Implementing systems-based innovations to improve access to early screening, diagnosis, and treatment services for children with autism spectrum disorder: An Autism Spectrum Disorder Pediatric, Early Detection, Engagement, and Services network study.

Only nine investigators were interviewed, so families, providers, and patients were not represented. The study did not test whether any innovation improved screening, diagnosis, or treatment access. The five studies used different methods and settings, so common themes may not apply to every service system. The investigators were describing their own projects, which may make barriers and facilitators more favourable than independent observers would report. No medical records or direct observations were reviewed, so the findings are perceptions rather than measured implementation fidelity.

The five studies were funded by the National Institute of Mental Health through R01 awards. The authors reported no conflicts of interest.

Do not read these facilitators and barriers as evidence that any screening, navigation, or training innovation improves access to autism services. This study interviewed investigators about implementation, not patients about outcomes, and it did not test whether the innovations worked.