Intensive services for behavior reduction: Comparison of autistic individuals with and without moderate-to-profound intellectual disabilities / Summer BOTTINI in Research in Autism, 130 (February 2026)  

Public ISBD [article]  inResearch in Autism > 130 (February 2026) . - p.202775 Titre : Intensive services for behavior reduction: Comparison of autistic individuals with and without moderate-to-profound intellectual disabilities Type de document : texte imprimé Auteurs : Summer BOTTINI, Auteur ; Meara MCMAHON, Auteur ; Sarah K. SLOCUM, Auteur ; Taylor COOK, Auteur ; Mindy SCHEITHAUER, Auteur Article en page(s) : p.202775 Langues : Anglais (eng) Mots-clés : Profound autism  Behavioral intervention  ABA  Intellectual disability Index. décimale : PER Périodiques Résumé : The intersection of autism, low cognitive ability, and low adaptive skills increases risk for behavioral concerns that impact safety, limit independence, and lead to decrements in quality of life for a child and their family. Despite known differences in service needs between autistic youth with moderate to profound intellectual disability (AS + mID) and those without (AS), it is not yet known whether there are differences in the effectiveness of interventions to address behavioral concerns between these groups. The present study is an exploratory analysis of whether differences exist with respect to behavioral presentation at treatment onset, behavioral procedures needed for a therapeutic reduction, and intervention outcomes. This secondary analysis of a chart review examined 40 clients (22 AS + mID, 18 AS Group) who received intensive outpatient services for severe behavioral concerns between 2020 and 2023. Although no differences in intervention outcome emerged, individuals categorized with AS + mID had a significantly higher likelihood of intrusive procedures within their final treatment package compared to the AS group. There were also nuanced differences in behavioral presentation at the outset of treatment. Specifically, several individuals categorized with AS + mID displayed alarmingly high baseline rates of targeted behavior to a degree not observed in the AS group. These findings suggest that although behavioral intervention may achieve comparable outcomes between groups, additional research is needed in this subpopulation to decrease the need for intrusive procedures. En ligne : https://doi.org/10.1016/j.reia.2025.202775 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=579 [article] Intensive services for behavior reduction: Comparison of autistic individuals with and without moderate-to-profound intellectual disabilities [texte imprimé] / Summer BOTTINI, Auteur ; Meara MCMAHON, Auteur ; Sarah K. SLOCUM, Auteur ; Taylor COOK, Auteur ; Mindy SCHEITHAUER, Auteur . - p.202775. Langues : Anglais (eng) in Research in Autism > 130 (February 2026) . - p.202775 Mots-clés : Profound autism  Behavioral intervention  ABA  Intellectual disability Index. décimale : PER Périodiques Résumé : The intersection of autism, low cognitive ability, and low adaptive skills increases risk for behavioral concerns that impact safety, limit independence, and lead to decrements in quality of life for a child and their family. Despite known differences in service needs between autistic youth with moderate to profound intellectual disability (AS + mID) and those without (AS), it is not yet known whether there are differences in the effectiveness of interventions to address behavioral concerns between these groups. The present study is an exploratory analysis of whether differences exist with respect to behavioral presentation at treatment onset, behavioral procedures needed for a therapeutic reduction, and intervention outcomes. This secondary analysis of a chart review examined 40 clients (22 AS + mID, 18 AS Group) who received intensive outpatient services for severe behavioral concerns between 2020 and 2023. Although no differences in intervention outcome emerged, individuals categorized with AS + mID had a significantly higher likelihood of intrusive procedures within their final treatment package compared to the AS group. There were also nuanced differences in behavioral presentation at the outset of treatment. Specifically, several individuals categorized with AS + mID displayed alarmingly high baseline rates of targeted behavior to a degree not observed in the AS group. These findings suggest that although behavioral intervention may achieve comparable outcomes between groups, additional research is needed in this subpopulation to decrease the need for intrusive procedures. En ligne : https://doi.org/10.1016/j.reia.2025.202775 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=579

Prevalence and Predictors of Missed Appointments Within an Outpatient Behavioral Clinic for Autistic Children / Summer BOTTINI in Journal of Autism and Developmental Disorders, 56-7 (July 2026)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 56-7 (July 2026) . - p.2710-2720 Titre : Prevalence and Predictors of Missed Appointments Within an Outpatient Behavioral Clinic for Autistic Children Type de document : texte imprimé Auteurs : Summer BOTTINI, Auteur ; Laura JOHNSON, Auteur ; Makayla MCGINNIS, Auteur ; Mindy SCHEITHAUER, Auteur Article en page(s) : p.2710-2720 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : Missed appointments are detrimental to the healthcare system and to the clients themselves. Autistic youth may be particularly impacted due to unique service needs and limited services available within the system. To date, there is limited literature specific to treatment attendance in autistic populations receiving behavioral services. This study examines prevalence, predictors of, and reasons for missed appointments in an outpatient clinic specializing in addressing behavioral concerns. This retrospective case review examines missed appointments in a sample of 306 autistic youths from an outpatient clinic from 2019 to 2022. An average of 5.2 appointments were cancelled and 9.0 were completed, resulting in an average individual cancellation rate of 38%. Statistically significant predictors of no shows and patient cancellations were younger age and a post-COVID appointment. The most common reasons for missed appointments was sickness, scheduling conflict, insurance authorization issues, and family emergency. Missed appointments may be common in outpatient behavioral settings for autistic youth. Resolving issues related to cancellations (e.g., sleep concerns), identifying families in need of targeted support strategies (e.g., assistance and flexibility with scheduling, transportation support), and advocating for systemic change may help meet the multifaceted needs of this population. En ligne : https://doi.org/10.1007/s10803-025-06752-9 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=591 [article] Prevalence and Predictors of Missed Appointments Within an Outpatient Behavioral Clinic for Autistic Children [texte imprimé] / Summer BOTTINI, Auteur ; Laura JOHNSON, Auteur ; Makayla MCGINNIS, Auteur ; Mindy SCHEITHAUER, Auteur . - p.2710-2720. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 56-7 (July 2026) . - p.2710-2720 Index. décimale : PER Périodiques Résumé : Missed appointments are detrimental to the healthcare system and to the clients themselves. Autistic youth may be particularly impacted due to unique service needs and limited services available within the system. To date, there is limited literature specific to treatment attendance in autistic populations receiving behavioral services. This study examines prevalence, predictors of, and reasons for missed appointments in an outpatient clinic specializing in addressing behavioral concerns. This retrospective case review examines missed appointments in a sample of 306 autistic youths from an outpatient clinic from 2019 to 2022. An average of 5.2 appointments were cancelled and 9.0 were completed, resulting in an average individual cancellation rate of 38%. Statistically significant predictors of no shows and patient cancellations were younger age and a post-COVID appointment. The most common reasons for missed appointments was sickness, scheduling conflict, insurance authorization issues, and family emergency. Missed appointments may be common in outpatient behavioral settings for autistic youth. Resolving issues related to cancellations (e.g., sleep concerns), identifying families in need of targeted support strategies (e.g., assistance and flexibility with scheduling, transportation support), and advocating for systemic change may help meet the multifaceted needs of this population. En ligne : https://doi.org/10.1007/s10803-025-06752-9 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=591

Qualitative Exploration and Proof of Concept Toward the Development of the Burnout Assessment for Developmental Disability Settings (BADDS) for Behavioral Health Providers / Summer BOTTINI in Journal of Autism and Developmental Disorders, 56-6 (June 2026)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 56-6 (June 2026) . - p.2448-2460 Titre : Qualitative Exploration and Proof of Concept Toward the Development of the Burnout Assessment for Developmental Disability Settings (BADDS) for Behavioral Health Providers Type de document : texte imprimé Auteurs : Summer BOTTINI, Auteur ; Jennifer GILLIS MATTSON, Auteur ; Jessica HERROD, Auteur ; Cynthia SINHA, Auteur ; Mindy SCHEITHAUER, Auteur ; Joanna Lomas MEVERS, Auteur ; Lawrence SCAHILL, Auteur Article en page(s) : p.2448-2460 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : The present evaluation aimed to begin development of a survey tool for measuring workplace stressors specific to behavioral health providers in clinical settings for autism and related developmental disabilities: the Burnout Assessment for Developmental Disability Settings (BADDS). BADDS development was guided by Patient-Reported Outcomes Measurement Information System (PROMIS®; Cella et al., (Journal of Clinical Epidemiology, 63(11), 1179–1194, 2010) procedures. We used a qualitative analysis to define the target conceptual model (Phase 1). Using the analysis and reported lived experiences, we generated individual items for the BADDS. We then piloted these items in an online survey study to examine correlations with established measures of burnout (Phase 2). Finally, we used a modified Delphi approach to refine items with an expert panel, resulting in a preliminary item pool for the BADDS (Phase 3). Qualitative interviews produced a framework of four themes and nine sub-themes for analysis. Initial items were written across each theme and sub-theme. Findings from preliminary psychometric evaluation in Phase 2 demonstrated promising internal consistency, score stability, and positive associations with validated measures of burnout level. Finally in Phase 3, an expert panel edited items for relevance and clarity across three iterations of feedback. Though further analysis is needed, the BADDS tool has the potential to provide a conceptual analysis of burnout by identifying workplace stressors impacting behavioral health providers in autism service settings. This is in contrast to existing measures that solely inquire burnout level, but do not identify causes of job stress. Organizations may develop more effective strategies for mitigating burnout within their specific setting by incorporating assessments such as the BADDS into burnout interventions for providers. En ligne : https://doi.org/10.1007/s10803-025-06728-9 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=588 [article] Qualitative Exploration and Proof of Concept Toward the Development of the Burnout Assessment for Developmental Disability Settings (BADDS) for Behavioral Health Providers [texte imprimé] / Summer BOTTINI, Auteur ; Jennifer GILLIS MATTSON, Auteur ; Jessica HERROD, Auteur ; Cynthia SINHA, Auteur ; Mindy SCHEITHAUER, Auteur ; Joanna Lomas MEVERS, Auteur ; Lawrence SCAHILL, Auteur . - p.2448-2460. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 56-6 (June 2026) . - p.2448-2460 Index. décimale : PER Périodiques Résumé : The present evaluation aimed to begin development of a survey tool for measuring workplace stressors specific to behavioral health providers in clinical settings for autism and related developmental disabilities: the Burnout Assessment for Developmental Disability Settings (BADDS). BADDS development was guided by Patient-Reported Outcomes Measurement Information System (PROMIS®; Cella et al., (Journal of Clinical Epidemiology, 63(11), 1179–1194, 2010) procedures. We used a qualitative analysis to define the target conceptual model (Phase 1). Using the analysis and reported lived experiences, we generated individual items for the BADDS. We then piloted these items in an online survey study to examine correlations with established measures of burnout (Phase 2). Finally, we used a modified Delphi approach to refine items with an expert panel, resulting in a preliminary item pool for the BADDS (Phase 3). Qualitative interviews produced a framework of four themes and nine sub-themes for analysis. Initial items were written across each theme and sub-theme. Findings from preliminary psychometric evaluation in Phase 2 demonstrated promising internal consistency, score stability, and positive associations with validated measures of burnout level. Finally in Phase 3, an expert panel edited items for relevance and clarity across three iterations of feedback. Though further analysis is needed, the BADDS tool has the potential to provide a conceptual analysis of burnout by identifying workplace stressors impacting behavioral health providers in autism service settings. This is in contrast to existing measures that solely inquire burnout level, but do not identify causes of job stress. Organizations may develop more effective strategies for mitigating burnout within their specific setting by incorporating assessments such as the BADDS into burnout interventions for providers. En ligne : https://doi.org/10.1007/s10803-025-06728-9 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=588

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