6 recherche sur le mot-clé 'Community mental health'

Factors Influencing the Use of Cognitive-Behavioral Therapy with Autistic Adults: A Survey of Community Mental Health Clinicians / B. B. MADDOX in Journal of Autism and Developmental Disorders, 49-11 (November 2019)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 49-11 (November 2019) . - p.4421-4428 Titre : Factors Influencing the Use of Cognitive-Behavioral Therapy with Autistic Adults: A Survey of Community Mental Health Clinicians Type de document : Texte imprimé et/ou numérique Auteurs : B. B. MADDOX, Auteur ; S. R. CRABBE, Auteur ; J. M. FISHMAN, Auteur ; Rinad S. BEIDAS, Auteur ; Lauren BROOKMAN-FRAZEE, Auteur ; J. S. MILLER, Auteur ; C. NICOLAIDIS, Auteur ; D. S. MANDELL, Auteur Article en page(s) : p.4421-4428 Langues : Anglais (eng) Mots-clés : Adults  Autism spectrum disorder  Cognitive-behavioral therapy  Community mental health  Implementation science  Theory of planned behavior Index. décimale : PER Périodiques Résumé : Cognitive-behavioral therapy (CBT) can improve anxiety and depression in autistic adults, but few autistic adults receive this treatment. We examined factors that may influence clinicians' use of CBT with autistic adults. One hundred clinicians completed an online survey. Clinicians reported stronger intentions (p = .001), more favorable attitudes (p < .001), greater normative pressure (p < .001), and higher self-efficacy (p < .001) to start CBT with non-autistic adults than with autistic adults. The only significant predictor of intentions to begin CBT with clients with anxiety or depression was clinicians' attitudes (p < .001), with more favorable attitudes predicting stronger intentions. These findings are valuable for designing effective, tailored implementation strategies to increase clinicians' adoption of CBT for autistic adults. En ligne : http://dx.doi.org/10.1007/s10803-019-04156-0 Permalink : http://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=4086 [article] Factors Influencing the Use of Cognitive-Behavioral Therapy with Autistic Adults: A Survey of Community Mental Health Clinicians [Texte imprimé et/ou numérique] / B. B. MADDOX, Auteur ; S. R. CRABBE, Auteur ; J. M. FISHMAN, Auteur ; Rinad S. BEIDAS, Auteur ; Lauren BROOKMAN-FRAZEE, Auteur ; J. S. MILLER, Auteur ; C. NICOLAIDIS, Auteur ; D. S. MANDELL, Auteur . - p.4421-4428. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 49-11 (November 2019) . - p.4421-4428 Mots-clés : Adults  Autism spectrum disorder  Cognitive-behavioral therapy  Community mental health  Implementation science  Theory of planned behavior Index. décimale : PER Périodiques Résumé : Cognitive-behavioral therapy (CBT) can improve anxiety and depression in autistic adults, but few autistic adults receive this treatment. We examined factors that may influence clinicians' use of CBT with autistic adults. One hundred clinicians completed an online survey. Clinicians reported stronger intentions (p = .001), more favorable attitudes (p < .001), greater normative pressure (p < .001), and higher self-efficacy (p < .001) to start CBT with non-autistic adults than with autistic adults. The only significant predictor of intentions to begin CBT with clients with anxiety or depression was clinicians' attitudes (p < .001), with more favorable attitudes predicting stronger intentions. These findings are valuable for designing effective, tailored implementation strategies to increase clinicians' adoption of CBT for autistic adults. En ligne : http://dx.doi.org/10.1007/s10803-019-04156-0 Permalink : http://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=4086

"I wouldn't know where to start": Perspectives from clinicians, agency leaders, and autistic adults on improving community mental health services for autistic adults / Brenna B MADDOX in Autism, 24-4 (May 2020)  

Public ISBD [article]  inAutism > 24-4 (May 2020) . - p.919-930 Titre : "I wouldn't know where to start": Perspectives from clinicians, agency leaders, and autistic adults on improving community mental health services for autistic adults Type de document : Texte imprimé et/ou numérique Auteurs : Brenna B MADDOX, Auteur ; Samantha CRABBE, Auteur ; Rinad S. BEIDAS, Auteur ; Lauren BROOKMAN-FRAZEE, Auteur ; Carolyn C. CANNUSCIO, Auteur ; Judith S. MILLER, Auteur ; Christina NICOLAIDIS, Auteur ; David S MANDELL, Auteur Article en page(s) : p.919-930 Langues : Anglais (eng) Mots-clés : adults  autism spectrum disorder  community mental health  qualitative methods  training Index. décimale : PER Périodiques Résumé : Most autistic adults struggle with mental health problems, such as anxiety and depression. However, they often have trouble finding effective mental health treatment in their community. The goal of this study was to identify ways to improve community mental health services for autistic adults. We interviewed 22 autistic adults with mental healthcare experience, 44 community mental health clinicians (outpatient therapists, case managers, and intake coordinators), and 11 community mental health agency leaders in the United States. Our participants identified a variety of barriers to providing quality mental healthcare to autistic adults. Across all three groups, most of the reported barriers involved clinicians' limited knowledge, lack of experience, poor competence, and low confidence working with autistic adults. All three groups also discussed the disconnect between the community mental health and developmental disabilities systems and the need to improve communication between these two systems. Further efforts are needed to train clinicians and provide follow-up consultation to work more effectively with autistic adults. A common suggestion from all three groups was to include autistic adults in creating and delivering the clinician training. The autistic participants provided concrete recommendations for clinicians, such as consider sensory issues, slow the pace, incorporate special interests, use direct language, and set clear expectations. Our findings also highlight a need for community education about co-occurring psychiatric conditions with autism and available treatments, in order to increase awareness about treatment options. En ligne : http://dx.doi.org/10.1177/1362361319882227 Permalink : http://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=4259 [article] "I wouldn't know where to start": Perspectives from clinicians, agency leaders, and autistic adults on improving community mental health services for autistic adults [Texte imprimé et/ou numérique] / Brenna B MADDOX, Auteur ; Samantha CRABBE, Auteur ; Rinad S. BEIDAS, Auteur ; Lauren BROOKMAN-FRAZEE, Auteur ; Carolyn C. CANNUSCIO, Auteur ; Judith S. MILLER, Auteur ; Christina NICOLAIDIS, Auteur ; David S MANDELL, Auteur . - p.919-930. Langues : Anglais (eng) in Autism > 24-4 (May 2020) . - p.919-930 Mots-clés : adults  autism spectrum disorder  community mental health  qualitative methods  training Index. décimale : PER Périodiques Résumé : Most autistic adults struggle with mental health problems, such as anxiety and depression. However, they often have trouble finding effective mental health treatment in their community. The goal of this study was to identify ways to improve community mental health services for autistic adults. We interviewed 22 autistic adults with mental healthcare experience, 44 community mental health clinicians (outpatient therapists, case managers, and intake coordinators), and 11 community mental health agency leaders in the United States. Our participants identified a variety of barriers to providing quality mental healthcare to autistic adults. Across all three groups, most of the reported barriers involved clinicians' limited knowledge, lack of experience, poor competence, and low confidence working with autistic adults. All three groups also discussed the disconnect between the community mental health and developmental disabilities systems and the need to improve communication between these two systems. Further efforts are needed to train clinicians and provide follow-up consultation to work more effectively with autistic adults. A common suggestion from all three groups was to include autistic adults in creating and delivering the clinician training. The autistic participants provided concrete recommendations for clinicians, such as consider sensory issues, slow the pace, incorporate special interests, use direct language, and set clear expectations. Our findings also highlight a need for community education about co-occurring psychiatric conditions with autism and available treatments, in order to increase awareness about treatment options. En ligne : http://dx.doi.org/10.1177/1362361319882227 Permalink : http://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=4259

Parent Training for Youth with Autism Served in Community Settings: A Mixed-Methods Investigation Within a Community Mental Health System / D. STRAITON in Journal of Autism and Developmental Disorders, 51-6 (June 2021)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 51-6 (June 2021) . - p.1983-1994 Titre : Parent Training for Youth with Autism Served in Community Settings: A Mixed-Methods Investigation Within a Community Mental Health System Type de document : Texte imprimé et/ou numérique Auteurs : D. STRAITON, Auteur ; B. GROOM, Auteur ; Brooke R. INGERSOLL, Auteur Article en page(s) : p.1983-1994 Langues : Anglais (eng) Mots-clés : Adolescent  Adult  Autism Spectrum Disorder/therapy  Autistic Disorder  Caregivers  Child  Child, Preschool  Family  Humans  Male  Medicaid  Mental Health  Parents/education  Surveys and Questionnaires  United States  Young Adult  Autism  Community mental health  Parent training Index. décimale : PER Périodiques Résumé : Parent training programs focus on parent knowledge and/or skill development regarding strategies to improve child outcomes. Parent training programs are considered evidenced-based treatments for autism spectrum disorder (ASD). Yet little is known about parent training use for youth with ASD served in community settings. This mixed methods project examined parent training for Medicaid-enrolled youth with ASD under age 21. Data were obtained from Medicaid claims for 879 youth and surveys from 97 applied behavior analysis (ABA) providers. Open-ended survey items were analyzed with content analysis. Results demonstrated that the frequency of parent training was low and providers' conceptualization of parent training was inconsistent with evidence-based models. Providers are largely unaware of evidence-based components (i.e., modeling, caregiver practice with feedback) and use them infrequently. Implications for increasing parent training in community settings are discussed. En ligne : http://dx.doi.org/10.1007/s10803-020-04679-x Permalink : http://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=4523 [article] Parent Training for Youth with Autism Served in Community Settings: A Mixed-Methods Investigation Within a Community Mental Health System [Texte imprimé et/ou numérique] / D. STRAITON, Auteur ; B. GROOM, Auteur ; Brooke R. INGERSOLL, Auteur . - p.1983-1994. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 51-6 (June 2021) . - p.1983-1994 Mots-clés : Adolescent  Adult  Autism Spectrum Disorder/therapy  Autistic Disorder  Caregivers  Child  Child, Preschool  Family  Humans  Male  Medicaid  Mental Health  Parents/education  Surveys and Questionnaires  United States  Young Adult  Autism  Community mental health  Parent training Index. décimale : PER Périodiques Résumé : Parent training programs focus on parent knowledge and/or skill development regarding strategies to improve child outcomes. Parent training programs are considered evidenced-based treatments for autism spectrum disorder (ASD). Yet little is known about parent training use for youth with ASD served in community settings. This mixed methods project examined parent training for Medicaid-enrolled youth with ASD under age 21. Data were obtained from Medicaid claims for 879 youth and surveys from 97 applied behavior analysis (ABA) providers. Open-ended survey items were analyzed with content analysis. Results demonstrated that the frequency of parent training was low and providers' conceptualization of parent training was inconsistent with evidence-based models. Providers are largely unaware of evidence-based components (i.e., modeling, caregiver practice with feedback) and use them infrequently. Implications for increasing parent training in community settings are discussed. En ligne : http://dx.doi.org/10.1007/s10803-020-04679-x Permalink : http://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=4523

A pilot study examining the use of the autism diagnostic observation schedule in community-based mental health clinics / Nicole STADNICK in Research in Autism Spectrum Disorders, 20 (December 2015)  

Public ISBD [article]  inResearch in Autism Spectrum Disorders > 20 (December 2015) . - p.39-46 Titre : A pilot study examining the use of the autism diagnostic observation schedule in community-based mental health clinics Type de document : Texte imprimé et/ou numérique Auteurs : Nicole STADNICK, Auteur ; Lauren BROOKMAN-FRAZEE, Auteur ; Katherine NGUYEN WILLIAMS, Auteur ; Gabrielle CERDA, Auteur ; Natacha AKSHOOMOFF, Auteur Article en page(s) : p.39-46 Langues : Anglais (eng) Mots-clés : Autism spectrum disorder  Community mental health  Youth  Diagnostic assessment  Autism Diagnostic Observation Schedule Index. décimale : PER Périodiques Résumé : Community-based mental health (CMH) services play an important, but relatively understudied role in the identification and treatment of youth with autism spectrum disorder (ASD) who may be receiving care for other psychiatric conditions. Little is known about the role of standardized ASD assessment measures administered by providers working in generalist community-based mental health (CMH) settings. This pilot study extracted data from three CMH clinics to examine the use of the Autism Diagnostic Observation Schedule (ADOS) by 17CMH providers who received ASD assessment training with 62 youth (Mean = 10.69 years) referred for an ASD diagnostic evaluation. Results indicated that 57% of youths assessed ultimately received an ASD diagnosis. All cases given a final ASD diagnosis were classified as “Autism” or “ASD” on the ADOS. Seventy percent of youth who did not receive a final ASD diagnosis were classified as “Non-Spectrum” on the ADOS. In these false positive cases, report narratives indicated that social communication difficulties identified on the ADOS were explained by symptoms of other mental health conditions (e.g., ADHD, anxiety). Future research is needed to examine the utility of the ADOS when used by CMH providers to facilitate CMH capacity to identify ASD. En ligne : http://dx.doi.org/10.1016/j.rasd.2015.08.007 Permalink : http://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=2708 [article] A pilot study examining the use of the autism diagnostic observation schedule in community-based mental health clinics [Texte imprimé et/ou numérique] / Nicole STADNICK, Auteur ; Lauren BROOKMAN-FRAZEE, Auteur ; Katherine NGUYEN WILLIAMS, Auteur ; Gabrielle CERDA, Auteur ; Natacha AKSHOOMOFF, Auteur . - p.39-46. Langues : Anglais (eng) in Research in Autism Spectrum Disorders > 20 (December 2015) . - p.39-46 Mots-clés : Autism spectrum disorder  Community mental health  Youth  Diagnostic assessment  Autism Diagnostic Observation Schedule Index. décimale : PER Périodiques Résumé : Community-based mental health (CMH) services play an important, but relatively understudied role in the identification and treatment of youth with autism spectrum disorder (ASD) who may be receiving care for other psychiatric conditions. Little is known about the role of standardized ASD assessment measures administered by providers working in generalist community-based mental health (CMH) settings. This pilot study extracted data from three CMH clinics to examine the use of the Autism Diagnostic Observation Schedule (ADOS) by 17CMH providers who received ASD assessment training with 62 youth (Mean = 10.69 years) referred for an ASD diagnostic evaluation. Results indicated that 57% of youths assessed ultimately received an ASD diagnosis. All cases given a final ASD diagnosis were classified as “Autism” or “ASD” on the ADOS. Seventy percent of youth who did not receive a final ASD diagnosis were classified as “Non-Spectrum” on the ADOS. In these false positive cases, report narratives indicated that social communication difficulties identified on the ADOS were explained by symptoms of other mental health conditions (e.g., ADHD, anxiety). Future research is needed to examine the utility of the ADOS when used by CMH providers to facilitate CMH capacity to identify ASD. En ligne : http://dx.doi.org/10.1016/j.rasd.2015.08.007 Permalink : http://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=2708

Bridging the Research-to-Practice Gap in Autism Intervention: An Application of Diffusion of Innovation Theory / Hilary E. DINGFELDER in Journal of Autism and Developmental Disorders, 41-5 (May 2011)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 41-5 (May 2011) . - p.597-609 Titre : Bridging the Research-to-Practice Gap in Autism Intervention: An Application of Diffusion of Innovation Theory Type de document : Texte imprimé et/ou numérique Auteurs : Hilary E. DINGFELDER, Auteur ; David S. MANDELL, Auteur Année de publication : 2011 Article en page(s) : p.597-609 Langues : Anglais (eng) Mots-clés : Autism spectrum disorders  Intervention  Community mental health  Public schools  Implementation science  Diffusion of innovation Index. décimale : PER Périodiques Résumé : There is growing evidence that efficacious interventions for autism are rarely adopted or successfully implemented in public mental health and education systems. We propose applying diffusion of innovation theory to further our understanding of why this is the case. We pose a practical set of questions that administrators face as they decide about the use of interventions. Using literature from autism intervention and dissemination science, we describe reasons why efficacious interventions for autism are rarely adopted, implemented, and maintained in community settings, all revolving around the perceived fit between the intervention and the needs and capacities of the setting. Finally, we suggest strategies for intervention development that may increase the probability that these interventions will be used in real-world settings. En ligne : http://dx.doi.org/10.1007/s10803-010-1081-0 Permalink : http://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=1216 [article] Bridging the Research-to-Practice Gap in Autism Intervention: An Application of Diffusion of Innovation Theory [Texte imprimé et/ou numérique] / Hilary E. DINGFELDER, Auteur ; David S. MANDELL, Auteur . - 2011 . - p.597-609. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 41-5 (May 2011) . - p.597-609 Mots-clés : Autism spectrum disorders  Intervention  Community mental health  Public schools  Implementation science  Diffusion of innovation Index. décimale : PER Périodiques Résumé : There is growing evidence that efficacious interventions for autism are rarely adopted or successfully implemented in public mental health and education systems. We propose applying diffusion of innovation theory to further our understanding of why this is the case. We pose a practical set of questions that administrators face as they decide about the use of interventions. Using literature from autism intervention and dissemination science, we describe reasons why efficacious interventions for autism are rarely adopted, implemented, and maintained in community settings, all revolving around the perceived fit between the intervention and the needs and capacities of the setting. Finally, we suggest strategies for intervention development that may increase the probability that these interventions will be used in real-world settings. En ligne : http://dx.doi.org/10.1007/s10803-010-1081-0 Permalink : http://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=1216

The Accuracy of the ADOS-2 in Identifying Autism among Adults with Complex Psychiatric Conditions / Brenna B. MADDOX in Journal of Autism and Developmental Disorders, 47-9 (September 2017)  

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