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Auteur C. SMITH |
Documents disponibles écrits par cet auteur (2)
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Implementing systems-based innovations to improve access to early screening, diagnosis, and treatment services for children with autism spectrum disorder: An Autism Spectrum Disorder Pediatric, Early Detection, Engagement, and Services network study / Sarabeth BRODER-FINGERT in Autism, 23-3 (April 2019)
[article]
Titre : Implementing systems-based innovations to improve access to early screening, diagnosis, and treatment services for children with autism spectrum disorder: An Autism Spectrum Disorder Pediatric, Early Detection, Engagement, and Services network study Type de document : Texte imprimé et/ou numérique Auteurs : Sarabeth BRODER-FINGERT, Auteur ; Alice S. CARTER, Auteur ; K. PIERCE, Auteur ; W. L. STONE, Auteur ; Amy M. WETHERBY, Auteur ; C. SCHELDRICK, Auteur ; C. SMITH, Auteur ; E. BACON, Auteur ; S. N. JAMES, Auteur ; L. IBANEZ, Auteur ; E. FEINBERG, Auteur Article en page(s) : p.653-664 Langues : Anglais (eng) Mots-clés : autism early intervention implementation Index. décimale : PER Périodiques Résumé : In 2013, the National Institute of Mental Health funded five trials of unique, multicomponent, systems-based innovations designed to improve access to early screening, diagnosis, and treatment of autism spectrum disorder-collectively known as the Autism Spectrum Disorder Pediatric, Early Detection, Engagement, and Services Network. As part of an ongoing effort to pool data and learn from shared experience, we collected information across all studies about innovation components and implementation strategies. First, each study group completed standardized checklists based on the Template for Intervention Description and Replication and the Expert Recommendation for Implementing Change. Then, we interviewed principal and co-investigators of each study (n = 9) to further explore innovation components and assess barriers and facilitators to implementation. Innovation strategies were diverse (five different autism spectrum disorder screeners were used, 40% included early intervention trainings, 60% involved new technology). Common implementation strategies included developing stakeholder relationships and provider trainings. Barriers included inefficient systems of care, difficulty engaging families in the innovations, provider attitudes, and organizational culture (e.g. difficulty changing clinic processes). These findings suggest that-despite diverse settings and a variety of innovation content-common facilitators and challenges exist in implementing innovations to enhance access to early autism spectrum disorder screening, diagnosis, and treatment. En ligne : http://dx.doi.org/10.1177/1362361318766238 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=392
in Autism > 23-3 (April 2019) . - p.653-664[article] Implementing systems-based innovations to improve access to early screening, diagnosis, and treatment services for children with autism spectrum disorder: An Autism Spectrum Disorder Pediatric, Early Detection, Engagement, and Services network study [Texte imprimé et/ou numérique] / Sarabeth BRODER-FINGERT, Auteur ; Alice S. CARTER, Auteur ; K. PIERCE, Auteur ; W. L. STONE, Auteur ; Amy M. WETHERBY, Auteur ; C. SCHELDRICK, Auteur ; C. SMITH, Auteur ; E. BACON, Auteur ; S. N. JAMES, Auteur ; L. IBANEZ, Auteur ; E. FEINBERG, Auteur . - p.653-664.
Langues : Anglais (eng)
in Autism > 23-3 (April 2019) . - p.653-664
Mots-clés : autism early intervention implementation Index. décimale : PER Périodiques Résumé : In 2013, the National Institute of Mental Health funded five trials of unique, multicomponent, systems-based innovations designed to improve access to early screening, diagnosis, and treatment of autism spectrum disorder-collectively known as the Autism Spectrum Disorder Pediatric, Early Detection, Engagement, and Services Network. As part of an ongoing effort to pool data and learn from shared experience, we collected information across all studies about innovation components and implementation strategies. First, each study group completed standardized checklists based on the Template for Intervention Description and Replication and the Expert Recommendation for Implementing Change. Then, we interviewed principal and co-investigators of each study (n = 9) to further explore innovation components and assess barriers and facilitators to implementation. Innovation strategies were diverse (five different autism spectrum disorder screeners were used, 40% included early intervention trainings, 60% involved new technology). Common implementation strategies included developing stakeholder relationships and provider trainings. Barriers included inefficient systems of care, difficulty engaging families in the innovations, provider attitudes, and organizational culture (e.g. difficulty changing clinic processes). These findings suggest that-despite diverse settings and a variety of innovation content-common facilitators and challenges exist in implementing innovations to enhance access to early autism spectrum disorder screening, diagnosis, and treatment. En ligne : http://dx.doi.org/10.1177/1362361318766238 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=392 Improving Efficiency and Quality of the Children's ASD Diagnostic Pathway: Lessons Learned from Practice / M. RUTHERFORD in Journal of Autism and Developmental Disorders, 48-5 (May 2018)
[article]
Titre : Improving Efficiency and Quality of the Children's ASD Diagnostic Pathway: Lessons Learned from Practice Type de document : Texte imprimé et/ou numérique Auteurs : M. RUTHERFORD, Auteur ; M. BURNS, Auteur ; D. GRAY, Auteur ; L. BREMNER, Auteur ; S. CLEGG, Auteur ; L. RUSSELL, Auteur ; C. SMITH, Auteur ; A. O'HARE, Auteur Article en page(s) : p.1579-1595 Langues : Anglais (eng) Mots-clés : Autism diagnostic assessment Children Pathways Waiting times Index. décimale : PER Périodiques Résumé : The 'autism diagnosis crisis' and long waiting times for assessment are as yet unresolved, leading to undue stress and limiting access to effective support. There is therefore a significant need for evidence to support practitioners in the development of efficient services, delivering acceptable waiting times and effectively meeting guideline standards. This study reports statistically significant reductions in waiting times for autism diagnostic assessment following a children's health service improvement programme. The average wait between referral and first appointment reduced from 14.2 to 10.4 weeks (t(21) = 4.3, p < 0.05) and between referral and diagnosis shared, reduced from 270 to 122.5 days, (t(20) = 5.5, p < 0.05). The proportion of girls identified increased from 5.6 to 2.7:1. Methods reported include: local improvement action planning; evidence based pathways; systematic clinical data gathering and a training plan. This is a highly significant finding for many health services wrestling with the challenges of demand and capacity for autism diagnosis and assessment. En ligne : http://dx.doi.org/10.1007/s10803-017-3415-7 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=355
in Journal of Autism and Developmental Disorders > 48-5 (May 2018) . - p.1579-1595[article] Improving Efficiency and Quality of the Children's ASD Diagnostic Pathway: Lessons Learned from Practice [Texte imprimé et/ou numérique] / M. RUTHERFORD, Auteur ; M. BURNS, Auteur ; D. GRAY, Auteur ; L. BREMNER, Auteur ; S. CLEGG, Auteur ; L. RUSSELL, Auteur ; C. SMITH, Auteur ; A. O'HARE, Auteur . - p.1579-1595.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 48-5 (May 2018) . - p.1579-1595
Mots-clés : Autism diagnostic assessment Children Pathways Waiting times Index. décimale : PER Périodiques Résumé : The 'autism diagnosis crisis' and long waiting times for assessment are as yet unresolved, leading to undue stress and limiting access to effective support. There is therefore a significant need for evidence to support practitioners in the development of efficient services, delivering acceptable waiting times and effectively meeting guideline standards. This study reports statistically significant reductions in waiting times for autism diagnostic assessment following a children's health service improvement programme. The average wait between referral and first appointment reduced from 14.2 to 10.4 weeks (t(21) = 4.3, p < 0.05) and between referral and diagnosis shared, reduced from 270 to 122.5 days, (t(20) = 5.5, p < 0.05). The proportion of girls identified increased from 5.6 to 2.7:1. Methods reported include: local improvement action planning; evidence based pathways; systematic clinical data gathering and a training plan. This is a highly significant finding for many health services wrestling with the challenges of demand and capacity for autism diagnosis and assessment. En ligne : http://dx.doi.org/10.1007/s10803-017-3415-7 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=355