{"doi":"10.1016/j.jaacop.2023.08.007","title":"Remote Delivery of Allied and Behavioral Healthcare During COVID-19 for Children With Developmental Disabilities","abstract":"Objective: Many children with autism spectrum disorder (ASD) and other developmental disabilities (DD) transitioned to telehealth services due to the COVID-19 pandemic. Our objectives were to describe reductions in allied and behavioral healthcare services and receipt of caregiver training to deliver services at home because of COVID-19 for children with ASD and other DD, and factors associated with worse response to remote delivery of services for children with ASD. Method: Prior to the pandemic, children 2 to 5 years of age were enrolled in a multi-site case-control study and completed a developmental assessment. Caregivers completed questionnaires on child behavior problems and ASD symptoms. Children were classified as having ASD vs another DD based on standardized diagnostic measures. Subsequently, caregivers completed a survey during January to June 2021 to assess how COVID-19 affected children and families. Results: Caregivers reported that most children with ASD and other DD had a decrease in service hours (50.0%-76.9% by service type) during the COVID-19 pandemic. Children with ASD were significantly more likely to experience reduced speech/language therapy than children with other DD. Receipt of caregiver training to deliver services at home ranged from 38.1% to 57.4% by service type. Among children with ASD, pre-pandemic problems with internalizing behaviors and social communication/interaction were associated with worse response to behavioral telehealth but no other common therapies. Conclusion: Our study demonstrates the caregiver-reported impacts of COVID-19 on remote delivery of allied and behavioral healthcare services for children with ASD and other DD. Considerations for caregiver support and remote delivery of services are provided.","journal":"JAACAP Open","year":2023,"id":384464,"datarank":0.20794415416798362,"base_score":1.3862943611198906,"endowment":1.3862943611198906,"self_citation_contribution":0.20794415416798362,"citation_network_contribution":0.0,"self_endowment_contribution":0.20794415416798362,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":3,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9535,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2023-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":424879,"name":"Lin H. Tian","orcid":"0009-0006-4853-6586","position":1,"is_corresponding":false},{"id":312582,"name":"Sarah C. Tinker","orcid":"0000-0002-7610-6288","position":2,"is_corresponding":false},{"id":313581,"name":"Marshalyn Yeargin‐Allsopp","orcid":"0000-0002-9634-0338","position":3,"is_corresponding":false},{"id":424881,"name":"Carolyn DiGuiseppi","orcid":"0000-0002-6440-7817","position":4,"is_corresponding":false},{"id":493454,"name":"Cy Nadler","orcid":"0000-0002-1568-9221","position":5,"is_corresponding":false},{"id":1143632,"name":"Patrick Powell","orcid":"0000-0003-0251-5721","position":6,"is_corresponding":false},{"id":435895,"name":"Eric J. Moody","orcid":"0000-0003-0422-2340","position":7,"is_corresponding":false},{"id":486858,"name":"Maureen S. Durkin","orcid":"0000-0002-4287-8618","position":8,"is_corresponding":false},{"id":289395,"name":"M. Daniele Fallin","orcid":"0000-0002-9948-3908","position":9,"is_corresponding":false},{"id":669191,"name":"A. Blythe Ryerson","orcid":"0000-0002-9791-5826","position":10,"is_corresponding":false},{"id":1126388,"name":"JoAnn M. Thierry","orcid":"0000-0001-9433-0040","position":11,"is_corresponding":false},{"id":1144042,"name":"Britney Robinson","orcid":null,"position":12,"is_corresponding":false},{"id":446992,"name":"Karen Pazol","orcid":"0000-0002-1572-6133","position":13,"is_corresponding":false},{"id":424880,"name":"Lisa D. Wiggins","orcid":"0000-0001-9283-7294","position":0,"is_corresponding":true}],"reference_count":42,"raw_metadata":{"citation_network_status":"fetched"},"created_at":"2026-07-19T01:17:37.110513Z","pmid":"38533351","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}