[Best practice guidelines for the early detection of Autistic Spectrum Disorders (I)].
BACKGROUND
The interest in early detection of Autism Spectrum Disorders (ASD) lies in the accumulated evidence of the fact that an early customized intervention for children with an ASD and their families leads to an improvement of the child's prognosis in most cases.


OBJECTIVE
To establish criteria and procedures for early identification of children at risk of ASD and to facilitate full diagnostic assessment and prompt referral leading to adequate support. Early detection of ASD is extremely important, since early specific individualized treatment for the child and his or her family leads to long-term improvement in many children' prognosis.


METHODS
Firstly, a critical appraisal of the situation of early detection of ASD in Spain is made after reviewing the scarce bibliography available on current screening and diagnostic practices in the country. Data generated by questionnaires received from 646 Spanish families is also taken into account. Secondly, the Study Group of the Instituto de Salud Carlos III recommends the screening and early diagnosis process to be followed, describing the necessary steps, the public services involved and the available screening and diagnostic tools.


CONCLUSIONS
The Study Group draws the main conclusions regarding the situation of ASD early detection in Spain, and makes a consensus proposal for the detection procedures, including routine developmental surveillance and identification of children at risk for ASD by using sensitive and specific assessment tools.
Hernández
J M
JM
Equipo Específico de Alteraciones Graves del Desarrollo, Consejería de Educación de la Comunidad Autónoma de Madrid, Madrid, Spain.
Artigas-Pallarés
J
J
Martos-Pérez
J
J
Palacios-Antón
S
S
Fuentes-Biggi
J
J
Belinchón-Carmona
M
M
Canal-Bedia
R
R
Díez-Cuervo
A
A
Ferrari-Arroyo
M J
MJ
Hervás-Zúñiga
A
A
Idiazábal-Alecha
M A
MA
Mulas
F
F
Muñoz-Yunta
J A
JA
Tamarit
J
J
Valdizán
J R
JR
Posada-De la Paz
M
M
D002648:Child; D002675:Child, Preschool; D006801:Humans; D007223:Infant; D001321:Autistic Disorder / Q000175:diagnosis; D018479:Early Intervention, Educational; D008403:Mass Screening; D010818:Practice Patterns, Physicians'; D011581:Psychological Tests; D012307:Risk Factors; D012680:Sensitivity and Specificity; D013030:Spain