Caregiver concerns for autistic children differ between publicly funded educational and mental health settings: Findings from a community implementation-effectiveness trial / Aubyn C. STAHMER ; Anna S. LAU ; Lauren BROOKMAN-FRAZEE in Autism, 29-10 (October 2025)  

Public ISBD [article]  inAutism > 29-10 (October 2025) . - p.2438-2450 Titre : Caregiver concerns for autistic children differ between publicly funded educational and mental health settings: Findings from a community implementation-effectiveness trial Type de document : texte imprimé Auteurs : Aubyn C. STAHMER, Auteur ; Anna S. LAU, Auteur ; Lauren BROOKMAN-FRAZEE, Auteur Article en page(s) : p.2438-2450 Langues : Anglais (eng) Mots-clés : autism  caregivers  emotional and behavioral concerns  mental health  school Index. décimale : PER Périodiques Résumé : This study sought to characterize caregiver concerns for autistic children receiving care in two public service systems-schools and mental health programs-and to identify child and family characteristics associated with these concerns. Caregivers of 353 school-age autistic children in mental health services (n = 192) or schools (n = 161) named, in their own words, the top three concerns for their child. A modified version of Weisz et al.'s Top Problem coding system was developed to expand beyond the original codes, capturing child emotional and behavioral problems, autism features, and adaptive behaviors. Most caregivers (61.8%) identified externalizing behaviors like aggression, as well as social differences (36.3%) and attention difficulties (35.4%) as top problems. Caregivers also mentioned autism-specific concerns related to social responsiveness (54.7%). Participant characteristics, including child age and caregiver race/ethnicity, were associated with concerns. Controlling for child age and caregiver ethnicity, concerns differed by setting; caregivers in mental health (vs. school) settings named more externalizing behaviors, while those in school settings named more restricted repetitive behaviors and social differences. Findings highlight the need to implement setting-specific interventions individualized to caregivers' priorities and to ensure opportunities for cross-system coordination.Lay abstract This study explored what concerns caregivers have about their autistic children when receiving care from either mental health programs or schools. Caregivers shared, in their own words, the top three concerns they worry about most for their child. Caregivers had many different concerns, including worries about their child?s emotions and behaviors, autism-related traits, daily living skills, and ability to manage feelings and behavior. The study also found that caregivers' concerns were linked to family characteristics like their child?s age, the caregiver?s race or ethnicity, and how many children live in the home. Caregivers' concerns also differed based on where they were getting help. Caregivers in mental health programs were more likely to worry about challenging behaviors like aggression. Caregivers in school settings were more likely to be concerned about their child?s social skills and repetitive behaviors. These findings help us better understand what caregivers worry about when seeking support for their child. The findings also show why it is important to use the right strategies in each setting to meet the specific needs of caregivers and their children. En ligne : https://dx.doi.org/10.1177/13623613251337536 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=567 [article] Caregiver concerns for autistic children differ between publicly funded educational and mental health settings: Findings from a community implementation-effectiveness trial [texte imprimé] / Aubyn C. STAHMER, Auteur ; Anna S. LAU, Auteur ; Lauren BROOKMAN-FRAZEE, Auteur . - p.2438-2450. Langues : Anglais (eng) in Autism > 29-10 (October 2025) . - p.2438-2450 Mots-clés : autism  caregivers  emotional and behavioral concerns  mental health  school Index. décimale : PER Périodiques Résumé : This study sought to characterize caregiver concerns for autistic children receiving care in two public service systems-schools and mental health programs-and to identify child and family characteristics associated with these concerns. Caregivers of 353 school-age autistic children in mental health services (n = 192) or schools (n = 161) named, in their own words, the top three concerns for their child. A modified version of Weisz et al.'s Top Problem coding system was developed to expand beyond the original codes, capturing child emotional and behavioral problems, autism features, and adaptive behaviors. Most caregivers (61.8%) identified externalizing behaviors like aggression, as well as social differences (36.3%) and attention difficulties (35.4%) as top problems. Caregivers also mentioned autism-specific concerns related to social responsiveness (54.7%). Participant characteristics, including child age and caregiver race/ethnicity, were associated with concerns. Controlling for child age and caregiver ethnicity, concerns differed by setting; caregivers in mental health (vs. school) settings named more externalizing behaviors, while those in school settings named more restricted repetitive behaviors and social differences. Findings highlight the need to implement setting-specific interventions individualized to caregivers' priorities and to ensure opportunities for cross-system coordination.Lay abstract This study explored what concerns caregivers have about their autistic children when receiving care from either mental health programs or schools. Caregivers shared, in their own words, the top three concerns they worry about most for their child. Caregivers had many different concerns, including worries about their child?s emotions and behaviors, autism-related traits, daily living skills, and ability to manage feelings and behavior. The study also found that caregivers' concerns were linked to family characteristics like their child?s age, the caregiver?s race or ethnicity, and how many children live in the home. Caregivers' concerns also differed based on where they were getting help. Caregivers in mental health programs were more likely to worry about challenging behaviors like aggression. Caregivers in school settings were more likely to be concerned about their child?s social skills and repetitive behaviors. These findings help us better understand what caregivers worry about when seeking support for their child. The findings also show why it is important to use the right strategies in each setting to meet the specific needs of caregivers and their children. En ligne : https://dx.doi.org/10.1177/13623613251337536 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=567

Emergent life events in the delivery of a caregiver-mediated evidence-based intervention for children with autism spectrum disorder in publicly funded mental health services / Teresa LIND in Autism, 24-5 (July 2020)  

Public ISBD [article]  inAutism > 24-5 (July 2020) . - p.1286-1299 Titre : Emergent life events in the delivery of a caregiver-mediated evidence-based intervention for children with autism spectrum disorder in publicly funded mental health services Type de document : texte imprimé Auteurs : Teresa LIND, Auteur ; Anna S. LAU, Auteur ; Christopher GOMEZ, Auteur ; Adriana RODRIGUEZ, Auteur ; Karen GUAN, Auteur ; Colby CHLEBOWSKI, Auteur ; Aimee ZHANG, Auteur ; Bruce F. CHORPITA, Auteur ; Lauren BROOKMAN-FRAZEE, Auteur Article en page(s) : p.1286-1299 Langues : Anglais (eng) Mots-clés : autism spectrum disorder  emergent life events  evidence-based intervention  fidelity  implementation  mental health services Index. décimale : PER Périodiques Résumé : Mental health clinicians often report significant challenges when delivering evidence-based interventions (EBI) in community settings, particularly when unexpected client stressors (or emergent life events; ELEs) interfere with the therapy process. The current study sought to extend the study of ELEs to children with Autism Spectrum Disorder (ASD) by examining the occurrence and impact of ELEs in the context of a collaborative, caregiver-mediated intervention for reducing challenging behaviors in children with ASD. This intervention was An Individualized Mental Health Intervention for children with ASD (referred to as AIM HI). Participants included 38 clinicians and child clients who were enrolled in a community effectiveness trial of AIM HI. Video recordings of 100 therapy sessions were coded for caregiver-reported ELEs and also how well clinicians adhered to the AIM HI protocol. Results indicated that mild to severe ELEs were reported in 36% of therapy sessions, and were reported for 58% of children at some point during the intervention. Children who had a greater number of diagnoses (in addition to the autism diagnosis) tended to have more ELEs. In addition, clinicians with less years of experience tended to have sessions with more ELEs. There was no significant link between ELEs and how well clinicians adhered to the AIM HI protocol. Findings offer implications for the implementation of EBI, particularly the importance of incorporating clinician training in addressing complex presentations and crises in the context of EBIs. En ligne : http://dx.doi.org/10.1177/1362361319881084 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=427 [article] Emergent life events in the delivery of a caregiver-mediated evidence-based intervention for children with autism spectrum disorder in publicly funded mental health services [texte imprimé] / Teresa LIND, Auteur ; Anna S. LAU, Auteur ; Christopher GOMEZ, Auteur ; Adriana RODRIGUEZ, Auteur ; Karen GUAN, Auteur ; Colby CHLEBOWSKI, Auteur ; Aimee ZHANG, Auteur ; Bruce F. CHORPITA, Auteur ; Lauren BROOKMAN-FRAZEE, Auteur . - p.1286-1299. Langues : Anglais (eng) in Autism > 24-5 (July 2020) . - p.1286-1299 Mots-clés : autism spectrum disorder  emergent life events  evidence-based intervention  fidelity  implementation  mental health services Index. décimale : PER Périodiques Résumé : Mental health clinicians often report significant challenges when delivering evidence-based interventions (EBI) in community settings, particularly when unexpected client stressors (or emergent life events; ELEs) interfere with the therapy process. The current study sought to extend the study of ELEs to children with Autism Spectrum Disorder (ASD) by examining the occurrence and impact of ELEs in the context of a collaborative, caregiver-mediated intervention for reducing challenging behaviors in children with ASD. This intervention was An Individualized Mental Health Intervention for children with ASD (referred to as AIM HI). Participants included 38 clinicians and child clients who were enrolled in a community effectiveness trial of AIM HI. Video recordings of 100 therapy sessions were coded for caregiver-reported ELEs and also how well clinicians adhered to the AIM HI protocol. Results indicated that mild to severe ELEs were reported in 36% of therapy sessions, and were reported for 58% of children at some point during the intervention. Children who had a greater number of diagnoses (in addition to the autism diagnosis) tended to have more ELEs. In addition, clinicians with less years of experience tended to have sessions with more ELEs. There was no significant link between ELEs and how well clinicians adhered to the AIM HI protocol. Findings offer implications for the implementation of EBI, particularly the importance of incorporating clinician training in addressing complex presentations and crises in the context of EBIs. En ligne : http://dx.doi.org/10.1177/1362361319881084 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=427

Factors Associated with Parent-Child (Dis)agreement on Child Behavior and Parenting Problems in Chinese Immigrant Families / Joey J. FUNG in Journal of Clinical Child & Adolescent Psychology, 39-3 (May-June 2010)  

Public ISBD [article]  inJournal of Clinical Child & Adolescent Psychology > 39-3 (May-June 2010) . - p.314-327 Titre : Factors Associated with Parent-Child (Dis)agreement on Child Behavior and Parenting Problems in Chinese Immigrant Families Type de document : texte imprimé Auteurs : Joey J. FUNG, Auteur ; Anna S. LAU, Auteur Année de publication : 2010 Article en page(s) : p.314-327 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : We examined familial and cultural factors predicting parent-child (dis)agreement on child behavior and parenting problems. Immigrant Chinese parents (89.7% mothers; M age = 44.24 years) and their children (62 boys; 57.9%) between the ages of 9 and 17 years (M = 11.9 years, SD = 2.9) completed measures of parent punitive behavior and child problems. Concordance in item profiles and discrepancies in overall problem levels were assessed. Overall, immigrant parents reported fewer child and parenting problems than did their children. Relationship closeness predicted less disagreement in ratings of child internalizing symptoms and punitive parenting. Parental acculturative stress and parent-child acculturation dissonance predicted more disagreement regarding internalizing problems. The findings highlight potential under-identification of internalizing problems among immigrant Chinese families that may be driven by acculturation processes. En ligne : http://dx.doi.org/10.1080/15374411003691693 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=102 [article] Factors Associated with Parent-Child (Dis)agreement on Child Behavior and Parenting Problems in Chinese Immigrant Families [texte imprimé] / Joey J. FUNG, Auteur ; Anna S. LAU, Auteur . - 2010 . - p.314-327. Langues : Anglais (eng) in Journal of Clinical Child & Adolescent Psychology > 39-3 (May-June 2010) . - p.314-327 Index. décimale : PER Périodiques Résumé : We examined familial and cultural factors predicting parent-child (dis)agreement on child behavior and parenting problems. Immigrant Chinese parents (89.7% mothers; M age = 44.24 years) and their children (62 boys; 57.9%) between the ages of 9 and 17 years (M = 11.9 years, SD = 2.9) completed measures of parent punitive behavior and child problems. Concordance in item profiles and discrepancies in overall problem levels were assessed. Overall, immigrant parents reported fewer child and parenting problems than did their children. Relationship closeness predicted less disagreement in ratings of child internalizing symptoms and punitive parenting. Parental acculturative stress and parent-child acculturation dissonance predicted more disagreement regarding internalizing problems. The findings highlight potential under-identification of internalizing problems among immigrant Chinese families that may be driven by acculturation processes. En ligne : http://dx.doi.org/10.1080/15374411003691693 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=102

Service use by youth with autism within a system-driven implementation of evidence-based practices in children's mental health services / Nicole A. STADNICK in Autism, 24-8 (November 2020)  

Public ISBD [article]  inAutism > 24-8 (November 2020) . - p.2094-2103 Titre : Service use by youth with autism within a system-driven implementation of evidence-based practices in children's mental health services Type de document : texte imprimé Auteurs : Nicole A. STADNICK, Auteur ; Anna S. LAU, Auteur ; Kelsey S. DICKSON, Auteur ; Keri PESANTI, Auteur ; Debbie INNES-GOMBERG, Auteur ; Lauren BROOKMAN-FRAZEE, Auteur Article en page(s) : p.2094-2103 Langues : Anglais (eng) Mots-clés : *autism spectrum disorder  *evidence-based practices  *implementation  *mental health services  *youth Index. décimale : PER Périodiques Résumé : Public mental health systems play an important role in caring for youth with autism spectrum disorder. Like other dually diagnosed populations, youth with autism spectrum disorder may receive services in the context of evidence-based practice implementation efforts within public mental health systems. Little is known about service use patterns within the context of system-driven implementations efforts for this population. This case-control study examined mental health service patterns of 2537 youth with autism spectrum disorder compared to 2537 matched peers receiving care in the Los Angeles County Department of Mental Health, the largest public mental health department in the United States, within the context of a system-driven implementation of multiple evidence-based practices. Although not the primary target of this implementation effort, youth with autism spectrum disorder were served when they met criteria for the services based on their presenting mental health symptoms. Comparative analyses using administrative claims data were conducted to examine differences in mental health utilization patterns and clinical characteristics. Findings revealed significant differences in the volume and duration of mental health services as well as differences in the service type and evidence-based practice delivered between youth with and without autism spectrum disorder. Results provide direction targeting implementation efforts for youth with autism spectrum disorder within a public mental health system care reform. En ligne : http://dx.doi.org/10.1177/1362361320934230 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=431 [article] Service use by youth with autism within a system-driven implementation of evidence-based practices in children's mental health services [texte imprimé] / Nicole A. STADNICK, Auteur ; Anna S. LAU, Auteur ; Kelsey S. DICKSON, Auteur ; Keri PESANTI, Auteur ; Debbie INNES-GOMBERG, Auteur ; Lauren BROOKMAN-FRAZEE, Auteur . - p.2094-2103. Langues : Anglais (eng) in Autism > 24-8 (November 2020) . - p.2094-2103 Mots-clés : *autism spectrum disorder  *evidence-based practices  *implementation  *mental health services  *youth Index. décimale : PER Périodiques Résumé : Public mental health systems play an important role in caring for youth with autism spectrum disorder. Like other dually diagnosed populations, youth with autism spectrum disorder may receive services in the context of evidence-based practice implementation efforts within public mental health systems. Little is known about service use patterns within the context of system-driven implementations efforts for this population. This case-control study examined mental health service patterns of 2537 youth with autism spectrum disorder compared to 2537 matched peers receiving care in the Los Angeles County Department of Mental Health, the largest public mental health department in the United States, within the context of a system-driven implementation of multiple evidence-based practices. Although not the primary target of this implementation effort, youth with autism spectrum disorder were served when they met criteria for the services based on their presenting mental health symptoms. Comparative analyses using administrative claims data were conducted to examine differences in mental health utilization patterns and clinical characteristics. Findings revealed significant differences in the volume and duration of mental health services as well as differences in the service type and evidence-based practice delivered between youth with and without autism spectrum disorder. Results provide direction targeting implementation efforts for youth with autism spectrum disorder within a public mental health system care reform. En ligne : http://dx.doi.org/10.1177/1362361320934230 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=431

---

1 (1 - 4 / 4) Par page : 25 50 100 200