Caregiver-Teacher Concordance of Challenging Behaviors in Children with Autism Spectrum Disorder Served in Community Mental Health Settings / Nicole STADNICK in Journal of Autism and Developmental Disorders, 47-6 (June 2017)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 47-6 (June 2017) . - p.1780-1790 Titre : Caregiver-Teacher Concordance of Challenging Behaviors in Children with Autism Spectrum Disorder Served in Community Mental Health Settings Type de document : Texte imprimé et/ou numérique Auteurs : Nicole STADNICK, Auteur ; Colby CHLEBOWSKI, Auteur ; Lauren BROOKMAN-FRAZEE, Auteur Article en page(s) : p.1780-1790 Langues : Anglais (eng) Mots-clés : Caregiver-teacher concordance  Challenging behaviors  Psychiatric comorbidity  School-age children  Autism spectrum disorder Index. décimale : PER Périodiques Résumé : Children with autism spectrum disorder (ASD) exhibit high rates of challenging behaviors that impair functioning and represent the primary presenting problem in mental health (MH) services. Obtaining symptom reports from multiple informants is critical for treatment planning. This study evaluated caregiver-teacher concordance of ratings of the intensity of challenging behaviors in children with ASD receiving MH services, and identified child clinical factors associated with concordance. This sample included 141 children (M?=?9.07 years), their caregivers, and teachers. Caregiver-teacher concordance of challenging behaviors was low and impacted by the degree and type of child psychiatric comorbidity. Findings support need for increased attention to the range of psychiatric problems children with ASD present to tailor treatment recommendations and service delivery. En ligne : http://dx.doi.org/10.1007/s10803-017-3101-9 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=308 [article] Caregiver-Teacher Concordance of Challenging Behaviors in Children with Autism Spectrum Disorder Served in Community Mental Health Settings [Texte imprimé et/ou numérique] / Nicole STADNICK, Auteur ; Colby CHLEBOWSKI, Auteur ; Lauren BROOKMAN-FRAZEE, Auteur . - p.1780-1790. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 47-6 (June 2017) . - p.1780-1790 Mots-clés : Caregiver-teacher concordance  Challenging behaviors  Psychiatric comorbidity  School-age children  Autism spectrum disorder Index. décimale : PER Périodiques Résumé : Children with autism spectrum disorder (ASD) exhibit high rates of challenging behaviors that impair functioning and represent the primary presenting problem in mental health (MH) services. Obtaining symptom reports from multiple informants is critical for treatment planning. This study evaluated caregiver-teacher concordance of ratings of the intensity of challenging behaviors in children with ASD receiving MH services, and identified child clinical factors associated with concordance. This sample included 141 children (M?=?9.07 years), their caregivers, and teachers. Caregiver-teacher concordance of challenging behaviors was low and impacted by the degree and type of child psychiatric comorbidity. Findings support need for increased attention to the range of psychiatric problems children with ASD present to tailor treatment recommendations and service delivery. En ligne : http://dx.doi.org/10.1007/s10803-017-3101-9 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=308

Dissemination and Implementation of Behavioral Treatments for Anxiety in ASD A2 - Kerns, Connor M / Amy DRAHOTA  

Public ISBD in Anxiety in Children and Adolescents with Autism Spectrum Disorder / Connor M. KERNS Titre : Dissemination and Implementation of Behavioral Treatments for Anxiety in ASD A2 - Kerns, Connor M Type de document : Texte imprimé et/ou numérique Auteurs : Amy DRAHOTA, Auteur ; Colby CHLEBOWSKI, Auteur ; Nicole STADNICK, Auteur ; Mary BAKER-ERICZEN, Auteur ; Lauren BROOKMAN-FRAZEE, Auteur Année de publication : 2017 Importance : p.231-249 Langues : Anglais (eng) Mots-clés : Autism spectrum disorder  evidence-based intervention  ACT SMART Implementation Toolkit  cognitive behavioral therapy  implementation  dissemination Index. décimale : PAR-B PAR-B - Anxiété Résumé : Abstract Anxiety is a common co-occurring condition in ASD that contributes to the complexity of a youth’s clinical presentation, functioning, and service needs. Although there is a rapidly growing body of evidence for the efficacy of cognitive behavioral therapy for anxiety in ASD, there is a well-documented gap between research-based interventions and routine care. This gap illustrates the potential limited public health impact of interventions developed in laboratory settings. In this chapter, we first provide recommendations for the consideration of anxiety intervention developers to accelerate the bidirectional translation between research and routine care. Second, we introduce dissemination and implementation science (and provide a glossary of implementation terms) as an additional method to address this gap by focusing on developing and testing strategies to improve the systematic process of implementing evidence-based interventions (EBIs) in routine care settings. Specifically, research-based implementation frameworks highlight the multiple phases of implementation (initial exploration and adoption through sustained delivery) and the multi-level contexts to be considered during implementation of EBIs in routine care settings (systems, service organizations, providers, children/families). Lastly, we discuss opportunities at each of these levels and phases of implementation to facilitate EBI implementation through the use of the ACT SMART Implementation Toolkit, a comprehensive implementation strategy developed for routine care settings delivering services to individuals with ASD. En ligne : http://dx.doi.org/10.1016/B978-0-12-805122-1.00012-0 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=300 in Anxiety in Children and Adolescents with Autism Spectrum Disorder / Connor M. KERNS Dissemination and Implementation of Behavioral Treatments for Anxiety in ASD A2 - Kerns, Connor M [Texte imprimé et/ou numérique] / Amy DRAHOTA, Auteur ; Colby CHLEBOWSKI, Auteur ; Nicole STADNICK, Auteur ; Mary BAKER-ERICZEN, Auteur ; Lauren BROOKMAN-FRAZEE, Auteur . - 2017 . - p.231-249. Langues : Anglais (eng) Mots-clés : Autism spectrum disorder  evidence-based intervention  ACT SMART Implementation Toolkit  cognitive behavioral therapy  implementation  dissemination Index. décimale : PAR-B PAR-B - Anxiété Résumé : Abstract Anxiety is a common co-occurring condition in ASD that contributes to the complexity of a youth’s clinical presentation, functioning, and service needs. Although there is a rapidly growing body of evidence for the efficacy of cognitive behavioral therapy for anxiety in ASD, there is a well-documented gap between research-based interventions and routine care. This gap illustrates the potential limited public health impact of interventions developed in laboratory settings. In this chapter, we first provide recommendations for the consideration of anxiety intervention developers to accelerate the bidirectional translation between research and routine care. Second, we introduce dissemination and implementation science (and provide a glossary of implementation terms) as an additional method to address this gap by focusing on developing and testing strategies to improve the systematic process of implementing evidence-based interventions (EBIs) in routine care settings. Specifically, research-based implementation frameworks highlight the multiple phases of implementation (initial exploration and adoption through sustained delivery) and the multi-level contexts to be considered during implementation of EBIs in routine care settings (systems, service organizations, providers, children/families). Lastly, we discuss opportunities at each of these levels and phases of implementation to facilitate EBI implementation through the use of the ACT SMART Implementation Toolkit, a comprehensive implementation strategy developed for routine care settings delivering services to individuals with ASD. En ligne : http://dx.doi.org/10.1016/B978-0-12-805122-1.00012-0 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=300

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A pilot study examining the use of the autism diagnostic observation schedule in community-based mental health clinics / Nicole STADNICK in Research in Autism Spectrum Disorders, 20 (December 2015)  

Public ISBD [article]  inResearch in Autism Spectrum Disorders > 20 (December 2015) . - p.39-46 Titre : A pilot study examining the use of the autism diagnostic observation schedule in community-based mental health clinics Type de document : Texte imprimé et/ou numérique Auteurs : Nicole STADNICK, Auteur ; Lauren BROOKMAN-FRAZEE, Auteur ; Katherine NGUYEN WILLIAMS, Auteur ; Gabrielle CERDA, Auteur ; Natacha AKSHOOMOFF, Auteur Article en page(s) : p.39-46 Langues : Anglais (eng) Mots-clés : Autism spectrum disorder  Community mental health  Youth  Diagnostic assessment  Autism Diagnostic Observation Schedule Index. décimale : PER Périodiques Résumé : Community-based mental health (CMH) services play an important, but relatively understudied role in the identification and treatment of youth with autism spectrum disorder (ASD) who may be receiving care for other psychiatric conditions. Little is known about the role of standardized ASD assessment measures administered by providers working in generalist community-based mental health (CMH) settings. This pilot study extracted data from three CMH clinics to examine the use of the Autism Diagnostic Observation Schedule (ADOS) by 17CMH providers who received ASD assessment training with 62 youth (Mean = 10.69 years) referred for an ASD diagnostic evaluation. Results indicated that 57% of youths assessed ultimately received an ASD diagnosis. All cases given a final ASD diagnosis were classified as “Autism” or “ASD” on the ADOS. Seventy percent of youth who did not receive a final ASD diagnosis were classified as “Non-Spectrum” on the ADOS. In these false positive cases, report narratives indicated that social communication difficulties identified on the ADOS were explained by symptoms of other mental health conditions (e.g., ADHD, anxiety). Future research is needed to examine the utility of the ADOS when used by CMH providers to facilitate CMH capacity to identify ASD. En ligne : http://dx.doi.org/10.1016/j.rasd.2015.08.007 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=270 [article] A pilot study examining the use of the autism diagnostic observation schedule in community-based mental health clinics [Texte imprimé et/ou numérique] / Nicole STADNICK, Auteur ; Lauren BROOKMAN-FRAZEE, Auteur ; Katherine NGUYEN WILLIAMS, Auteur ; Gabrielle CERDA, Auteur ; Natacha AKSHOOMOFF, Auteur . - p.39-46. Langues : Anglais (eng) in Research in Autism Spectrum Disorders > 20 (December 2015) . - p.39-46 Mots-clés : Autism spectrum disorder  Community mental health  Youth  Diagnostic assessment  Autism Diagnostic Observation Schedule Index. décimale : PER Périodiques Résumé : Community-based mental health (CMH) services play an important, but relatively understudied role in the identification and treatment of youth with autism spectrum disorder (ASD) who may be receiving care for other psychiatric conditions. Little is known about the role of standardized ASD assessment measures administered by providers working in generalist community-based mental health (CMH) settings. This pilot study extracted data from three CMH clinics to examine the use of the Autism Diagnostic Observation Schedule (ADOS) by 17CMH providers who received ASD assessment training with 62 youth (Mean = 10.69 years) referred for an ASD diagnostic evaluation. Results indicated that 57% of youths assessed ultimately received an ASD diagnosis. All cases given a final ASD diagnosis were classified as “Autism” or “ASD” on the ADOS. Seventy percent of youth who did not receive a final ASD diagnosis were classified as “Non-Spectrum” on the ADOS. In these false positive cases, report narratives indicated that social communication difficulties identified on the ADOS were explained by symptoms of other mental health conditions (e.g., ADHD, anxiety). Future research is needed to examine the utility of the ADOS when used by CMH providers to facilitate CMH capacity to identify ASD. En ligne : http://dx.doi.org/10.1016/j.rasd.2015.08.007 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=270

Psychiatric comorbidity in autism spectrum disorder: Correspondence between mental health clinician report and structured parent interview / Nicole STADNICK in Autism, 21-7 (October 2017)  

Public ISBD [article]  inAutism > 21-7 (October 2017) . - p.841-851 Titre : Psychiatric comorbidity in autism spectrum disorder: Correspondence between mental health clinician report and structured parent interview Type de document : Texte imprimé et/ou numérique Auteurs : Nicole STADNICK, Auteur ; Colby CHLEBOWSKI, Auteur ; Mary BAKER-ERICZEN, Auteur ; Margaret DYSON, Auteur ; Ann GARLAND, Auteur ; Lauren BROOKMAN-FRAZEE, Auteur Article en page(s) : p.841-851 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : Publicly funded mental health services are critical in caring for children with autism spectrum disorder. Accurate identification of psychiatric comorbidity is necessary for effective mental health treatment. Little is known about psychiatric diagnosis for this population in routine mental health care. This study (1) examined correspondence between psychiatric diagnoses reported by mental health clinicians and those derived from a structured diagnostic interview and (2) identified predictors of agreement between clinician-reported and diagnostic interview-derived diagnoses in a sample of 197 children aged 4?14?years with autism spectrum disorder receiving mental health services. Data were drawn from a randomized effectiveness trial conducted in publicly funded mental health services. Non?autism spectrum disorder diagnoses were assessed using an adapted version of the Mini-International Neuropsychiatric Interview, parent version. Cohen?s kappa was calculated to examine agreement between Mini-International Neuropsychiatric Interview, parent version and clinician-reported diagnoses of comorbid conditions. Children met criteria for an average of 2.83 (standard deviation=1.92) Mini-International Neuropsychiatric Interview, parent version diagnoses. Agreement was poor across all diagnostic categories (? values: 0.06?0.18). Logistic regression identified child gender and clinical characteristics as significant predictors of agreement for specific diagnoses. Results underscore the need for training mental health clinicians in targeted assessment of specific psychiatric disorders and prioritizing treatment development and testing for specific diagnoses to improve care for children with autism spectrum disorder served in publicly funded mental health settings. En ligne : https://doi.org/10.1177/1362361316654083 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=318 [article] Psychiatric comorbidity in autism spectrum disorder: Correspondence between mental health clinician report and structured parent interview [Texte imprimé et/ou numérique] / Nicole STADNICK, Auteur ; Colby CHLEBOWSKI, Auteur ; Mary BAKER-ERICZEN, Auteur ; Margaret DYSON, Auteur ; Ann GARLAND, Auteur ; Lauren BROOKMAN-FRAZEE, Auteur . - p.841-851. Langues : Anglais (eng) in Autism > 21-7 (October 2017) . - p.841-851 Index. décimale : PER Périodiques Résumé : Publicly funded mental health services are critical in caring for children with autism spectrum disorder. Accurate identification of psychiatric comorbidity is necessary for effective mental health treatment. Little is known about psychiatric diagnosis for this population in routine mental health care. This study (1) examined correspondence between psychiatric diagnoses reported by mental health clinicians and those derived from a structured diagnostic interview and (2) identified predictors of agreement between clinician-reported and diagnostic interview-derived diagnoses in a sample of 197 children aged 4?14?years with autism spectrum disorder receiving mental health services. Data were drawn from a randomized effectiveness trial conducted in publicly funded mental health services. Non?autism spectrum disorder diagnoses were assessed using an adapted version of the Mini-International Neuropsychiatric Interview, parent version. Cohen?s kappa was calculated to examine agreement between Mini-International Neuropsychiatric Interview, parent version and clinician-reported diagnoses of comorbid conditions. Children met criteria for an average of 2.83 (standard deviation=1.92) Mini-International Neuropsychiatric Interview, parent version diagnoses. Agreement was poor across all diagnostic categories (? values: 0.06?0.18). Logistic regression identified child gender and clinical characteristics as significant predictors of agreement for specific diagnoses. Results underscore the need for training mental health clinicians in targeted assessment of specific psychiatric disorders and prioritizing treatment development and testing for specific diagnoses to improve care for children with autism spectrum disorder served in publicly funded mental health settings. En ligne : https://doi.org/10.1177/1362361316654083 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=318

Training Community Mental Health Therapists to Deliver a Package of Evidence-Based Practice Strategies for School-Age Children with Autism Spectrum Disorders: A Pilot Study / Lauren BROOKMAN-FRAZEE in Journal of Autism and Developmental Disorders, 42-8 (August 2012)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 42-8 (August 2012) . - p.1651-1661 Titre : Training Community Mental Health Therapists to Deliver a Package of Evidence-Based Practice Strategies for School-Age Children with Autism Spectrum Disorders: A Pilot Study Type de document : Texte imprimé et/ou numérique Auteurs : Lauren BROOKMAN-FRAZEE, Auteur ; Amy DRAHOTA, Auteur ; Nicole STADNICK, Auteur Année de publication : 2012 Article en page(s) : p.1651-1661 Langues : Anglais (eng) Mots-clés : Autism spectrum disorders  Therapist training  Challenging behaviors  Community mental health services  Evidence-based practice Index. décimale : PER Périodiques Résumé : Research on moving evidence-based practice (EBP) intervention strategies to community service settings for children with autism spectrum disorders (ASD) is urgently needed. The current pilot study addresses this need by examining the feasibility, acceptability and preliminary outcomes of training therapists practicing in community mental health (CMH) clinics to deliver a package of EBP strategies aimed to reduce challenging behaviors in school-age children with ASD. Results indicate that CMH therapists participated in both initial and ongoing training, were able to deliver the intervention with fidelity, and perceived the intervention strategies as useful. Parents participated in almost all sessions with their children and remained in therapy when therapists delivered the intervention. Meaningful reductions in child problem behaviors occurred over 5 months providing promising support for the intervention. En ligne : http://dx.doi.org/10.1007/s10803-011-1406-7 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=178 [article] Training Community Mental Health Therapists to Deliver a Package of Evidence-Based Practice Strategies for School-Age Children with Autism Spectrum Disorders: A Pilot Study [Texte imprimé et/ou numérique] / Lauren BROOKMAN-FRAZEE, Auteur ; Amy DRAHOTA, Auteur ; Nicole STADNICK, Auteur . - 2012 . - p.1651-1661. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 42-8 (August 2012) . - p.1651-1661 Mots-clés : Autism spectrum disorders  Therapist training  Challenging behaviors  Community mental health services  Evidence-based practice Index. décimale : PER Périodiques Résumé : Research on moving evidence-based practice (EBP) intervention strategies to community service settings for children with autism spectrum disorders (ASD) is urgently needed. The current pilot study addresses this need by examining the feasibility, acceptability and preliminary outcomes of training therapists practicing in community mental health (CMH) clinics to deliver a package of EBP strategies aimed to reduce challenging behaviors in school-age children with ASD. Results indicate that CMH therapists participated in both initial and ongoing training, were able to deliver the intervention with fidelity, and perceived the intervention strategies as useful. Parents participated in almost all sessions with their children and remained in therapy when therapists delivered the intervention. Meaningful reductions in child problem behaviors occurred over 5 months providing promising support for the intervention. En ligne : http://dx.doi.org/10.1007/s10803-011-1406-7 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=178

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