Characterization of Family-Directed Care Coordination and Involvement in Behavioral Treatments in an Autism-Specific Medicaid Waiver / Gregory S. CHASSON in Journal of Autism and Developmental Disorders, 51-2 (February 2021)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 51-2 (February 2021) . - p.715-724 Titre : Characterization of Family-Directed Care Coordination and Involvement in Behavioral Treatments in an Autism-Specific Medicaid Waiver Type de document : Texte imprimé et/ou numérique Auteurs : Gregory S. CHASSON, Auteur ; Karen Goldrich ESKOW, Auteur ; Jean Ann SUMMERS, Auteur ; Taylor M. DREHER, Auteur Article en page(s) : p.715-724 Langues : Anglais (eng) Mots-clés : Autism spectrum disorder  Care coordination  Case management  Family functioning and support  Interventions—psychosocial/behavioral Index. décimale : PER Périodiques Résumé : Services for children with autism spectrum disorder (ASD) and their families have evolved with the advent of the Medicaid waiver, leading to more family-based coordination of care. Evaluating family involvement, the current investigation compared 230 families of children with ASD receiving Medicaid waiver services to a propensity-score matched group of 230 families who were waiting for such services (i.e., registry families). Compared to the registry, waiver families reported more involvement in service planning tasks, but not activities related to future-planning, managing crisis situations, or searching for and securing funding. Additional analyses characterize waiver families as engaging in high levels of coordinating and delivering behavioral interventions for their child. Implications for family burden and future programming for waiver programs are discussed. En ligne : http://dx.doi.org/10.1007/s10803-020-04583-4 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=440 [article] Characterization of Family-Directed Care Coordination and Involvement in Behavioral Treatments in an Autism-Specific Medicaid Waiver [Texte imprimé et/ou numérique] / Gregory S. CHASSON, Auteur ; Karen Goldrich ESKOW, Auteur ; Jean Ann SUMMERS, Auteur ; Taylor M. DREHER, Auteur . - p.715-724. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 51-2 (February 2021) . - p.715-724 Mots-clés : Autism spectrum disorder  Care coordination  Case management  Family functioning and support  Interventions—psychosocial/behavioral Index. décimale : PER Périodiques Résumé : Services for children with autism spectrum disorder (ASD) and their families have evolved with the advent of the Medicaid waiver, leading to more family-based coordination of care. Evaluating family involvement, the current investigation compared 230 families of children with ASD receiving Medicaid waiver services to a propensity-score matched group of 230 families who were waiting for such services (i.e., registry families). Compared to the registry, waiver families reported more involvement in service planning tasks, but not activities related to future-planning, managing crisis situations, or searching for and securing funding. Additional analyses characterize waiver families as engaging in high levels of coordinating and delivering behavioral interventions for their child. Implications for family burden and future programming for waiver programs are discussed. En ligne : http://dx.doi.org/10.1007/s10803-020-04583-4 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=440

A Cross-Sectional Cohort Study of a Large, Statewide Medicaid Home and Community-Based Services Autism Waiver Program / Karen Goldrich ESKOW in Journal of Autism and Developmental Disorders, 45-3 (March 2015)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 45-3 (March 2015) . - p.626-635 Titre : A Cross-Sectional Cohort Study of a Large, Statewide Medicaid Home and Community-Based Services Autism Waiver Program Type de document : Texte imprimé et/ou numérique Auteurs : Karen Goldrich ESKOW, Auteur ; Gregory S. CHASSON, Auteur ; Jean Ann SUMMERS, Auteur Article en page(s) : p.626-635 Langues : Anglais (eng) Mots-clés : Autism services  Medicaid  Home and community-based services waiver  Family quality of life Index. décimale : PER Périodiques Résumé : State-specific 1915(c) Medicaid Home and Community-Based Services waiver programs have become central in the provision of services specifically tailored to children with autism spectrum disorders (ASD). Using propensity score matching, 130 families receiving waiver services for a child with ASD were matched with and compared to 130 families waiting on the registry (i.e., control group). Results indicate that participants in the waiver group reported more improvement in independent living skills and family quality of life over the last year compared to those on the registry. More frequent intensive individual support services and therapeutic integration were statistically predictive of improvement in a variety of domains. The results suggest that the waiver program may be promising for improving child and family functioning. En ligne : http://dx.doi.org/10.1007/s10803-014-2217-4 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=258 [article] A Cross-Sectional Cohort Study of a Large, Statewide Medicaid Home and Community-Based Services Autism Waiver Program [Texte imprimé et/ou numérique] / Karen Goldrich ESKOW, Auteur ; Gregory S. CHASSON, Auteur ; Jean Ann SUMMERS, Auteur . - p.626-635. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 45-3 (March 2015) . - p.626-635 Mots-clés : Autism services  Medicaid  Home and community-based services waiver  Family quality of life Index. décimale : PER Périodiques Résumé : State-specific 1915(c) Medicaid Home and Community-Based Services waiver programs have become central in the provision of services specifically tailored to children with autism spectrum disorders (ASD). Using propensity score matching, 130 families receiving waiver services for a child with ASD were matched with and compared to 130 families waiting on the registry (i.e., control group). Results indicate that participants in the waiver group reported more improvement in independent living skills and family quality of life over the last year compared to those on the registry. More frequent intensive individual support services and therapeutic integration were statistically predictive of improvement in a variety of domains. The results suggest that the waiver program may be promising for improving child and family functioning. En ligne : http://dx.doi.org/10.1007/s10803-014-2217-4 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=258

Psychiatric problems of Chinese college students with high autism traits / Ningning ZHOU in Research in Autism Spectrum Disorders, 54 (October 2018)  

Public ISBD [article]  inResearch in Autism Spectrum Disorders > 54 (October 2018) . - p.1-8 Titre : Psychiatric problems of Chinese college students with high autism traits Type de document : Texte imprimé et/ou numérique Auteurs : Ningning ZHOU, Auteur ; Jianping WANG, Auteur ; Gregory S. CHASSON, Auteur Article en page(s) : p.1-8 Langues : Anglais (eng) Mots-clés : High autism traits  Psychiatric problems  Suicidal behaviors  Depression Index. décimale : PER Périodiques Résumé : Recent research has documented increased psychiatric problems in individuals who report elevated traits of autism spectrum disorder (ASD). However, most of the studies are conducted in Western countries, and suicidal behaviors in particular are scarcely examined in this population. The objective of the current study was to examine the prevalence of Chinese college students who surpassed a clinical cutoff for ASD, the correlations between ASD traits and psychiatric problems (i.e., depression, anxiety, obsessive-compulsive disorder [OCD], suicidal behaviors), and factors that possibly mediated the relations between ASD traits and suicidal behaviors. Results indicated that 1.50% of individuals in the sample surpassed the clinical cutoff score for ASD. Among this group who surpassed the clinical cutoff for ASD, severity of OCD symptoms was the highest among the measured psychiatric problems. ASD traits were significantly positively correlated with depression, anxiety, suicide ideation and plans, as well as OCD and its six dimensions (i.e., ordering, washing, hoarding, checking, obsession, and neutralizing). After controlling other psychiatric indicators, however, partial correlation analysis indicated that associations between ASD traits and suicide behaviors were no longer significant. Though, depression symptoms were found to mediate the link between the ASD traits and suicide ideation (for females and males) and suicide plans (for males only). Overall, these results provide a deeper insight into the characteristics of ASD traits, as well as the relationship between ASD traits and co-occurring psychiatric symptoms in a non-Western sample of Chinese college students. En ligne : https://doi.org/10.1016/j.rasd.2018.06.008 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=368 [article] Psychiatric problems of Chinese college students with high autism traits [Texte imprimé et/ou numérique] / Ningning ZHOU, Auteur ; Jianping WANG, Auteur ; Gregory S. CHASSON, Auteur . - p.1-8. Langues : Anglais (eng) in Research in Autism Spectrum Disorders > 54 (October 2018) . - p.1-8 Mots-clés : High autism traits  Psychiatric problems  Suicidal behaviors  Depression Index. décimale : PER Périodiques Résumé : Recent research has documented increased psychiatric problems in individuals who report elevated traits of autism spectrum disorder (ASD). However, most of the studies are conducted in Western countries, and suicidal behaviors in particular are scarcely examined in this population. The objective of the current study was to examine the prevalence of Chinese college students who surpassed a clinical cutoff for ASD, the correlations between ASD traits and psychiatric problems (i.e., depression, anxiety, obsessive-compulsive disorder [OCD], suicidal behaviors), and factors that possibly mediated the relations between ASD traits and suicidal behaviors. Results indicated that 1.50% of individuals in the sample surpassed the clinical cutoff score for ASD. Among this group who surpassed the clinical cutoff for ASD, severity of OCD symptoms was the highest among the measured psychiatric problems. ASD traits were significantly positively correlated with depression, anxiety, suicide ideation and plans, as well as OCD and its six dimensions (i.e., ordering, washing, hoarding, checking, obsession, and neutralizing). After controlling other psychiatric indicators, however, partial correlation analysis indicated that associations between ASD traits and suicide behaviors were no longer significant. Though, depression symptoms were found to mediate the link between the ASD traits and suicide ideation (for females and males) and suicide plans (for males only). Overall, these results provide a deeper insight into the characteristics of ASD traits, as well as the relationship between ASD traits and co-occurring psychiatric symptoms in a non-Western sample of Chinese college students. En ligne : https://doi.org/10.1016/j.rasd.2018.06.008 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=368

The Role of Choice and Control in the Impact of Autism Waiver Services on Family Quality of Life and Child Progress / K. G. ESKOW in Journal of Autism and Developmental Disorders, 49-5 (May 2019)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 49-5 (May 2019) . - p.2035-2048 Titre : The Role of Choice and Control in the Impact of Autism Waiver Services on Family Quality of Life and Child Progress Type de document : Texte imprimé et/ou numérique Auteurs : K. G. ESKOW, Auteur ; Gregory S. CHASSON, Auteur ; J. A. SUMMERS, Auteur Article en page(s) : p.2035-2048 Langues : Anglais (eng) Mots-clés : Autism services  Family quality of life  Home and Community-Based Services Waiver  Medicaid Index. décimale : PER Périodiques Résumé : Home and Community-Based Services (HCBS) Waivers provide support and services to families with a child/youth with autism spectrum disorder (ASD). Research indicates HCBS Waivers are positively related to family quality of life (FQoL) and Child Progress. This study replicated and expanded prior research using propensity score matching of 460 families. Results support prior findings that HCBS waivers have a positive impact on FQoL and aspects of child progress. This study also found that having choices in the selection of services and service providers, as well as control over day-to-day provision of services, strengthened both the child and family impacts of the Waiver services. In addition, the study provides preliminary evidence for psychometric properties of a quick and inexpensive parent-report of ASD severity. En ligne : http://dx.doi.org/10.1007/s10803-019-03886-5 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=393 [article] The Role of Choice and Control in the Impact of Autism Waiver Services on Family Quality of Life and Child Progress [Texte imprimé et/ou numérique] / K. G. ESKOW, Auteur ; Gregory S. CHASSON, Auteur ; J. A. SUMMERS, Auteur . - p.2035-2048. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 49-5 (May 2019) . - p.2035-2048 Mots-clés : Autism services  Family quality of life  Home and Community-Based Services Waiver  Medicaid Index. décimale : PER Périodiques Résumé : Home and Community-Based Services (HCBS) Waivers provide support and services to families with a child/youth with autism spectrum disorder (ASD). Research indicates HCBS Waivers are positively related to family quality of life (FQoL) and Child Progress. This study replicated and expanded prior research using propensity score matching of 460 families. Results support prior findings that HCBS waivers have a positive impact on FQoL and aspects of child progress. This study also found that having choices in the selection of services and service providers, as well as control over day-to-day provision of services, strengthened both the child and family impacts of the Waiver services. In addition, the study provides preliminary evidence for psychometric properties of a quick and inexpensive parent-report of ASD severity. En ligne : http://dx.doi.org/10.1007/s10803-019-03886-5 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=393

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