Early intervention system for preschool children with autism in the community: the DISCOVERY approach in Yokohama, Japan.
Yokohama’s DISCOVERY model shows how to knit together detection, diagnosis, and intervention services for preschool autism at the community level.
01Research in Context
What this study did
Honda et al. (2002) mapped how Yokohama built the DISCOVERY system. The city linked doctors, preschools, and therapists so kids with autism could be spotted and helped earlier.
The paper is a case study. It tells the story of the rollout, not test scores.
What they found
The team showed the flow chart: screening → diagnosis → center-based ABA → parent training → kindergarten transition.
No child outcome data are given. The value is the blueprint itself.
How this fits with other research
Holmes (1990) sketched a similar town-wide autism service plan 12 years earlier. DISCOVERY adds a preschool-only focus and clearer hand-off steps.
Brugnaro et al. (2024) picks up the baton. They gave Project ImPACT to 3-5-year-olds with autism and tracked social gains. Their data show the next step after DISCOVERY: pick an evidence-based program and measure it.
Ditzian et al. (2015) zoom in on staff inside one ABA clinic. Their PDC-HS tool fixes employee errors. DISCOVERY stays at the city level; Kyle shows how to keep quality once kids reach a center.
Why it matters
If you consult for schools or health departments, show them the DISCOVERY map. It gives you talking points for early-screening meetings and a visual to argue for seamless hand-offs. Pair it with Brugnaro et al. (2024) to prove which teaching program works once the child walks through the door.
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02At a glance
03Original abstract
The article reports on DISCOVERY, a conceptual model for a clinical system of early detection and early intervention in cases of autism that has been implemented inYokohama, Japan. The minimal requirements for this system are subsystems dealing with detection, diagnosis and intervention. Specific issues involving early diagnosis that complicate the design of the system are the seemingly contradictory considerations of early versus precise diagnosis, the undifferentiated recognition of a child's disorder on the part of the parents, and the difficulty of establishing cooperative working relationships among related facilities. To overcome these issues, an 'interface' linking con secutive subsystems is emphasized in the DISCOVERY model. A clinical system based on this model has been developed in Yokohama. This system not only benefits clinical performance, but will also add significantly to research on autism.
Autism : the international journal of research and practice, 2002 · doi:10.1177/1362361302006003003