Designing Autism Spectrum Disorder Interventions for Community Implementation: Addressing Children?s Challenging Behaviors in Publicly Funded Mental Health Services / Amy DRAHOTA ; Colby CHLEBOWSKI ; Yael KOENIG ; Katherine Nguyen WILLIAMS ; Barry HILL ; Julie MCPHERSON

Public ISBD in The Oxford Handbook of Autism and Co-Occurring Psychiatric Conditions / Susan W. WHITE Titre : Designing Autism Spectrum Disorder Interventions for Community Implementation: Addressing Children?s Challenging Behaviors in Publicly Funded Mental Health Services Type de document : Texte imprimé et/ou numérique Auteurs : Amy DRAHOTA, Auteur ; Colby CHLEBOWSKI, Auteur ; Yael KOENIG, Auteur ; Katherine Nguyen WILLIAMS, Auteur ; Barry HILL, Auteur ; Julie MCPHERSON, Auteur Année de publication : 2020 Importance : p.409-421 Langues : Anglais (eng) Index. décimale : AUT-B AUT-B - L'Autisme - Ouvrages généraux et scientifiques Résumé : There are well-documented gaps between evidence-based interventions (EBIs) developed and tested in controlled research settings and those delivered in routine, community-based care. The field of implementation science has developed in response to identified gaps to study methods to promote the uptake and sustainment of EBIs in community care. Community mental health (MH) services play an important role in caring for individuals with autism spectrum disorder (ASD) across the lifespan who have co-occurring psychiatric conditions. This chapter summarizes over a decade of community-engaged research aimed to (a) characterize MH services for children with ASD, including the training needs of therapists and clinical needs of children with ASD receiving care; (b) develop the AIM HI (An Individualized Mental Health Intervention for ASD) intervention, a package of well-established, evidence-based behavioral strategies designed to reduce challenging behaviors in children served in MH service settings; (c) test the impact of training therapists to deliver AIM HI on child outcomes; (d) identify potential influences on implementation; and (e) test the impact of different implementation strategies to enhance therapist delivery of AIM HI. The chapter includes directions for future research including applying the AIM HI development model to older individuals with ASD and other community service systems and integrating implementation science approaches earlier in the pipeline of research-to-practice translation. Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=528 in The Oxford Handbook of Autism and Co-Occurring Psychiatric Conditions / Susan W. WHITE Designing Autism Spectrum Disorder Interventions for Community Implementation: Addressing Children?s Challenging Behaviors in Publicly Funded Mental Health Services [Texte imprimé et/ou numérique] / Amy DRAHOTA, Auteur ; Colby CHLEBOWSKI, Auteur ; Yael KOENIG, Auteur ; Katherine Nguyen WILLIAMS, Auteur ; Barry HILL, Auteur ; Julie MCPHERSON, Auteur . - 2020 . - p.409-421. Langues : Anglais (eng) Index. décimale : AUT-B AUT-B - L'Autisme - Ouvrages généraux et scientifiques Résumé : There are well-documented gaps between evidence-based interventions (EBIs) developed and tested in controlled research settings and those delivered in routine, community-based care. The field of implementation science has developed in response to identified gaps to study methods to promote the uptake and sustainment of EBIs in community care. Community mental health (MH) services play an important role in caring for individuals with autism spectrum disorder (ASD) across the lifespan who have co-occurring psychiatric conditions. This chapter summarizes over a decade of community-engaged research aimed to (a) characterize MH services for children with ASD, including the training needs of therapists and clinical needs of children with ASD receiving care; (b) develop the AIM HI (An Individualized Mental Health Intervention for ASD) intervention, a package of well-established, evidence-based behavioral strategies designed to reduce challenging behaviors in children served in MH service settings; (c) test the impact of training therapists to deliver AIM HI on child outcomes; (d) identify potential influences on implementation; and (e) test the impact of different implementation strategies to enhance therapist delivery of AIM HI. The chapter includes directions for future research including applying the AIM HI development model to older individuals with ASD and other community service systems and integrating implementation science approaches earlier in the pipeline of research-to-practice translation. Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=528

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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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