A - 65 Neuropsychological Testing to Increase Early and Accurate Identification of Autism Spectrum Disorder in Black and Brown Children

Abstract Objectives Neuropsychological evaluations provide information that can potentially minimize the risk of poor outcomes and enhance the quality of life for children with Autism Spectrum Disorder (ASD). Black and Brown children have higher incidences of misdiagnosis and are also diagnosed later than their White peers. There is support for the efficacy of neuropsychological evaluation compared to routine care in the diagnosis of ASD. This study analyzes neuropsychological assessment practices and diagnosis trends by race, ethnicity, and gender, incorporating teacher and parent perceptions through behavioral rating scales. Data Selection The following selection criteria were utilized: -articles published in peer-reviewed journals focusing on neuropsychological evaluations of ASD among black and brown children-employed a variety of assessment tools and methodologies - reporting on cultural considerations, validity, and reliability of neuropsychological assessments in children of color. Data Synthesis Gender, ethnic, and racial differences in the timing and rate of diagnosis have delayed the onset of crucial treatment. Additionally, there are linguistic variables and differences in how parents and teachers endorse symptoms of ASD by race and ethnicity on rating scales included in comprehensive neuropsychological evaluations that can impact the assessment. Conclusions Early intervention is associated with improved outcomes for individuals diagnosed with ASD. However, there is a significant imbalance between the growing numbers of ethnic/racial and linguistic minority children in the United States who require neuropsychological services and the limited number of neuropsychologists trained to handle the cultural complexities. Accurate, culturally informed neuropsychological assessments are needed to ensure equitable behavioral health services are provided to this vulnerable population.