Children with autism spectrum disorder (ASD) and epilepsy often face fragmented care, resulting in poorer outcomes and high caregiver stress. To address these challenges, this project proposes a multidisciplinary clinical pathway implemented at The Precious Child (TPC), an applied behavior analysis (ABA) agency. The pathway streamlines assessment, intervention, and monitoring for this high-needs population. The model integrates external consultations (neurology, psychology, dietetics, social work) with internal ABA services, coordinated by a Doctor of Behavioral Health (DBH) serving as primary care coordinator. HIPAA-compliant platforms (Ensora, Microsoft 365) facilitate secure data sharing and communication. The pathway includes comprehensive assessments (ADOS-2, EEG, functional behavior assessments), unified care planning, coordinated treatment implementation, and structured monitoring with discharge criteria. Preliminary financial analysis indicates a 37% return on investment, achieved by reducing emergency department visits, hospitalizations, and staff turnover, while increasing service capacity. Clinically, the pathway improves seizure management, adaptive functioning, and social skills. Families report reduced stress and greater confidence in navigating care. Beyond cost savings, the pathway enhances multidisciplinary collaboration and strengthens TPC’s reputation as a leader in integrated behavioral healthcare. This model offers a sustainable framework for bridging behavioral, medical, and social domains, advancing equity and improving outcomes for autistic children with comorbid epilepsy.

Sheow Yun Sie, MA, BCBA, LBA, is a Licensed and Board-Certified Behavior Analyst and Clinical Research Coordinator in the Stress in Pregnancy (SIP) Lab at Queens College, City University of New York. Since 2019, she has coordinated research on prenatal stress, neurodevelopment, and child outcomes, contributing to multiple peer-reviewed publications. She has presented nationally in the United States and internationally in Singapore and Sri Lanka. Currently a Doctor of Behavioral Health (DBH) candidate at the Cummings Graduate Institute, her work bridges clinical practice, research, and health systems innovation in integrated care.