Primary care for adults on the autism spectrum

Med Clin North Am. 2014 Sep;98(5):1169-91. doi: 10.1016/j.mcna.2014.06.011.

Abstract

Autism spectrum disorder (ASD) is defined by differences in social communication and restricted, repetitive patterns of behavior, interests, or activities. Skills and challenges can change depending on environmental stimuli, supports, and stressors. Quality of life can be improved by the use of accommodations, assistive technologies, therapies to improve adaptive function or communication, caregiver training, acceptance, access, and inclusion. This article focuses on the identification of ASD in adults, referrals for services, the recognition of associated conditions, strategies and accommodations to facilitate effective primary care services, and ethical issues related to caring for autistic adults.

Keywords: Adults; Autism spectrum disorders; Developmental disabilities; Primary care.

Publication types

  • Research Support, N.I.H., Extramural
  • Review

MeSH terms

  • Adult
  • Antipsychotic Agents / therapeutic use
  • Behavior
  • Child Development Disorders, Pervasive / complications*
  • Child Development Disorders, Pervasive / diagnosis*
  • Child Development Disorders, Pervasive / therapy
  • Cognitive Behavioral Therapy
  • Communication Aids for Disabled
  • Crime Victims
  • Diagnostic and Statistical Manual of Mental Disorders
  • Epilepsy / complications
  • Epilepsy / drug therapy
  • Feeding and Eating Disorders / complications
  • Feeding and Eating Disorders / therapy
  • Gastrointestinal Diseases / complications
  • Gastrointestinal Diseases / therapy
  • Health Services Accessibility
  • Health Status Disparities
  • Humans
  • Life Expectancy
  • Mental Competency
  • Mental Disorders / complications
  • Metabolic Syndrome / complications
  • Metabolic Syndrome / prevention & control
  • Nutrition Disorders / complications
  • Nutrition Disorders / therapy
  • Patient Education as Topic
  • Physician-Patient Relations
  • Primary Health Care*
  • Proxy
  • Referral and Consultation
  • Sleep Wake Disorders / complications
  • Sleep Wake Disorders / therapy
  • Violence

Substances

  • Antipsychotic Agents