Service Delivery

Diagnostic Procedures and Treatments for Autistic Children in the Netherlands: A Scoping Review.

Hiemstra et al. (2025) · Journal of autism and developmental disorders 2025
★ The Verdict

Dutch autism care has rule books but uneven follow-through—plan for waitlists and a narrow therapy list.

✓ Read this if BCBAs helping autistic children in Europe or comparing service systems.
✗ Skip if Clinicians only treating adults or working outside service-system planning.

01Research in Context

01

What this study did

The team read 32 Dutch papers and reports about autism services. They asked: what rules guide diagnosis and treatment for kids?

They mapped every step from first doctor visit to daily therapy. No lab work—just a wide sweep of published documents.

02

What they found

Guidelines exist, but teams follow them unevenly. Wait times for a full diagnosis still run many months.

Most offered care is skill training—speech, OT, social classes. Music and other new therapies sit on the fringe.

03

How this fits with other research

Salomone et al. (2016) already showed Europe’s patchwork: in some countries 1 in the preschoolers get no help at all. The Dutch picture is one corner of that same quilt.

Huang et al. (2020) looked at adults and found the same chaos—no clear path after diagnosis. Together the two reviews say the problem spans all ages.

Pye et al. (2024) tracked Australian kids after a national insurance overhaul. Families gained more services, but money and location still decided who got what. Their data extend the Dutch warning: guidelines alone don’t equal equal access.

04

Why it matters

If you serve Dutch families, expect long diagnostic waits and heavy use of skill-training slots. Push for earlier screening and write goals that match guideline steps—this speeds approvals. For non-Dutch clients, the story is a heads-up: where you practice shapes what options parents even hear about. Use the Dutch list to check your own local menu for gaps, then add choices like parent coaching or music groups while you advocate for fairer access.

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Audit your client’s timeline against Dutch guideline steps—note any missing evaluations and flag them at the next team meeting.

02At a glance

Intervention
not applicable
Design
scoping review
Population
autism spectrum disorder
Finding
not reported

03Original abstract

PURPOSE: The prevalence of autism spectrum disorder (ASD) in children in the Netherlands is relatively high at 2.8%. Given the significant impact of an ASD diagnosis on a child's life, there is a clear need for adequate autism services. This study aimed to identify current diagnostic procedures, available treatments, and interventions for children with ASD under 18 years old in the Netherlands. METHODS: A scoping review was conducted following PRISMA guidelines. Searches were performed in SmartCat, PsycINFO, and Google Scholar databases, covering studies from 2004 to 2024. After the selection process, 32 studies were included for analysis. RESULTS: The Netherlands has developed several guidelines for the preferred diagnostics of ASD, but full adherence remains inconsistent, potentially leading to delays in diagnosis. Available interventions primarily focus on skill training, and there is growing evidence supporting alternative therapies such as music therapy. CONCLUSION: To improve outcomes for children with ASD, the Netherlands should prioritize early detection to facilitate timely interventions and enhance well-being. Additionally, longitudinal studies are essential to validate the effectiveness of existing treatments.

Journal of autism and developmental disorders, 2025 · doi:10.1177/1403494818772211