Title : Clinical pathway for autistic children with comorbid epilepsy: A multidisciplinary care model
Abstract:
Children diagnosed with autism spectrum disorder (ASD) and co-occurring epilepsy experience some of the most complex challenges in pediatric care. These conditions are typically managed in fragmented systems, leading to delayed interventions, poorer health outcomes, increased healthcare utilization, and significant caregiver burden. To address these gaps, this project proposes and evaluates a novel multidisciplinary clinical pathway implemented at The Precious Child (TPC), an applied behavior analysis (ABA) agency. The path is designed to unify and streamline assessment, intervention, and monitor across disciplines, while ensuring family-centered and sustainable care. The model integrates external specialist consultations, including neurologists, psychologists, dietitians, and social workers, with TPC’s internal ABA services. A Doctor of Behavioral Health (DBH) functions as the primary care coordinator to facilitate cross-disciplinary collaboration and ensure continuity of care. HIPAA-compliant digital platforms (Ensora, Microsoft 365) support secure data tracking, care planning, and real-time communication among providers and families. The pathway progresses through four core phases: (1) comprehensive baseline assessments (e.g., ADOS-2, EEG, functional behavior assessments), (2) unified care planning with clear goals and family involvement, (3) coordinated treatment implementation, and (4) structured monitoring with evidence-based discharge criteria. Preliminary financial modeling indicates a 37.14% return on investment, achieved through reductions in emergency department visits, hospital admissions, and staff turnover, coupled with increased service capacity. Beyond cost savings, the pathway demonstrates improvements in clinical outcomes, including seizure management, adaptive functioning, and social skills. Caregivers report reduced stress and improved confidence in navigating care, highlighting the pathway’s impact on family well-being. Additionally, TPC benefits from strengthened multidisciplinary collaboration and enhanced reputation as a leader in integrated behavioral healthcare. This model provides an innovative and practical framework for addressing the dual diagnosis of ASD and epilepsy. By bridging medical, behavioral, and psychosocial domains, the pathway advances health equity, optimizes resource allocation, and establishes a replicable model of integrated care that can be adapted across pediatric and community-based healthcare settings.
