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 et/ou numérique Auteurs : Teresa LIND, Auteur ; Anna S. LAU, Auteur ; Christopher GOMEZ, Auteur ; Adriana RODRIGUEZ, Auteur ; Karen GUAN, Auteur ; Colby CHLEBOWSKI, Auteur ; Aimee ZHANG, Auteur ; Bruce 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 et/ou numérique] / Teresa LIND, Auteur ; Anna S. LAU, Auteur ; Christopher GOMEZ, Auteur ; Adriana RODRIGUEZ, Auteur ; Karen GUAN, Auteur ; Colby CHLEBOWSKI, Auteur ; Aimee ZHANG, Auteur ; Bruce 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

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 et/ou numérique 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 et/ou numérique] / 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

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