Assessing and Managing Suicide Risk in Autistic Youth: Findings from a Clinician Survey in a Pediatric Psychiatric Emergency Setting / Paige E. CERVANTES in Journal of Autism and Developmental Disorders, 53-5 (May 2023)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 53-5 (May 2023) . - p.1755-1763 Titre : Assessing and Managing Suicide Risk in Autistic Youth: Findings from a Clinician Survey in a Pediatric Psychiatric Emergency Setting Type de document : Texte imprimé et/ou numérique Auteurs : Paige E. CERVANTES, Auteur ; Annie LI, Auteur ; Katherine A. SULLIVAN, Auteur ; Dana E. M. SEAG, Auteur ; Argelinda BARONI, Auteur ; Sarah M. HORWITZ, Auteur Article en page(s) : p.1755-1763 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : Suicidal thoughts and behaviors (STB) and emergency department (ED) utilization are prevalent in autistic youth. The current study surveyed clinicians in a pediatric psychiatric ED to examine differences in attitudes on suicide-related care for autistic and non-autistic patient populations. While clinicians rated addressing STB in ASD as important and adaptations to care as necessary, less than half identified ASD as a suicide risk factor and confidence ratings were significantly lower for autistic patients. Previous ASD training predicted confidence and accounted for approximately 25% of the variance in confidence scores. Findings highlight the urgency to develop and disseminate ED clinician training, and address the lack of validated assessment tools, adapted suicide prevention practices, and evidence-based treatments for STB in autistic youth. En ligne : https://doi.org/10.1007/s10803-022-05448-8 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=500 [article] Assessing and Managing Suicide Risk in Autistic Youth: Findings from a Clinician Survey in a Pediatric Psychiatric Emergency Setting [Texte imprimé et/ou numérique] / Paige E. CERVANTES, Auteur ; Annie LI, Auteur ; Katherine A. SULLIVAN, Auteur ; Dana E. M. SEAG, Auteur ; Argelinda BARONI, Auteur ; Sarah M. HORWITZ, Auteur . - p.1755-1763. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 53-5 (May 2023) . - p.1755-1763 Index. décimale : PER Périodiques Résumé : Suicidal thoughts and behaviors (STB) and emergency department (ED) utilization are prevalent in autistic youth. The current study surveyed clinicians in a pediatric psychiatric ED to examine differences in attitudes on suicide-related care for autistic and non-autistic patient populations. While clinicians rated addressing STB in ASD as important and adaptations to care as necessary, less than half identified ASD as a suicide risk factor and confidence ratings were significantly lower for autistic patients. Previous ASD training predicted confidence and accounted for approximately 25% of the variance in confidence scores. Findings highlight the urgency to develop and disseminate ED clinician training, and address the lack of validated assessment tools, adapted suicide prevention practices, and evidence-based treatments for STB in autistic youth. En ligne : https://doi.org/10.1007/s10803-022-05448-8 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=500

Mental health service availability for autistic youth in New York City: An examination of the developmental disability and mental health service systems / Paige E CERVANTES in Autism, 27-3 (April 2023)  

Public ISBD [article]  inAutism > 27-3 (April 2023) . - p.704-713 Titre : Mental health service availability for autistic youth in New York City: An examination of the developmental disability and mental health service systems Type de document : Texte imprimé et/ou numérique Auteurs : Paige E CERVANTES, Auteur ; Greta R CONLON, Auteur ; Dana E. M. SEAG, Auteur ; Michael FEDER, Auteur ; Qortni LANG, Auteur ; Samantha MERIL, Auteur ; Argelinda BARONI, Auteur ; Annie LI, Auteur ; Kimberly E HOAGWOOD, Auteur ; Sarah M HORWITZ, Auteur Article en page(s) : p.704-713 Langues : Anglais (eng) Mots-clés : autism spectrum disorder,community services,mental health,service systems Index. décimale : PER Périodiques Résumé : Psychiatric conditions are common in autism; however, a multitude of barriers exist in accessing community-based mental health care for autistic youth. Perhaps the first and most formidable barrier is identifying a provider that offers mental health treatment to autistic youth within the many service systems involved in supporting the autism community. These systems typically function independently of one another, contributing to the complexity of accessing services. To identify gaps caused by New York?s multisystem care model for autistic youth, and as part of a larger quality improvement initiative to advance suicide risk management in several New York City emergency departments, we conducted a telephone survey to identify outpatient mental health service availability for autistic youth with depressive symptoms or suicidal thoughts or behaviors in New York City across the state?s mental health and developmental disability systems. Results demonstrated that while a greater proportion of clinics in the mental health system compared with agencies in the developmental disability system offered outpatient mental health services to autistic youth (47.1% vs 25.0%), there is remarkably limited service availability overall. Efforts to reduce these care inequities through policy reform and improving workforce capacity are urgently needed.Lay abstractAutistic children and adolescents experience high rates of co-occurring mental health conditions, including depression and suicidality, which are frequently identified by stakeholders as treatment priorities. Unfortunately, accessing community-based mental health care is often difficult for autistic youth and their families. The first obstacle families confront is finding a provider that offers mental health treatment to autistic youth within the many service systems involved in supporting the autism community. The mental health and developmental disability systems are two of the most commonly accessed, and previous work has shown there is often confusion over which of these systems is responsible for providing mental health care to autistic individuals. In this study, we conducted a telephone survey to determine the availability of outpatient mental health services for autistic youth with depressive symptoms or suicidal thoughts or behaviors in New York City across the state?s mental health and developmental disability systems. Results showed that while a greater percentage of clinics in the mental health system compared with in the developmental disability system offered outpatient mental health services to autistic youth (47.1% vs 25.0%), many more did not offer care to autistic youth and there were very few options overall. Therefore, it is important that changes to policy are made to increase the availability of services and that mental health care providers' knowledge and confidence in working with autistic youth are improved. En ligne : https://doi.org/10.1177/13623613221112202 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=499 [article] Mental health service availability for autistic youth in New York City: An examination of the developmental disability and mental health service systems [Texte imprimé et/ou numérique] / Paige E CERVANTES, Auteur ; Greta R CONLON, Auteur ; Dana E. M. SEAG, Auteur ; Michael FEDER, Auteur ; Qortni LANG, Auteur ; Samantha MERIL, Auteur ; Argelinda BARONI, Auteur ; Annie LI, Auteur ; Kimberly E HOAGWOOD, Auteur ; Sarah M HORWITZ, Auteur . - p.704-713. Langues : Anglais (eng) in Autism > 27-3 (April 2023) . - p.704-713 Mots-clés : autism spectrum disorder,community services,mental health,service systems Index. décimale : PER Périodiques Résumé : Psychiatric conditions are common in autism; however, a multitude of barriers exist in accessing community-based mental health care for autistic youth. Perhaps the first and most formidable barrier is identifying a provider that offers mental health treatment to autistic youth within the many service systems involved in supporting the autism community. These systems typically function independently of one another, contributing to the complexity of accessing services. To identify gaps caused by New York?s multisystem care model for autistic youth, and as part of a larger quality improvement initiative to advance suicide risk management in several New York City emergency departments, we conducted a telephone survey to identify outpatient mental health service availability for autistic youth with depressive symptoms or suicidal thoughts or behaviors in New York City across the state?s mental health and developmental disability systems. Results demonstrated that while a greater proportion of clinics in the mental health system compared with agencies in the developmental disability system offered outpatient mental health services to autistic youth (47.1% vs 25.0%), there is remarkably limited service availability overall. Efforts to reduce these care inequities through policy reform and improving workforce capacity are urgently needed.Lay abstractAutistic children and adolescents experience high rates of co-occurring mental health conditions, including depression and suicidality, which are frequently identified by stakeholders as treatment priorities. Unfortunately, accessing community-based mental health care is often difficult for autistic youth and their families. The first obstacle families confront is finding a provider that offers mental health treatment to autistic youth within the many service systems involved in supporting the autism community. The mental health and developmental disability systems are two of the most commonly accessed, and previous work has shown there is often confusion over which of these systems is responsible for providing mental health care to autistic individuals. In this study, we conducted a telephone survey to determine the availability of outpatient mental health services for autistic youth with depressive symptoms or suicidal thoughts or behaviors in New York City across the state?s mental health and developmental disability systems. Results showed that while a greater percentage of clinics in the mental health system compared with in the developmental disability system offered outpatient mental health services to autistic youth (47.1% vs 25.0%), many more did not offer care to autistic youth and there were very few options overall. Therefore, it is important that changes to policy are made to increase the availability of services and that mental health care providers' knowledge and confidence in working with autistic youth are improved. En ligne : https://doi.org/10.1177/13623613221112202 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=499

Trends Over a Decade in NIH Funding for Autism Spectrum Disorder Services Research / Paige E. CERVANTES in Journal of Autism and Developmental Disorders, 51-8 (August 2021)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 51-8 (August 2021) . - p.2751-2763 Titre : Trends Over a Decade in NIH Funding for Autism Spectrum Disorder Services Research Type de document : Texte imprimé et/ou numérique Auteurs : Paige E. CERVANTES, Auteur ; M. MATHEIS, Auteur ; J. ESTABILLO, Auteur ; Dana E. M. SEAG, Auteur ; K. L. NELSON, Auteur ; R. PETH-PIERCE, Auteur ; K. E. HOAGWOOD, Auteur ; S. M. HORWITZ, Auteur Article en page(s) : p.2751-2763 Langues : Anglais (eng) Mots-clés : Adolescent  Autism Spectrum Disorder/economics/epidemiology/therapy  Biomedical Research/economics/trends  Child  Child, Preschool  Data Analysis  Female  Financial Management/economics/trends  Humans  Male  National Institutes of Health (U.S.)/economics/trends  Time Factors  United States/epidemiology  ASD policy  ASD services research  Autism spectrum disorder  Community Mental Health Services  Dissemination and implementation  National Institutes of Health (U.S.)  they have no conflict of interest. Index. décimale : PER Périodiques Résumé : Investments in autism spectrum disorder (ASD) research, guided by the Interagency Autism Coordinating Committee (IACC), have focused disproportionately on etiology over a well-established stakeholder priority area: research to improve accessibility and quality of community-based services. This study analyzed National Institutes of Health ASD services research funding from 2008 to 2018 to examine funding patterns, evaluate the impact of IACC objectives, and identify future directions. Approximately 9% of total funds were allocated to services research. This investment remained relatively stable across time and lacked diversity across domains (e.g., area of focus, ages sampled, implementation strategies used). While advancements were observed, including increased prevalence of projects focused on adult samples and on dissemination/implementation and prevention areas, greater investment in service research is critically needed. En ligne : http://dx.doi.org/10.1007/s10803-020-04746-3 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=453 [article] Trends Over a Decade in NIH Funding for Autism Spectrum Disorder Services Research [Texte imprimé et/ou numérique] / Paige E. CERVANTES, Auteur ; M. MATHEIS, Auteur ; J. ESTABILLO, Auteur ; Dana E. M. SEAG, Auteur ; K. L. NELSON, Auteur ; R. PETH-PIERCE, Auteur ; K. E. HOAGWOOD, Auteur ; S. M. HORWITZ, Auteur . - p.2751-2763. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 51-8 (August 2021) . - p.2751-2763 Mots-clés : Adolescent  Autism Spectrum Disorder/economics/epidemiology/therapy  Biomedical Research/economics/trends  Child  Child, Preschool  Data Analysis  Female  Financial Management/economics/trends  Humans  Male  National Institutes of Health (U.S.)/economics/trends  Time Factors  United States/epidemiology  ASD policy  ASD services research  Autism spectrum disorder  Community Mental Health Services  Dissemination and implementation  National Institutes of Health (U.S.)  they have no conflict of interest. Index. décimale : PER Périodiques Résumé : Investments in autism spectrum disorder (ASD) research, guided by the Interagency Autism Coordinating Committee (IACC), have focused disproportionately on etiology over a well-established stakeholder priority area: research to improve accessibility and quality of community-based services. This study analyzed National Institutes of Health ASD services research funding from 2008 to 2018 to examine funding patterns, evaluate the impact of IACC objectives, and identify future directions. Approximately 9% of total funds were allocated to services research. This investment remained relatively stable across time and lacked diversity across domains (e.g., area of focus, ages sampled, implementation strategies used). While advancements were observed, including increased prevalence of projects focused on adult samples and on dissemination/implementation and prevention areas, greater investment in service research is critically needed. En ligne : http://dx.doi.org/10.1007/s10803-020-04746-3 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=453

---

1 (1 - 3 / 3)