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The Need The SMART Solution Care Coordination for the SMART Process
Early identification of autism spectrum disorder (ASD) is School Medical Autism Review Team (SMART) is a: Four communities in Washington State are using the School Medical Autism PEND
WHATCOM
essential to ensure that children can access specialized, Process where primary care providers, schools, Early Intervention agencies, and families come Review Team(SMART) process to provide a comprehensive assessment for ASD OKANOGAN
FERRY
OREILLE
San Juan
evidence-based interventions that can help to optimize long- together and share records in order to facilitate a virtual, comprehensive assessment of a child for children in their local community. SKAGIT
STEVENS
Process that provides a close link between a childs primary care provider (PCP) and school team, Families are tasked with collecting all of the records from the primary care CLALLAM SNOHOMISH
who sees the child on a daily basis provider, the school, and other places where they receive services. The success JEFFERSON
of SMART is dependent on the ability of families to gather all of these records. KING
In Washington State, Model that builds community capacity in rural and underserved communities who dont have access This is often a barrier for families to get a timely evaluation. The mitigate this GRAYS
HARBOR
MASON
KITTITAS GRANT ADAMS
Applied Behavior Analysis (ABA) to a local multidisciplinary diagnostic center problem, communities have supported a care coordinator locally to support
PIERCE WHITMAN
autism evaluation at is the application of the principles Mechanism that allows children to qualify for ABA therapy that is covered by Medicaid families in understanding the SMART process and collecting the necessary PACIFIC LEWIS FRANKLIN GARFIELD
YAKIMA
a multidisciplinary of learning and motivation records. These local coordinators are registered nurses or community health BENTON
COLUMBIA
This process reaches families who would be unable to get access to a timely assessment for autism WAHKIAKUM
COWLITZ
SKAMANIA WALLA ASOTIN
between six to twelve the procedures and technology The MHPP staff surveyed the four local
CLARK
Relationship of hours spent in care coordination
derived from those principles, to distance to available diagnostic centers
months. and # of evaluations in community coordinators to find out how much time
the solution of problems of social lack of transportation 50
they were spending supporting families in CAM communities using the SMART tool
Access to Applied significance. Many decades CAM Communities who are starting to pilot the SMART tool
Behavioral Analysis language barriers 40 gathering records for the SMART process.
of research have validated
(ABA) therapy for treatments based on ABA.
30
It is notable that Whatcom Countys CAM community has a much higher number of referrals,
children on Medicaid 20 evaluations, and other indicators compared to the other three CAM communities. This is because
The SMART tool
www.centerforautism.com/aba-therapy.aspx
can take as long as 2 10 they have a full-time care coordinator (37.5 hours/week), while the other communities each have
years. 5 or fewer hours/week available for care coordination. Rural CAM communities (Island, Skagit) get
Using a shared document, the SMART tool, families are able to collect records of evaluations from 0
Island Skagit Lewis Whatcom
fewer referrals than CAM communities in more densely populated counties (Whatcom, Lewis).
their school, Early Intervention agency, local providers, and pediatrician to inform an interdisciplinary
The Background diagnosis of autism.
# of hours spent on care coordination per week
The Community Asset Mapping (CAM) project is a collaboration # of referrals between Jan 1-March 22, 2017
Most referrals come from primary care providers with a smaller number coming from parents/legal guardians and schools.
ion Tool Adapted from Autism Communication Tool created by Maureen Turner, Psy.D.
icat
mun __
____
Funding for the local coordinators comes from a variety of sources ranging from in-kind (Island) to multiple federal and community level
utism ____
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Autism Observation Checklist
p te d fro
list B ____ _ _ ____
Ada c k O _ _
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Che _________________________________________________________ DOB ____________________
va ti _ _ _____ _ _ _ ____
r _ _ _
of Health, and Lewis work is supported by the pediatric practice in which they are located.
_ _ _ _ _ _ Teacher er School _ _ _
Psychologist Other __________________________________________________
___ ____ vid ___
s N ame _ _ ____ ic a l Pro ________
_ _ d _ Please check all items that apply
Child _ _ _ ____ Me
r _ ____
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a t a pply
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leted vide O tems ents
other developmental disabilities. CAM is a process and forum for m p h ild : P r o a ll i m mCommunication
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ip to Child C ycholog he c
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communities to identify issues around serving all children, but Te a Delayke innspeaking first words
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especially children with special healthcare needs and their families. Dela
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urren
getting accurate and timely information needed from families and community provider partners
l t s Uses incorrect pronouns
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Next Steps
t Comments
virtual meetings. This will support the SMART team in doing community assessments via telemedicine.
routi minor c rranged
tool for families, schools, and primary care providers to share iv e moto w ri n
ging
e t i t o
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