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

The effectiveness of training community mental health therapists in an evidence-based intervention for ASD: Findings from a hybrid effectiveness-implementation trial in outpatient and school-based mental health services / Lauren BROOKMAN-FRAZEE in Autism, 26-3 (April 2022)  

Public ISBD [article]  inAutism > 26-3 (April 2022) . - p.678-689 Titre : The effectiveness of training community mental health therapists in an evidence-based intervention for ASD: Findings from a hybrid effectiveness-implementation trial in outpatient and school-based mental health services Type de document : Texte imprimé et/ou numérique Auteurs : Lauren BROOKMAN-FRAZEE, Auteur ; Colby CHLEBOWSKI, Auteur ; Miguel VILLODAS, Auteur ; Ann GARLAND, Auteur ; Julie MCPHERSON, Auteur ; Yael KOENIG, Auteur ; Scott ROESCH, Auteur Article en page(s) : p.678-689 Langues : Anglais (eng) Mots-clés : Autism Spectrum Disorder/psychology/therapy  Child  Evidence-Based Medicine  Humans  Mental Health  Outpatients  School Mental Health Services  EBI strategy delivery  autism spectrum disorder  children?s mental health services  community effectiveness trial  therapist training Index. décimale : PER Périodiques Résumé : Publicly funded mental health services play an important role in caring for school-age children with autism spectrum disorder (ASD); however, therapists report a lack of specialized ASD training, which families identity as a barrier in obtaining mental health services for their children. An Individualized Mental Health Intervention for ASD (AIM HI) was developed in collaboration with community stakeholders to respond to identified needs of children and community therapists. The current study examined the effects of therapist training in AIM HI on the changes in therapist practice, including therapists' use of evidence-based intervention strategies in session. Data were collected from a study conducted in community outpatient and school based mental health programs randomly assigned to receive AIM HI therapist training or observation of routine care. Therapist and child clients were enrolled from participating programs. Therapists in AIM HI training received training and consultation for 6?months while delivering the AIM HI intervention to a participating client; therapists in usual care delivered routine care. Both groups of therapists video recorded psychotherapy sessions which were scored by trained raters. Differences between training groups were examined using multilevel modeling. Therapists trained in AIM HI were observed to use more extensive active teaching strategies with caregivers, engagement strategies with children, strategies promoting continuity of care, and had more structured sessions with more effective pursuit of caregiver and children skill teaching. Therapist licensure moderated some training outcomes. En ligne : https://dx.doi.org/10.1177/13623613211067844 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=473 [article] The effectiveness of training community mental health therapists in an evidence-based intervention for ASD: Findings from a hybrid effectiveness-implementation trial in outpatient and school-based mental health services [Texte imprimé et/ou numérique] / Lauren BROOKMAN-FRAZEE, Auteur ; Colby CHLEBOWSKI, Auteur ; Miguel VILLODAS, Auteur ; Ann GARLAND, Auteur ; Julie MCPHERSON, Auteur ; Yael KOENIG, Auteur ; Scott ROESCH, Auteur . - p.678-689. Langues : Anglais (eng) in Autism > 26-3 (April 2022) . - p.678-689 Mots-clés : Autism Spectrum Disorder/psychology/therapy  Child  Evidence-Based Medicine  Humans  Mental Health  Outpatients  School Mental Health Services  EBI strategy delivery  autism spectrum disorder  children?s mental health services  community effectiveness trial  therapist training Index. décimale : PER Périodiques Résumé : Publicly funded mental health services play an important role in caring for school-age children with autism spectrum disorder (ASD); however, therapists report a lack of specialized ASD training, which families identity as a barrier in obtaining mental health services for their children. An Individualized Mental Health Intervention for ASD (AIM HI) was developed in collaboration with community stakeholders to respond to identified needs of children and community therapists. The current study examined the effects of therapist training in AIM HI on the changes in therapist practice, including therapists' use of evidence-based intervention strategies in session. Data were collected from a study conducted in community outpatient and school based mental health programs randomly assigned to receive AIM HI therapist training or observation of routine care. Therapist and child clients were enrolled from participating programs. Therapists in AIM HI training received training and consultation for 6?months while delivering the AIM HI intervention to a participating client; therapists in usual care delivered routine care. Both groups of therapists video recorded psychotherapy sessions which were scored by trained raters. Differences between training groups were examined using multilevel modeling. Therapists trained in AIM HI were observed to use more extensive active teaching strategies with caregivers, engagement strategies with children, strategies promoting continuity of care, and had more structured sessions with more effective pursuit of caregiver and children skill teaching. Therapist licensure moderated some training outcomes. En ligne : https://dx.doi.org/10.1177/13623613211067844 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=473

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