Reply to Is ASD a useful label or is it we don’t know we will lump it under an umbrella term?

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Reply to "Is ASD a useful label or is it we don’t know we will lump it under an umbrella term?"

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[quote=Anonymous]

Re: Diagnostic substitution. It's real and accounts for a lot of what is going on with the autism label. It's driven, as so many things are, by money in large part. Many states mandate services if you get an autism diagnosis, to there's a whole industry now tailored to get that diagnosis and providing the services the state will pay for. Have many friends doing this now.

And here's an article detailing how intellectually disability has dropped in almost an exact inverse relationship to how ASD has climbed:

https://www.wsj.com/articles/diagnostic-substitution-drives-autism-spike-1442425517

Here's info from about 12 years ago, marking the same trend in schools, the other labels dwindle while the ASD label climbs:

RESULTS. The average administrative prevalence of autism among children increased from 0.6 to 3.1 per 1000 from 1994 to 2003. By 2003, only 17 states had a special education prevalence of autism that was within the range of recent epidemiological estimates. During the same period, the prevalence of mental retardation and learning disabilities declined by 2.8 and 8.3 per 1000, respectively. Higher autism prevalence was significantly associated with corresponding declines in the prevalence of mental retardation and learning disabilities. The declining prevalence of mental retardation and learning disabilities from 1994 to 2003 represented a significant downward deflection in their preexisting trajectories of prevalence from 1984 to 1993. California was one of a handful of states that did not clearly follow this pattern.

And fyi: It was later found California wasn't including their language kids, which is why their numbers weren't the same as other states.

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