786628911000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/aur.70294"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,19]]},"references-count":52,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2026,8]]}},"alternative-id":["10.1002\/aur.70294"],"URL":"https:\/\/doi.org\/10.1002\/aur.70294","archive":["Portico"],"relation":{},"ISSN":["1939-3792","1939-3806"],"issn-type":[{"value":"1939-3792","type":"print"},{"value":"1939-3806","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,19]]},"assertion":[{"value":"2026-03-30","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-08","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-19","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70294"}}