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      Examining the impact of COVID‐19 in ethnically diverse families with young children with intellectual and developmental disabilities

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          Abstract

          Background

          The COVID‐19 pandemic introduced challenges to families with young children with developmental delays. Beyond the widespread concerns surrounding illness, loss of employment and social isolation, caregivers are responsible for overseeing their children's educational and therapeutic programmes at home often without the much needed support of professionals.

          Method

          The present study sought to examine the impact of COVID‐19 in 77 ethnically, linguistically and socioeconomically diverse families with young children with intellectual and developmental disabilities (IDDs) in California and Oregon, who were participating in larger intervention studies. Parents responded to five interview questions about the impact of the pandemic, services for their child, silver linings or positive aspects, coping and their concerns about the long‐term impact of the pandemic.

          Results

          Parents reported that their biggest challenge was being at home caring for their children with the loss of many essential services. Parents reported some positive aspects of the pandemic, especially being together as a family. Although there were positive aspects of the situation, many parents expressed concern about long‐term impacts of the pandemic on their children's development, given the loss of services, education and social engagement opportunities.

          Conclusion

          Results suggest that parents of young children with IDD report significant challenges at home during the pandemic. Professional support, especially during the reopening phases, will be critical to support family well‐being and child developmental outcomes.

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          Most cited references27

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          The psychological impact of quarantine and how to reduce it: rapid review of the evidence

          Summary The December, 2019 coronavirus disease outbreak has seen many countries ask people who have potentially come into contact with the infection to isolate themselves at home or in a dedicated quarantine facility. Decisions on how to apply quarantine should be based on the best available evidence. We did a Review of the psychological impact of quarantine using three electronic databases. Of 3166 papers found, 24 are included in this Review. Most reviewed studies reported negative psychological effects including post-traumatic stress symptoms, confusion, and anger. Stressors included longer quarantine duration, infection fears, frustration, boredom, inadequate supplies, inadequate information, financial loss, and stigma. Some researchers have suggested long-lasting effects. In situations where quarantine is deemed necessary, officials should quarantine individuals for no longer than required, provide clear rationale for quarantine and information about protocols, and ensure sufficient supplies are provided. Appeals to altruism by reminding the public about the benefits of quarantine to wider society can be favourable.
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            COVID-19 and Racial/Ethnic Disparities

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              Is Open Access

              Prevalence of Autism Spectrum Disorder Among Children Aged 8 Years — Autism and Developmental Disabilities Monitoring Network, 11 Sites, United States, 2016

              Problem/Condition Autism spectrum disorder (ASD). Period Covered 2016. Description of System The Autism and Developmental Disabilities Monitoring (ADDM) Network is an active surveillance program that provides estimates of the prevalence of ASD among children aged 8 years whose parents or guardians live in 11 ADDM Network sites in the United States (Arizona, Arkansas, Colorado, Georgia, Maryland, Minnesota, Missouri, New Jersey, North Carolina, Tennessee, and Wisconsin). Surveillance is conducted in two phases. The first phase involves review and abstraction of comprehensive evaluations that were completed by medical and educational service providers in the community. In the second phase, experienced clinicians who systematically review all abstracted information determine ASD case status. The case definition is based on ASD criteria described in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition. Results For 2016, across all 11 sites, ASD prevalence was 18.5 per 1,000 (one in 54) children aged 8 years, and ASD was 4.3 times as prevalent among boys as among girls. ASD prevalence varied by site, ranging from 13.1 (Colorado) to 31.4 (New Jersey). Prevalence estimates were approximately identical for non-Hispanic white (white), non-Hispanic black (black), and Asian/Pacific Islander children (18.5, 18.3, and 17.9, respectively) but lower for Hispanic children (15.4). Among children with ASD for whom data on intellectual or cognitive functioning were available, 33% were classified as having intellectual disability (intelligence quotient [IQ] ≤70); this percentage was higher among girls than boys (40% versus 32%) and among black and Hispanic than white children (47%, 36%, and 27%, respectively). Black children with ASD were less likely to have a first evaluation by age 36 months than were white children with ASD (40% versus 45%). The overall median age at earliest known ASD diagnosis (51 months) was similar by sex and racial and ethnic groups; however, black children with IQ ≤70 had a later median age at ASD diagnosis than white children with IQ ≤70 (48 months versus 42 months). Interpretation The prevalence of ASD varied considerably across sites and was higher than previous estimates since 2014. Although no overall difference in ASD prevalence between black and white children aged 8 years was observed, the disparities for black children persisted in early evaluation and diagnosis of ASD. Hispanic children also continue to be identified as having ASD less frequently than white or black children. Public Health Action These findings highlight the variability in the evaluation and detection of ASD across communities and between sociodemographic groups. Continued efforts are needed for early and equitable identification of ASD and timely enrollment in services.
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                Author and article information

                Contributors
                cneece@gmail.com
                Journal
                J Intellect Disabil Res
                J Intellect Disabil Res
                10.1111/(ISSN)1365-2788
                JIR
                Journal of Intellectual Disability Research
                John Wiley and Sons Inc. (Hoboken )
                0964-2633
                1365-2788
                18 August 2020
                : 10.1111/jir.12769
                Affiliations
                [ 1 ] Department of Psychology Loma Linda University Loma Linda CA USA
                [ 2 ] Special Education & Clinical Sciences University of Oregon Eugene OR USA
                [ 3 ] Department of Child and Adolescent Studies California State University Fullerton Fullerton CA USA
                Author notes
                [*] [* ]Correspondence: Dr Cameron Neece, Loma Linda University, Loma Linda, CA, USA (e‐mail: cneece@ 123456gmail.com ).
                Author information
                https://orcid.org/0000-0003-1778-3497
                https://orcid.org/0000-0003-0424-2624
                Article
                JIR12769 JIDR-07-2020-0199-BR.R2
                10.1111/jir.12769
                7461180
                32808424
                066d4b95-8795-4eed-be1c-c9fb706050f2
                © 2020 MENCAP and International Association of the Scientific Study of Intellectual and Developmental Disabilities and John Wiley & Sons Ltd

                This article is being made freely available through PubMed Central as part of the COVID-19 public health emergency response. It can be used for unrestricted research re-use and analysis in any form or by any means with acknowledgement of the original source, for the duration of the public health emergency.

                History
                : 11 July 2020
                : 03 August 2020
                : 04 August 2020
                Page count
                Figures: 0, Tables: 5, Pages: 11, Words: 3242
                Funding
                Funded by: National Institute of Child Health and Human Development , open-funder-registry 10.13039/100000071;
                Award ID: R01HD093667
                Award ID: R15HD091726
                Categories
                Brief Report
                Brief Reports
                Custom metadata
                2.0
                corrected-proof
                Converter:WILEY_ML3GV2_TO_JATSPMC version:5.8.8 mode:remove_FC converted:01.09.2020

                Clinical Psychology & Psychiatry
                autism spectrum disorder,coronavirus,covid‐19,developmental delay,hispanic/latinx ethnicity

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