Mental health service utilization in autism spectrum disorders / Jaime BALLARD in Research in Autism Spectrum Disorders, 23 (March 2016)  

Public ISBD [article]  inResearch in Autism Spectrum Disorders > 23 (March 2016) . - p.84-93 Titre : Mental health service utilization in autism spectrum disorders Type de document : texte imprimé Auteurs : Jaime BALLARD, Auteur ; D. Russell CRANE, Auteur ; James M. HARPER, Auteur ; David FAWCETT, Auteur ; Jonathan SANDBERG, Auteur Article en page(s) : p.84-93 Langues : Anglais (eng) Mots-clés : Autism  Cost  Health care  Age  Mental health services Index. décimale : PER Périodiques Résumé : AbstractPurpose The purpose of this study is to examine patterns in autism spectrum disorder (ASD) outpatient mental health services including cost and length of services, return to care rates, and dropout by the presence of commonly co-morbid mental health conditions, modality and provider type. Methodology This study is a longitudinal, retrospective study using administrative data from Cigna, a leading health care insurance provider in the U.S. Participants (n = 1614, ages 1–61) included individuals diagnosed with an ASD from 2001 to 2006, who had claims for outpatient mental health services. Results Across all age groups, the cost and length variables were lowest for family therapy, followed by individual therapy. Mixed therapy (combination of family and individual therapy) was significantly longer and more costly. Rates of dropout and return to care were lowest for mixed therapy. Dropout was significantly higher for children than for adults or adolescents. Among provider types, social workers had the lowest cost among adolescents and the highest return to care rates among adults and counselors had the longest service length and the lowest dropout rates among children. En ligne : http://dx.doi.org/10.1016/j.rasd.2015.12.002 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=282 [article] Mental health service utilization in autism spectrum disorders [texte imprimé] / Jaime BALLARD, Auteur ; D. Russell CRANE, Auteur ; James M. HARPER, Auteur ; David FAWCETT, Auteur ; Jonathan SANDBERG, Auteur . - p.84-93. Langues : Anglais (eng) in Research in Autism Spectrum Disorders > 23 (March 2016) . - p.84-93 Mots-clés : Autism  Cost  Health care  Age  Mental health services Index. décimale : PER Périodiques Résumé : AbstractPurpose The purpose of this study is to examine patterns in autism spectrum disorder (ASD) outpatient mental health services including cost and length of services, return to care rates, and dropout by the presence of commonly co-morbid mental health conditions, modality and provider type. Methodology This study is a longitudinal, retrospective study using administrative data from Cigna, a leading health care insurance provider in the U.S. Participants (n = 1614, ages 1–61) included individuals diagnosed with an ASD from 2001 to 2006, who had claims for outpatient mental health services. Results Across all age groups, the cost and length variables were lowest for family therapy, followed by individual therapy. Mixed therapy (combination of family and individual therapy) was significantly longer and more costly. Rates of dropout and return to care were lowest for mixed therapy. Dropout was significantly higher for children than for adults or adolescents. Among provider types, social workers had the lowest cost among adolescents and the highest return to care rates among adults and counselors had the longest service length and the lowest dropout rates among children. En ligne : http://dx.doi.org/10.1016/j.rasd.2015.12.002 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=282

Respite Care for Single Mothers of Children with Autism Spectrum Disorders / Tina Taylor DYCHES in Journal of Autism and Developmental Disorders, 46-3 (March 2016)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 46-3 (March 2016) . - p.812-824 Titre : Respite Care for Single Mothers of Children with Autism Spectrum Disorders Type de document : texte imprimé Auteurs : Tina Taylor DYCHES, Auteur ; Ruthann CHRISTENSEN, Auteur ; James M. HARPER, Auteur ; Barbara MANDLECO, Auteur ; Susanne OLSEN ROPER, Auteur Article en page(s) : p.812-824 Langues : Anglais (eng) Mots-clés : Autism  Caregiver burden  Depression  Single mothers  Respite care  Stress  Uplifts Index. décimale : PER Périodiques Résumé : Single mothers of children with autism spectrum disorders are rarely studied, yet they may experience unique stressors. Researchers asked 122 single mothers to complete questionnaires concerning respite care, daily hassles/uplifts, depression, and caregiver burden. More than half (59.8 %) accessed respite care, which was provided for 1 h per day, often by multiple sources (41 %), such as grandparents and community agencies; most were satisfied with this care. Most mothers (77 %) were at risk for clinical depression. While uplifts were negatively correlated with depression, hassles and caregiver burden were positively correlated with depression. Respite care was positively related to daily uplifts, and uplifts mediated the relationship between respite care and depression. Recommendations for researchers, policymakers, and school personnel are offered. En ligne : http://dx.doi.org/10.1007/s10803-015-2618-z Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=281 [article] Respite Care for Single Mothers of Children with Autism Spectrum Disorders [texte imprimé] / Tina Taylor DYCHES, Auteur ; Ruthann CHRISTENSEN, Auteur ; James M. HARPER, Auteur ; Barbara MANDLECO, Auteur ; Susanne OLSEN ROPER, Auteur . - p.812-824. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 46-3 (March 2016) . - p.812-824 Mots-clés : Autism  Caregiver burden  Depression  Single mothers  Respite care  Stress  Uplifts Index. décimale : PER Périodiques Résumé : Single mothers of children with autism spectrum disorders are rarely studied, yet they may experience unique stressors. Researchers asked 122 single mothers to complete questionnaires concerning respite care, daily hassles/uplifts, depression, and caregiver burden. More than half (59.8 %) accessed respite care, which was provided for 1 h per day, often by multiple sources (41 %), such as grandparents and community agencies; most were satisfied with this care. Most mothers (77 %) were at risk for clinical depression. While uplifts were negatively correlated with depression, hassles and caregiver burden were positively correlated with depression. Respite care was positively related to daily uplifts, and uplifts mediated the relationship between respite care and depression. Recommendations for researchers, policymakers, and school personnel are offered. En ligne : http://dx.doi.org/10.1007/s10803-015-2618-z Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=281

Respite Care, Marital Quality, and Stress in Parents of Children with Autism Spectrum Disorders / Amber HARPER in Journal of Autism and Developmental Disorders, 43-11 (November 2013)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 43-11 (November 2013) . - p.2604-2616 Titre : Respite Care, Marital Quality, and Stress in Parents of Children with Autism Spectrum Disorders Type de document : texte imprimé Auteurs : Amber HARPER, Auteur ; Tina Taylor DYCHES, Auteur ; James M. HARPER, Auteur ; Susanne OLSEN ROPER, Auteur ; Mikle SOUTH, Auteur Article en page(s) : p.2604-2616 Langues : Anglais (eng) Mots-clés : Autism spectrum disorders  Marital quality  Respite  Social support  Stress  Mothers and fathers Index. décimale : PER Périodiques Résumé : Parents of children with autism spectrum disorders (ASD) are at risk for having higher stress and lower marital quality than other parents. Survey data regarding respite care, marital quality, and daily hassles and uplifts were obtained from 101 mother-father dyads who were together raising at least one child with ASD (total # of children = 118). Number of hours of respite care was positively related to improved marital quality for both husbands and wives, such that a 1-h increase in weekly respite care was associated with a one-half standard deviation increase in marital quality. This relationship was significantly mediated by perceived daily stresses and uplifts in both husbands and wives. More respite care was associated with increased uplifts and reduced stress; increased uplifts were associated with improved marital quality; and more stress was associated with reduced marital quality. The number of children in the family was associated with greater stress, and reduced relational quality and daily uplifts. Results suggest policymakers and practitioners should develop supports for providing respite for families raising children with ASD. En ligne : http://dx.doi.org/10.1007/s10803-013-1812-0 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=217 [article] Respite Care, Marital Quality, and Stress in Parents of Children with Autism Spectrum Disorders [texte imprimé] / Amber HARPER, Auteur ; Tina Taylor DYCHES, Auteur ; James M. HARPER, Auteur ; Susanne OLSEN ROPER, Auteur ; Mikle SOUTH, Auteur . - p.2604-2616. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 43-11 (November 2013) . - p.2604-2616 Mots-clés : Autism spectrum disorders  Marital quality  Respite  Social support  Stress  Mothers and fathers Index. décimale : PER Périodiques Résumé : Parents of children with autism spectrum disorders (ASD) are at risk for having higher stress and lower marital quality than other parents. Survey data regarding respite care, marital quality, and daily hassles and uplifts were obtained from 101 mother-father dyads who were together raising at least one child with ASD (total # of children = 118). Number of hours of respite care was positively related to improved marital quality for both husbands and wives, such that a 1-h increase in weekly respite care was associated with a one-half standard deviation increase in marital quality. This relationship was significantly mediated by perceived daily stresses and uplifts in both husbands and wives. More respite care was associated with increased uplifts and reduced stress; increased uplifts were associated with improved marital quality; and more stress was associated with reduced marital quality. The number of children in the family was associated with greater stress, and reduced relational quality and daily uplifts. Results suggest policymakers and practitioners should develop supports for providing respite for families raising children with ASD. En ligne : http://dx.doi.org/10.1007/s10803-013-1812-0 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=217

Respite Care, Stress, Uplifts, and Marital Quality in Parents of Children with Down Syndrome / Michelle NORTON in Journal of Autism and Developmental Disorders, 46-12 (December 2016)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 46-12 (December 2016) . - p.3700-3711 Titre : Respite Care, Stress, Uplifts, and Marital Quality in Parents of Children with Down Syndrome Type de document : texte imprimé Auteurs : Michelle NORTON, Auteur ; Tina Taylor DYCHES, Auteur ; James M. HARPER, Auteur ; Susanne OLSEN ROPER, Auteur ; Paul CALDARELLA, Auteur Article en page(s) : p.3700-3711 Langues : Anglais (eng) Mots-clés : Actor-partner interdependence model: Down syndrome  Respite care  Marital quality  Stress  Uplifts  Structural equation modeling Index. décimale : PER Périodiques Résumé : Parents of children with disabilities are at risk for high stress and low marital quality; therefore, this study surveyed couples (n = 112) of children with Down syndrome (n = 120), assessing whether respite hours, stress, and uplifts were related to marital quality. Structural equation modeling indicated that respite hours were negatively related to wife/husband stress, which was in turn negatively related to wife/husband marital quality. Also, wife uplifts were positively related to both wife and husband marital quality. Husband uplifts were positively related to husband marital quality. Therefore, it is important that respite care is provided and accessible to parents of children with Down syndrome. En ligne : http://dx.doi.org/10.1007/s10803-016-2902-6 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=297 [article] Respite Care, Stress, Uplifts, and Marital Quality in Parents of Children with Down Syndrome [texte imprimé] / Michelle NORTON, Auteur ; Tina Taylor DYCHES, Auteur ; James M. HARPER, Auteur ; Susanne OLSEN ROPER, Auteur ; Paul CALDARELLA, Auteur . - p.3700-3711. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 46-12 (December 2016) . - p.3700-3711 Mots-clés : Actor-partner interdependence model: Down syndrome  Respite care  Marital quality  Stress  Uplifts  Structural equation modeling Index. décimale : PER Périodiques Résumé : Parents of children with disabilities are at risk for high stress and low marital quality; therefore, this study surveyed couples (n = 112) of children with Down syndrome (n = 120), assessing whether respite hours, stress, and uplifts were related to marital quality. Structural equation modeling indicated that respite hours were negatively related to wife/husband stress, which was in turn negatively related to wife/husband marital quality. Also, wife uplifts were positively related to both wife and husband marital quality. Husband uplifts were positively related to husband marital quality. Therefore, it is important that respite care is provided and accessible to parents of children with Down syndrome. En ligne : http://dx.doi.org/10.1007/s10803-016-2902-6 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=297

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