By Toni Lapp
With autism prevalence rising at alarming rates in the United States, the push to make a diagnosis as early as possible has taken on new urgency. On Thursday, Missouri health officials unveiled the state’s first set of guidelines.

A grant by the Missouri Foundation for Health has made the 164-page Missouri Autism Guidelines available for free.
“This is a landmark document for the country, and definitely for our state,” said Michele Kilo, M.D., a developmental pediatrician at Children’s Mercy Hospital who served as one of four primary authors of the guidelines. “We’re hopeful it will be well-used and well-worn.” Missouri is only the second state to issue guidelines, the first state being California in 2001, Kilo said.
The guideline panel — a group of 42 professionals and parents who met over the course of a year — looked carefully at California’s guidelines, but in the end, came up with a completely new set, authors said. Missouri’s recommendations reflect more recent research and is more “state of the art,” said John Mantovani, medical director of St. John’s Mercy Children’s Hospital and Medical Center. “There has been a lot of progress in our understanding of the condition” since 2001, he said.
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