We Are NATSAP: Article Submitted by Members

Autism Spectrum Disorder (ASD) is a complex neurodevelopmental condition characterized by differences in communication, behavior and social interactions with a broad spectrum of needs. No two children with autism are the same, and an interdisciplinary approach acknowledges the need for personalized treatment plans. By bringing together a variety of specialists, teams can identify the most appropriate interventions for speech, behavior, sensory needs, social skills and medical treatments.

The term "interdisciplinary" refers to a collaborative approach involving professionals from different fields working together to provide comprehensive treatment. This model contrasts with traditional, siloed methods relying on independent specialists. For children with autism, an interdisciplinary approach offers a more holistic understanding of their needs and provides a better-rounded care experience.

At Heartspring’s Therapeutic Residential & Day School for students with neurodevelopmental disorders, our interdisciplinary team has a child and adolescent psychiatrist, pediatrician, nurses, behavioral therapists, teachers, occupational therapists, speech-language pathologists and other professionals. Our collaboration allows professionals to share insights and build on each other’s expertise, leading to more effective treatments. As children’s needs evolve, we adapt our comprehensive treatment plans. Children’s families also support this interdisciplinary team, and frequent communication with children’s caretakers ensures that each challenge is examined from all angles, and represents a shared decision-making process.

Our team views “behaviors,” including more severe behaviors like aggression and self-injury, as the “tip of the iceberg.” We work from an evidence-based methodology where behaviors serve as communication, and our team’s job is to figure out what a behavior means. The “iceberg” may include:

Recent illnesses

Irregular sleep

Constipation

Pain

Change in environment

Anticipatory family visits

Comorbid psychiatric disorders such as ADHD or depression

Medication side effects

Many others

Each time behaviors change, thorough medical and psychiatric evaluations are critical to any adjustment in treatment plan.

Ultimately, an interdisciplinary approach to treating children and adolescents with neurodevelopmental disorders emphasizes well-rounded and individualized treatment plans advancing their development, improving their quality of life and fostering inclusion in the community.

A significant hurdle in the interdisciplinary model is professional coordination. Scheduling conflicts and differing treatment philosophies can make it difficult for all members to regularly meet. Additionally, funding and insurance coverage for multidisciplinary care varies, creating barriers for families who struggle to access certain specialists.

Heartspring works to overcome these challenges by creating multidisciplinary teams under one roof and fostering an environment that values and incorporates each specialist’s area of expertise. More widespread adoption of these models could further normalize interdisciplinary care to treat neurodevelopmental disorders. By continuing to break down professional silos and encourage collaboration, we move closer to providing the children and families we serve with futures full of opportunity and inclusion.