Why Early Screening for Autism Is Essential in Underserved Communities

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by Tiana Lopez | UAB Community Health and Human Services Program (Student)

Photo by KATRIN BOLOVTSOVA on Pexels.com

Every parent wants the best for their child. But for many families in Alabama, getting an autism diagnosis can be harder than it should be. Research shows that Black children are often diagnosed with autism two to three years later than white children, despite showing symptoms at the same age (Mandell et al., 2009). These delays result in missed opportunities for early intervention. This support can drastically improve a child’s ability to communicate, learn, and thrive.

In Alabama, especially in rural or underserved communities, parents face multiple barriers to getting a timely diagnosis. Some are unfamiliar with early autism signs such as poor eye contact, delayed speech, repetitive behaviors, or lack of social interest (Centers for Disease Control and Prevention [CDC], 2023). Others may be discouraged from seeking help, told to “wait and see,” or lack access to a qualified specialist. Even when parents do recognize the signs, they often encounter long waitlists, high costs, or too few autism-focused providers in their area. These obstacles can feel overwhelming (Constantino et al., 2020). One researcher noted, “Autism spectrum disorder remains underdiagnosed in minority populations, despite evidence of comparable symptom presentation” (Constantino et al., 2020, p. 3). This highlights that the problem is not rooted in the children themselves but in systemic inequities.

Early Intervention Makes a Difference
The earlier autism is identified, the earlier a child can begin receiving services that build critical skills. Studies confirm that early intervention, ideally before the age of three, leads to improved language, social, and behavioral outcomes (Zwaigenbaum et al., 2015). That is why early screening is essential, particularly for families in underserved communities where systemic barriers are more common.

Practical Steps for Families
If you are a parent or caregiver of a young child in Alabama, here are two steps you can take right now:

  • Ask your child’s pediatrician about developmental and autism screening. These can be done during regular checkups starting at 18 months.
  • Reach out to Alabama’s Early Intervention System. This program offers free evaluations and services for children under three. A doctor’s referral is not required to get started (Alabama Department of Rehabilitation Services, 2023).

Getting a diagnosis should not depend on race/ethnicity, income, or ZIP code. With awareness, persistence, and support, families can overcome barriers and get their children the help they deserve. Equity in healthcare begins with timely diagnosis and access to resources for every child. To advocate for more autism resources in your community, you can join and support local and national organizations like the Autism Society and the Autistic Self Advocacy Network (ASAN), attend and volunteer at community events, and share your story on social media. If you like, please consider sharing your experience with the Wilkinson Wellness Lab on Facebook.

References
Alabama Department of Rehabilitation Services. (2023). Early Intervention Program. https://rehab.alabama.gov/individuals-and-families/early-intervention

Centers for Disease Control and Prevention. (2023). Data and statistics on autism spectrum disorder. https://www.cdc.gov/ncbddd/autism/data.html

Constantino, J. N., Abbacchi, A. M., Saulnier, C., Klaiman, C., Mandell, D. S., Zhang, Y., … & Molholm, S. (2020). Timing of the diagnosis of autism in African American children. Pediatrics, 146(3), e20193629. https://doi.org/10.1542/peds.2019-3629

Mandell, D. S., Wiggins, L. D., Carpenter, L. A., Daniels, J., DiGuiseppi, C., Durkin, M. S., … & Kirby, R. S. (2009). Racial/ethnic disparities in the identification of children with autism spectrum disorders. American Journal of Public Health, 99(3), 493–498. https://doi.org/10.2105/AJPH.2007.131243

Zwaigenbaum, L., Bauman, M. L., Choueiri, R., Kasari, C., Carter, A., Granpeesheh, D., … & Pierce, K. (2015). Early intervention for children with autism spectrum disorder under 3 years of age: Recommendations for practice and research. Pediatrics, 136(Supplement_1), S60–S81. https://doi.org/10.1542/peds.2014-3667E

Toastmasters: Bridging the Digital Divide with Communication

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by Evan Hudson | UAB Community Health and Human Services Program (Student)

Photo by Henri Mathieu-Saint-Laurent on Pexels.com

How has campus life been since the pandemic? Are you happy to see your peers again and enjoy in-person activities, or have you struggled to reconnect? You’re not alone – many students are dealing with increased anxiety, low self-esteem, and lack of motivation to engage socially and academically (Acosta-Gonzaga, 2023; Hu et al., 2022). COVID-19 pushed digital communication forward, but many now find in-person interactions more difficult. How can we get back to the basics and talk to each other again?

Research in second language acquisition shows that language “output” (speaking, writing, typing) can boost confidence (Muhajir & Sri Redjeki, 2018). Public speaking, often ranked as a top fear, is one way to promote this. You may not be learning a second language, but what if you could join a supportive community to practice and improve your speaking skills?

A Comfortable Place to Practice Speaking Skills
Toastmasters International is a global public speaking club, and its University of Alabama at Birmingham (UAB) chapter is growing fast. The club helps you build confidence in communication through a stress-free environment. We work on everything from body language to eye contact, with personalized learning “Pathways” that focus on your needs. We often tell our members that “half of life if how you talk to people,” and we know that if you can speak to an audience, you can speak to an individual. Public speaking can help you become more comfortable with meetings, job interviews, and many other in person or digital interactions.

“Toastmasters helped me prepare for presentations in my graduate program. Those skills carried over into my professional career, and I present almost every week” – Former Graduate Student

Toastmasters at UAB can allow for one to grow professionally and connect with like-minded individuals from around the world. Plus, the confidence one can build in Toastmasters can carry over to conversations with friends, peers, and family. Visitors are welcome to attend meetings for free. We meet at UAB’s Bevill Biomedical Research Building (Room 170) on the 2nd and 4th Tuesdays at 5:30 PM, and hold a hybrid meeting on the 3rd Monday of each month. To learn more about Toastmasters at UAB, please visit uab.toastmastersclubs.org. I hope to see you there!

References
Acosta-Gonzaga, E. (2023). The effects of self-esteem and academic engagement on university students’ performance. Behavioral Sciences, 13(4), 348. https://doi.org/10.3390/bs13040348

Hu, K., Godfrey, K., Ren, Q., Wang, S., Yang, X., & Li, Q. (2022). The impact of the COVID-19 pandemic on college students in USA: Two years later. Psychiatry Research, 315, 114685. https://doi.org/10.1016/j.psychres.2022.114685

Ibrahim, I. W., & Shahabani, N. S. (2020). THE USE OF PUBLIC SPEAKING TO PROMOTE CONFIDENCE IN LEARNING ENGLISH AS A SECOND LANGUAGE. European Journal of English Language Teaching, 6(1).

Muhajir, R., & Sri Redjeki, I. (2018). Public speaking activities to improve students’ speaking skills. ENGLISH JOURNAL, 12(1), 39. https://doi.org/10.32832/english.v12i1.3769 Wang, Y., & Liu, J. (2024). The impact of COVID-19 on international students: A qualitative synthesis. British Journal of Educational Studies, 72(6), 805–829. https://doi.org/10.1080/00071005.2024.2374077

The Stigma Around Therapy: Breaking the Silence

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By Jaslyn Bush | UAB Community Health & Human Services Program (Student)

Photo by Antoni Shkraba Studio on Pexels.com

In recent years, there has been a growing awareness of mental health issues and the importance of seeking therapy. However, despite progress in raising awareness, a significant stigma still surrounds mental health therapy, preventing many individuals from seeking the help they need.

The stigma around therapy often stems from societal misconceptions and stereotypes. Many people still believe that seeking mental health therapy is a sign of weakness or that it is only for those with severe mental illnesses (Corrigan, 2004). This perception is far from the truth. Therapy can be a valuable tool for anyone facing life’s challenges, whether they are dealing with stress, relationship issues, or personal growth.

The Impact of Stigma
Stigma can prevent individuals from seeking help, leading to untreated mental health issues that can worsen over time (Vogel, Wade, & Haake, 2006). Additionally, the fear of being judged or misunderstood can cause individuals to suffer in silence, further exacerbating their struggles. According to the American Psychiatric Association (APA), there are 3 kinds of stigma:

Public Stigma: This stigma can be described as negative and inaccurate attitudes about a mental illness from the public (Singhal, 2024). There is a fear that one may experience discrimination i employment, housing, health care, etc. due to one being diagnosed with a mental illness.

Self-Stigma: This includes negative attitudes, including internalized shame of their condition. Self-stigma can lead to lower self-esteem issues and reduce self-confidence.

Structural Stigma: Involves policies of government and private organizations that intentionally or unintentionally limit opportunities for people for people with mental illness (Singhal, 2024). If the federal government or state and local municipalities reduce funding for mental health services and programs, then individuals in need of care will not have less opportunity to receive the care and support they need.

Breaking the Silence
To combat the stigma around therapy, professionals in health and human services must promote open and honest conversations about mental health. Education is key; providing accurate information about the benefits of therapy and debunking common myths, in order to change societal attitudes (Corrigan & Watson, 2002). Additionally, sharing personal stories and experiences can help normalize therapy and encourage others to seek help.

The stigma around therapy is a significant barrier to mental health care. By understanding its roots, recognizing its impact, and taking steps to promote open conversations, we can work towards a society where seeking therapy is thought of as a sign of strength and self-care. If you or someone you know has experienced challenges with mental and emotional health, consider sharing your thoughts and perspectives in the comments below and engage with us on Facebook at the Wilkinson Wellness Lab.

References

Corrigan, P. W. (2004). How stigma interferes with mental health care. American Psychologist, 59(7), 614-625. 

Corrigan, P. W., & Watson, A. C. (2002). Understanding the impact of stigma on people with mental illness. World Psychiatry, 1(1), 16-20. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1489832/](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1489832/)

Vogel, D. L., Wade, N. G., & Haake, S. (2006). Measuring the self-stigma associated with seeking psychological help. Journal of Counseling Psychology, 53(3), 325-337. [

Kalkbrenner, M. T., & Esparza, S. (2022). Barriers to seeking counseling among a national sample of U.S. physicians: The revised fit, stigma, and value scale. The Professional Counselor, 15(2), 123-137.

Melnyk, B. M., Kelly, S. A., & Jacobson, D. (2020). Reducing stigma and promoting mental health in healthcare professionals: An integrative review. Journal of Nursing Management, 28(5), 1020-1030.

Singhal, N. (2024, March). Stigma, Prejudice and Discrimination Against People with Mental Illness. American Psychiatric Association. https://www.psychiatry.org/patients-families/stigma-and-discrimination