{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T17:47:06Z","timestamp":1787161626847,"version":"build-2736575974"},"reference-count":24,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2017,9,21]],"date-time":"2017-09-21T00:00:00Z","timestamp":1505952000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100007305","name":"Maternal and Child Health Bureau","doi-asserted-by":"publisher","award":["R40MC26194\u201001\u201002"],"award-info":[{"award-number":["R40MC26194\u201001\u201002"]}],"id":[{"id":"10.13039\/100007305","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Develop Med Child Neuro"],"published-print":{"date-parts":[[2017,12]]},"abstract":"\n Aim<\/jats:title>\n \n This study examined cross\u2010sectional population\u2010based rates in reported need and unmet need for occupational, physical, and speech therapy services in children with autism spectrum disorder (\n ASD<\/jats:styled-content>\n ) compared with children with attention\u2010deficit\u2013hyperactivity disorder (\n ADHD<\/jats:styled-content>\n ) and cerebral palsy (\n CP<\/jats:styled-content>\n ).\n <\/jats:p>\n <\/jats:sec>\n \n Method<\/jats:title>\n \n The 2005\u20132006 and 2009\u20132010 (\n USA<\/jats:styled-content>\n ) National Survey of Children with Special Health Care data sets were used to compare therapy need and unmet need among children younger than 18 years with\n ASD<\/jats:styled-content>\n (\n n<\/jats:italic>\n =5178),\n ADHD<\/jats:styled-content>\n (\n n<\/jats:italic>\n =20 566), and\n CP<\/jats:styled-content>\n (\n n<\/jats:italic>\n =1183). Bivariate approaches and multivariate logistic regression using imputed data were used to identify associations between child and family characteristics, and access to therapy services.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n After adjusting for other variables, children with\n ASD<\/jats:styled-content>\n had a significantly greater likelihood of having an unmet therapy need compared with children with\n ADHD<\/jats:styled-content>\n (odds ratio [\n OR<\/jats:styled-content>\n ] 1.66, 95% confidence interval [\n CI<\/jats:styled-content>\n ] 1.36\u20132.03), but a similar unmet need as children with\n CP<\/jats:styled-content>\n (\n OR<\/jats:styled-content>\n 1.30, 95%\n CI<\/jats:styled-content>\n 0.97\u20131.74). Factors associated with unmet need included survey year, younger child age, no health insurance, and increased functional and behavioral difficulties.\n <\/jats:p>\n <\/jats:sec>\n \n Interpretation<\/jats:title>\n \n Children in our sample had greater unmet therapy needs in 2009 than in 2005. Caregiver\u2010reported reasons for unmet need included cost and school resources. Research examining future trends in therapy access are warranted for children with\n ASD<\/jats:styled-content>\n and\n CP<\/jats:styled-content>\n .\n <\/jats:p>\n <\/jats:sec>\n \n What this paper adds<\/jats:title>\n \n \n \n Children with complex diagnoses of autism spectrum disorder and cerebral palsy had reported unmet need for therapy services.<\/jats:p>\n <\/jats:list-item>\n \n High costs of therapy were the primary reported reason contributing to reduced access among children.<\/jats:p>\n <\/jats:list-item>\n <\/jats:list>\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/dmcn.13560","type":"journal-article","created":{"date-parts":[[2017,9,21]],"date-time":"2017-09-21T05:46:40Z","timestamp":1505972800000},"page":"1291-1298","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":31,"title":["Therapy access among children with autism spectrum disorder, cerebral palsy, and attention\u2010deficit\u2013hyperactivity disorder: a population\u2010based study"],"prefix":"10.1111","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1395-2628","authenticated-orcid":false,"given":"Teal W","family":"Benevides","sequence":"first","affiliation":[{"name":"Department of Occupational Therapy College of Allied Health Professions Augusta University Augusta GA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Henry J","family":"Carretta","sequence":"additional","affiliation":[{"name":"Department of Behavioral Sciences and Social Medicine College of Medicine Florida State University Tallahassee FL USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carole K","family":"Ivey","sequence":"additional","affiliation":[{"name":"Department of Occupational Therapy School of Allied Health Professions Virginia Commonwealth University Richmond VA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shelly J","family":"Lane","sequence":"additional","affiliation":[{"name":"Faculty of Health and Medicine Department of Occupational Therapy School of Health Sciences University of Newcastle Newcastle NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,9,21]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annepidem.2007.10.013"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpedi.160.8.825"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2009-1255L"},{"key":"e_1_2_7_6_1","doi-asserted-by":"crossref","first-page":"878","DOI":"10.1007\/s10995-015-1876-x","article-title":"Access to therapy for children with autism: results from the 2005\u20102006 and 2009\u20102010 NS\u2010CSHCN","volume":"20","author":"Benevides TW","journal-title":"Matern Child Health J"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10995-011-0833-6"},{"key":"e_1_2_7_8_1","first-page":"33","volume-title":"Changing the U.S. Health Care System: Key Issues in Health Services Policy and Management","author":"Andersen RM","year":"2014"},{"key":"e_1_2_7_9_1","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1111\/j.1469-8749.2007.tb12610.x","article-title":"A report: the definition and classification of cerebral palsy April 2006","volume":"49","author":"Rosenbaum P","year":"2007","journal-title":"Dev Med Child Neurol"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpediatrics.2011.172"},{"key":"e_1_2_7_11_1","unstructured":"Centers for Disease Control and Prevention National Center for Health Statistics State and Local Area Integrated Telephone Survey.National Survey of Children with Special Health Care Needs. 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