Psychiatr Serv

ObjectiveThe study examines how healthcare utilization patterns change as youths diagnosed with autism spectrum disorder (ASD) transition into the adult healthcare system.MethodsData come from the Clinformatics\u2122 Data Mart Database, a nationally diverse, clinically rich, private insurance claims database. The analytic sample consists of youths 16-23 diagnosed with ASD (N=16,338). Cross-sectional multivariate linear regressions determine if service usage differs by age across the home, office/outpatient, inpatient, and emergency department (ED) settings.ResultsThe proportion of youths with ASD who receive services declines with age in each setting other than the ED. A similar reduction exists in the total number of visits in the office/outpatient and inpatient settings, while home and ED visits remain stable. Youths with co-occurring intellectual disability experience a faster decline in service utilization.ConclusionsThere is a notable decline in service utilization across multiple settings as youths with ASD transition from pediatric to adult healthcare.CC999999/Intramural CDC HHS/United States2018-07-01T00:00:00Z28292222PMC5567738vault:2440