Severity Ranking In addition to the removal PDD-NOS and the merging of the four disorders under one code another area of debate focuses on the addition of the severity rankings. The severity rankings were established to help to determine how much support one would need if diagnosed with a social communication or repetititive behavior impairment under the ASD diagnosis (Hazen, McDougle, & Volkmar, 2013). In particular, when looking at levels of impairment, the criterion states that an individual would need to meet at least six items with a minimum of two from the social, and one from both the communication and repetitive domains (Fung & Hardan, 2014).
The new DSM would allow clinicians the ability to denote the level of support needed in classifying …show more content…
When examined, the DSM-V criteria were strictly employed to determine if the rate of diagnosis would change. Findings reported a 23 % reduced rate of diagnosis. Factors associated with the decreased diagnosis eligibility in the study were found to be related to individuals with higher cognitive functioning or former Asperger type individuals. Comparatively, about 30% less individuals met the new DSM-V criterion according to a review of a meta-analysis. The meta-analysis was comprised of 14 studies evaluating the DSM-V autism spectrum revisions which steadily reported a decrease for those meeting criteria (Kulage, Smaldone, & Cohn, 2014). Although, there were a significant amount of studies involved in the meta-anaylsis, there were limitations to the review that may have impacted the overall findings related to possible language barriers and a lack of appropriate studies (Kulage, Smaldone, & Cohn, 2014). Subsequently, as evidenced in multiple reviews, a more concrete way to diagnose across clinical milieus is imperative due to the differences in clinical training when comparing the variety of clinical personnel with diagnosis rights (Hazen, McDougle, & Volkmar, …show more content…
It does however; seem more practical than assigning a label or diagnosis and also allows for treatments to target the exact behaviors demonstrated (Weitlauf, Gotham, Vehorn, & Warren, 2013). I have always felt and still do favor that the criteria will weed out some of the unnecessary diagnoses to help reduce the amount of insurance claims and wasted services on those that may not truly be on the spectrum. This will also allow those that truly need the services to get them without waitlist, or lack of
The new DSM would allow clinicians the ability to denote the level of support needed in classifying …show more content…
When examined, the DSM-V criteria were strictly employed to determine if the rate of diagnosis would change. Findings reported a 23 % reduced rate of diagnosis. Factors associated with the decreased diagnosis eligibility in the study were found to be related to individuals with higher cognitive functioning or former Asperger type individuals. Comparatively, about 30% less individuals met the new DSM-V criterion according to a review of a meta-analysis. The meta-analysis was comprised of 14 studies evaluating the DSM-V autism spectrum revisions which steadily reported a decrease for those meeting criteria (Kulage, Smaldone, & Cohn, 2014). Although, there were a significant amount of studies involved in the meta-anaylsis, there were limitations to the review that may have impacted the overall findings related to possible language barriers and a lack of appropriate studies (Kulage, Smaldone, & Cohn, 2014). Subsequently, as evidenced in multiple reviews, a more concrete way to diagnose across clinical milieus is imperative due to the differences in clinical training when comparing the variety of clinical personnel with diagnosis rights (Hazen, McDougle, & Volkmar, …show more content…
It does however; seem more practical than assigning a label or diagnosis and also allows for treatments to target the exact behaviors demonstrated (Weitlauf, Gotham, Vehorn, & Warren, 2013). I have always felt and still do favor that the criteria will weed out some of the unnecessary diagnoses to help reduce the amount of insurance claims and wasted services on those that may not truly be on the spectrum. This will also allow those that truly need the services to get them without waitlist, or lack of