In this secondary analysis of data from a clinical cohort of children of primary school age, we found a moderate match between the research clinical diagnosis and the practitioner`s assessment of whether or not a child had a similar AUC at age 2 before stalling later. The representation of issues reported by stakeholders also showed a fair match with the research diagnoses. Initial match rates are consistent with previous studies that have compared DAWBA with clinical diagnosis in adolescents  and other studies comparing other standardized diagnostic interviews and clinical assessments . Jensen and Weisz compared the practitioner`s assessment to the diagnosis of the Schedule for Children and Adolescents (DISC) diagnostic interview in an outpatient setting . The concordance was bad for all individual disturbances (such as fear of separation) and ranged from bad to broader diagnostic clusters (such as anxiety disorders). Practitioners tended not to report comorbial disorders, which could impact children with ASC, who are often reported to have particularly high rates of comorbial diseases [36, 37]. In an extension of this work, Hawley and Weisz  compared the degree of adequacy between parents, therapists and children on the nature of the difficulties to which the intervention is addressed. They reported that in more than three-quarters of cases, treatment began without consensus in the triad, the weakest concordance between child and parent and the highest between parent and therapist. If one cannot agree on the nature of the problem, one might expect them to undermine attempts at intervention. Twelve other children were diagnosed as “definitive” at time 2 (Figure 3); For three children (25%), this was a new diagnosis. Seven other cases were diagnosed as “definitive” at time 3, of which one (14%) was a new diagnosis. Three other cases were diagnosed as “definitive” at time 4, all new diagnoses. There was a new case that was diagnosed as “definitive” 5 or 2 years after the first estimate.
Our goal was to investigate the concordance between the legal secretary, the CAMHS practitioner and a research diagnosis, as well as the stability of the practitioner`s diagnosis over time, in a secondary analysis of data from 302 children attending two child and juvenile psychiatry departments over two years.