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7162 DSM5: What Parents Need to Know [CRC Session]

Friday, July 25, 2014: 4:00 PM-5:15 PM

209 (Indiana Convention Center)

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The DSM 5 revision involved controversial changes, including a reworking of the criteria for autism spectrum disorder (ASD). This session will review of changes to the criteria, describe the newly required Specifiers and Levels of Severity and provide opportunities to discuss the implications of the changes for access to services. In May 2013 the American Psychiatric Association published the first update of its diagnostic manual in nearly 20 years. The DSM 5 revision has many changes, including a controversial reworking of the criteria for autism. This session will include an overview of the changes to the criteria from the 3 factor solution to a 2 factor solution, describe the newly required Specifiers for Intellectual Impairment, provide an overview of the Levels of Severity and include an opportunity to discuss the ramifications of these changes to service access.

Differential Diagnosis with the DSM 5:

Overlap of symptoms mean that evaluation for possible autism should include careful consideration of possible alternative diagnoses. The session will include a brief overview of criteria for related disorders, including Language Delays and Social Pragmatic Communication Disorder. In addition, the DSM 5 now allows for co-morbid diagnosis of Autism Spectrum Disorder with ADHD; this change will be reviewed.

Implications for Accessing Services

Changes to the diagnostic criteria for autism in DSM 5, including dropping the diagnoses of Pervasive Developmental Disorder, NOS and Asperger’s Disorder, have led to concerns for parents and providers. Concerns have been expressed related to the potential for these revisions to lead to problems accessing programs and services. Many wonder if individuals will retain their diagnosis or if new evaluations are needed. In addition, there are continuing questions related to the similarities and differences between medical or clinical diagnoses and evaluations for school eligibility. A discussion format will be used to address these issues.

Learning Objectives:

Describe new criteria for autism spectrum disorder (ASD) diagnosis in DSM5
Consider differential diagnosis for autism spectrum disorder (ASD)
Discuss implications for criteria changes for access to services

Content Area: Family and Sibling Support

Presenters:

Christine Raches, Psy.D.
Assistant Professor of Clinical Pediatrics
Riley Child Development Center - LEND program

Dr. Raches is an Assistant Professor of Clinical Pediatrics at Riley Child Development Center-LEND Program at Indiana University School of Medicine. She also has her BCBA and provides consultative services. She provides clinical services to families with children with neurodevelopmental disabilities, supervises graduate trainees and presents on ASD and behaviors.

Angela Tomlin, Ph.D.
Associate Professor and Director
Indiana University School of Medicine

Angela Tomlin is an Associate Professor and Director of the Riley Child Development Center LEND Program at Indiana University School of Medicine. She provides clinical services to families with children with neurodevelopmental disabilities, supervises graduate trainees, and presents on topics including autism spectrum disorder, behavior management, and infant mental health.

Cristy James, B.S.
Resource and Communication Coordinator
Riley Child Development Center

Cristy is the Resource and Communication Coordinator at Indiana’s LEND program, as well as the parent of a son with ASD. Her work in interdisciplinary training has helped her to better understand the many different perspectives of professionals working with children.

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