Comparing service use and costs among adolescents with autism spectrum disorders, special needs and typical development / Barbara BARRETT in Autism, 19-5 (July 2015)  

Public ISBD [article]  inAutism > 19-5 (July 2015) . - p.562-569 Titre : Comparing service use and costs among adolescents with autism spectrum disorders, special needs and typical development Type de document : Texte imprimé et/ou numérique Auteurs : Barbara BARRETT, Auteur ; Iris MOSWEU, Auteur ; Catherine R. G. JONES, Auteur ; Tony CHARMAN, Auteur ; Gillian BAIRD, Auteur ; Emily SIMONOFF, Auteur ; Andrew PICKLES, Auteur ; Francesca HAPPE, Auteur ; Sarah BYFORD, Auteur Article en page(s) : p.562-569 Langues : Anglais (eng) Mots-clés : autism spectrum disorders  costs  service use  special educational needs Index. décimale : PER Périodiques Résumé : Autism spectrum disorder is a complex condition that requires specialised care. Knowledge of the costs of autism spectrum disorder, especially in comparison with other conditions, may be useful to galvanise policymakers and leverage investment in education and intervention to mitigate aspects of autism spectrum disorder that negatively impact individuals with the disorder and their families. This article describes the services and associated costs for four groups of individuals: adolescents with autistic disorder, adolescents with other autism spectrum disorders, adolescents with other special educational needs and typically developing adolescents using data from a large, well-characterised cohort assessed as part of the UK Special Needs and Autism Project at the age of 12 years. Average total costs per participant over 6 months were highest in the autistic disorder group (£11,029), followed by the special educational needs group (£9268), the broader autism spectrum disorder group (£8968) and the typically developing group (£2954). Specialised day or residential schooling accounted for the vast majority of costs. In regression analysis, lower age and lower adaptive functioning were associated with higher costs in the groups with an autism spectrum disorder. Sex, ethnicity, number of International Classification of Diseases (10th revision) symptoms, autism spectrum disorder symptom scores and levels of mental health difficulties were not associated with cost. En ligne : http://dx.doi.org/10.1177/1362361314536626 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=261 [article] Comparing service use and costs among adolescents with autism spectrum disorders, special needs and typical development [Texte imprimé et/ou numérique] / Barbara BARRETT, Auteur ; Iris MOSWEU, Auteur ; Catherine R. G. JONES, Auteur ; Tony CHARMAN, Auteur ; Gillian BAIRD, Auteur ; Emily SIMONOFF, Auteur ; Andrew PICKLES, Auteur ; Francesca HAPPE, Auteur ; Sarah BYFORD, Auteur . - p.562-569. Langues : Anglais (eng) in Autism > 19-5 (July 2015) . - p.562-569 Mots-clés : autism spectrum disorders  costs  service use  special educational needs Index. décimale : PER Périodiques Résumé : Autism spectrum disorder is a complex condition that requires specialised care. Knowledge of the costs of autism spectrum disorder, especially in comparison with other conditions, may be useful to galvanise policymakers and leverage investment in education and intervention to mitigate aspects of autism spectrum disorder that negatively impact individuals with the disorder and their families. This article describes the services and associated costs for four groups of individuals: adolescents with autistic disorder, adolescents with other autism spectrum disorders, adolescents with other special educational needs and typically developing adolescents using data from a large, well-characterised cohort assessed as part of the UK Special Needs and Autism Project at the age of 12 years. Average total costs per participant over 6 months were highest in the autistic disorder group (£11,029), followed by the special educational needs group (£9268), the broader autism spectrum disorder group (£8968) and the typically developing group (£2954). Specialised day or residential schooling accounted for the vast majority of costs. In regression analysis, lower age and lower adaptive functioning were associated with higher costs in the groups with an autism spectrum disorder. Sex, ethnicity, number of International Classification of Diseases (10th revision) symptoms, autism spectrum disorder symptom scores and levels of mental health difficulties were not associated with cost. En ligne : http://dx.doi.org/10.1177/1362361314536626 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=261

Cost-effectiveness of cognitive therapy as an early intervention for post-traumatic stress disorder in children and adolescents: a trial based evaluation and model / J. SHEARER in Journal of Child Psychology and Psychiatry, 59-7 (July 2018)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 59-7 (July 2018) . - p.773-780 Titre : Cost-effectiveness of cognitive therapy as an early intervention for post-traumatic stress disorder in children and adolescents: a trial based evaluation and model Type de document : Texte imprimé et/ou numérique Auteurs : J. SHEARER, Auteur ; N. PAPANIKOLAOU, Auteur ; R. MEISER-STEDMAN, Auteur ; A. MCKINNON, Auteur ; Tim DALGLEISH, Auteur ; P. SMITH, Auteur ; C. DIXON, Auteur ; Sarah BYFORD, Auteur Article en page(s) : p.773-780 Langues : Anglais (eng) Mots-clés : Economic evaluation  cognitive therapy  post-traumatic stress disorder Index. décimale : PER Périodiques Résumé : BACKGROUND: Untreated post-traumatic stress disorder (PTSD) in children and adolescents is associated with a considerable economic burden on the health system, families and society. Recent research has demonstrated the potential efficacy of cognitive therapy as an early intervention for PTSD in children and adolescents. Children who experienced a single traumatic event in the previous two to six months and were randomized to cognitive therapy for PTSD (CT-PTSD) were significantly more likely to be PTSD-free compared to those randomized to usual care represented by waitlist control. The current study evaluated the economic impact of improvements in the treatment of PTSD in children and adolescents. METHODS: A cost-effectiveness analysis was conducted from the national health service/personal social services perspective with outcomes expressed as quality-adjusted life years (QALYs). Patient level costs and outcomes were collected during the 11 week clinical trial and extrapolated to a three year time horizon using economic modelling methods. Uncertainty was estimated using probabilistic sensitivity analysis and assumptions were tested using one way sensitivity analysis. RESULTS: The incremental cost-effectiveness ratio at 3 years was pound2,205 per QALY with a 60%-69% probability of CT-PTSD being cost-effective compared to usual care at the UK pound20,000 to pound30,000 per QALY decision threshold. CONCLUSIONS: This study provides preliminary evidence for the cost-effectiveness of cognitive therapy in this treatment population. Larger pragmatic trials with longer follow-up are indicated. En ligne : http://dx.doi.org/10.1111/jcpp.12851 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=368 [article] Cost-effectiveness of cognitive therapy as an early intervention for post-traumatic stress disorder in children and adolescents: a trial based evaluation and model [Texte imprimé et/ou numérique] / J. SHEARER, Auteur ; N. PAPANIKOLAOU, Auteur ; R. MEISER-STEDMAN, Auteur ; A. MCKINNON, Auteur ; Tim DALGLEISH, Auteur ; P. SMITH, Auteur ; C. DIXON, Auteur ; Sarah BYFORD, Auteur . - p.773-780. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 59-7 (July 2018) . - p.773-780 Mots-clés : Economic evaluation  cognitive therapy  post-traumatic stress disorder Index. décimale : PER Périodiques Résumé : BACKGROUND: Untreated post-traumatic stress disorder (PTSD) in children and adolescents is associated with a considerable economic burden on the health system, families and society. Recent research has demonstrated the potential efficacy of cognitive therapy as an early intervention for PTSD in children and adolescents. Children who experienced a single traumatic event in the previous two to six months and were randomized to cognitive therapy for PTSD (CT-PTSD) were significantly more likely to be PTSD-free compared to those randomized to usual care represented by waitlist control. The current study evaluated the economic impact of improvements in the treatment of PTSD in children and adolescents. METHODS: A cost-effectiveness analysis was conducted from the national health service/personal social services perspective with outcomes expressed as quality-adjusted life years (QALYs). Patient level costs and outcomes were collected during the 11 week clinical trial and extrapolated to a three year time horizon using economic modelling methods. Uncertainty was estimated using probabilistic sensitivity analysis and assumptions were tested using one way sensitivity analysis. RESULTS: The incremental cost-effectiveness ratio at 3 years was pound2,205 per QALY with a 60%-69% probability of CT-PTSD being cost-effective compared to usual care at the UK pound20,000 to pound30,000 per QALY decision threshold. CONCLUSIONS: This study provides preliminary evidence for the cost-effectiveness of cognitive therapy in this treatment population. Larger pragmatic trials with longer follow-up are indicated. En ligne : http://dx.doi.org/10.1111/jcpp.12851 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=368

Service and Wider Societal Costs of Very Young Children with Autism in the UK / Barbara BARRETT in Journal of Autism and Developmental Disorders, 42-5 (May 2012)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 42-5 (May 2012) . - p.797-804 Titre : Service and Wider Societal Costs of Very Young Children with Autism in the UK Type de document : Texte imprimé et/ou numérique Auteurs : Barbara BARRETT, Auteur ; Sarah BYFORD, Auteur ; Jessica SHARAC, Auteur ; Kristelle HUDRY, Auteur ; Kathy LEADBITTER, Auteur ; Kathryn TEMPLE, Auteur ; Catherine ALDRED, Auteur ; Vicky SLONIMS, Auteur ; Jonathan GREEN, Auteur ; PACT CONSORTIUM, Auteur Année de publication : 2012 Article en page(s) : p.797-804 Langues : Anglais (eng) Mots-clés : Cost  Very young children  Autism  Service use Index. décimale : PER Périodiques Résumé : Autism spectrum disorders (ASD) are associated with a substantial economic burden, but there is little evidence of the costs in the early years; the period in which children are increasingly likely to be diagnosed. We describe the services used by 152 children aged 24–60 months with autism, report family out-of-pocket expenses and productivity losses, and explore the relationship between family characteristics and costs. Children received a wide range of hospital and community services including relatively high levels of contact with speech and language therapists and paediatricians. Total service costs varied greatly (mean £430 per month; range £53 to £1,116), with some families receiving little statutory support. Higher costs were associated with increasing age and symptom severity. En ligne : http://dx.doi.org/10.1007/s10803-011-1306-x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=154 [article] Service and Wider Societal Costs of Very Young Children with Autism in the UK [Texte imprimé et/ou numérique] / Barbara BARRETT, Auteur ; Sarah BYFORD, Auteur ; Jessica SHARAC, Auteur ; Kristelle HUDRY, Auteur ; Kathy LEADBITTER, Auteur ; Kathryn TEMPLE, Auteur ; Catherine ALDRED, Auteur ; Vicky SLONIMS, Auteur ; Jonathan GREEN, Auteur ; PACT CONSORTIUM, Auteur . - 2012 . - p.797-804. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 42-5 (May 2012) . - p.797-804 Mots-clés : Cost  Very young children  Autism  Service use Index. décimale : PER Périodiques Résumé : Autism spectrum disorders (ASD) are associated with a substantial economic burden, but there is little evidence of the costs in the early years; the period in which children are increasingly likely to be diagnosed. We describe the services used by 152 children aged 24–60 months with autism, report family out-of-pocket expenses and productivity losses, and explore the relationship between family characteristics and costs. Children received a wide range of hospital and community services including relatively high levels of contact with speech and language therapists and paediatricians. Total service costs varied greatly (mean £430 per month; range £53 to £1,116), with some families receiving little statutory support. Higher costs were associated with increasing age and symptom severity. En ligne : http://dx.doi.org/10.1007/s10803-011-1306-x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=154

The Association Between Child and Family Characteristics and the Mental Health and Wellbeing of Caregivers of Children with Autism in Mid-Childhood / E. SALOMONE in Journal of Autism and Developmental Disorders, 48-4 (April 2018)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 48-4 (April 2018) . - p.1189-1198 Titre : The Association Between Child and Family Characteristics and the Mental Health and Wellbeing of Caregivers of Children with Autism in Mid-Childhood Type de document : Texte imprimé et/ou numérique Auteurs : E. SALOMONE, Auteur ; K. LEADBITTER, Auteur ; Catherine ALDRED, Auteur ; B. BARRETT, Auteur ; Sarah BYFORD, Auteur ; Tony CHARMAN, Auteur ; P. HOWLIN, Auteur ; J. GREEN, Auteur ; A. LE COUTEUR, Auteur ; H. MCCONACHIE, Auteur ; Jeremy R. PARR, Auteur ; A. PICKLES, Auteur ; V. SLONIMS, Auteur Article en page(s) : p.1189-1198 Langues : Anglais (eng) Mots-clés : Autism  Caregiver  Daily living skills  Emotional and behavioural difficulties  Mental health  Mental wellbeing Index. décimale : PER Périodiques Résumé : We examined predictors of mental health difficulties and wellbeing in caregivers of children with autism in the Pre-school Autism Communication Trial cohort in middle childhood (N = 104). Child's intellectual disability, daily living skills impairment, elevated emotional and behavioural difficulties, high educational level of caregiver and household income below the median significantly predicted caregivers' mental health difficulties, but autism severity, child communication skills and family circumstances did not. Lower caregiver mental wellbeing was predicted by elevated child emotional and behavioural difficulties. The need to support the mental health and wellbeing of caregivers of children with autism is discussed in light of the results. En ligne : http://dx.doi.org/10.1007/s10803-017-3392-x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=352 [article] The Association Between Child and Family Characteristics and the Mental Health and Wellbeing of Caregivers of Children with Autism in Mid-Childhood [Texte imprimé et/ou numérique] / E. SALOMONE, Auteur ; K. LEADBITTER, Auteur ; Catherine ALDRED, Auteur ; B. BARRETT, Auteur ; Sarah BYFORD, Auteur ; Tony CHARMAN, Auteur ; P. HOWLIN, Auteur ; J. GREEN, Auteur ; A. LE COUTEUR, Auteur ; H. MCCONACHIE, Auteur ; Jeremy R. PARR, Auteur ; A. PICKLES, Auteur ; V. SLONIMS, Auteur . - p.1189-1198. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 48-4 (April 2018) . - p.1189-1198 Mots-clés : Autism  Caregiver  Daily living skills  Emotional and behavioural difficulties  Mental health  Mental wellbeing Index. décimale : PER Périodiques Résumé : We examined predictors of mental health difficulties and wellbeing in caregivers of children with autism in the Pre-school Autism Communication Trial cohort in middle childhood (N = 104). Child's intellectual disability, daily living skills impairment, elevated emotional and behavioural difficulties, high educational level of caregiver and household income below the median significantly predicted caregivers' mental health difficulties, but autism severity, child communication skills and family circumstances did not. Lower caregiver mental wellbeing was predicted by elevated child emotional and behavioural difficulties. The need to support the mental health and wellbeing of caregivers of children with autism is discussed in light of the results. En ligne : http://dx.doi.org/10.1007/s10803-017-3392-x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=352

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