6 recherche sur le mot-clé 'adaptations'

How can we make therapy better for autistic adults? Autistic adults" ratings of helpfulness of adaptations to therapy / Kristyn SOMMER ; Amanda COOK in Autism, 29-6 (June 2025)  

Public ISBD [article]  inAutism > 29-6 (June 2025) . - p.1540-1553 Titre : How can we make therapy better for autistic adults? Autistic adults" ratings of helpfulness of adaptations to therapy Type de document : texte imprimé Auteurs : Kristyn SOMMER, Auteur ; Amanda COOK, Auteur Article en page(s) : p.1540-1553 Langues : Anglais (eng) Mots-clés : accommodations  adaptations  autism  mental health  therapy Index. décimale : PER Périodiques Résumé : Autistic people are at elevated risk of mental health conditions and experience significant barriers to effective support. While adaptations to therapy for autistic people have been proposed by clinicians, there is limited research on how helpful autistic people themselves rate these. We aimed to address this gap. Participants were 130 autistic adults aged 18 to 64 years (85.4% female) who completed an online survey of the helpfulness of 55 therapy adaptations. Overall, we found positive ratings of helpfulness for approximately half of the adaptations. However, significant variability was found at an individual level with most adaptations rated from not helpful through to extremely helpful. Neurodiversity-affirming adaptations were rated highest overall. Participants shared additional adaptations including general good practice, financial, modality, neurodiversity-affirming practices, practical, sensory/environmental, structure, and therapy style/techniques. Findings highlight similarities and differences between clinician and autistic people?s perspectives, underscoring the need to include autistic people. Limitations of the restricted sample and generalizability are acknowledged. Future research including more diverse samples would be of value to expand on this research. The need to understand general preferences of autistic people and to individualize to the specific client is underscored by findings to begin bridging the mental health support gap for autistic people.Lay Abstract Autistic people experience more mental health conditions like depression or anxiety than non-autistic people. They are also more likely to experience difficulties in accessing mental health supports Clinicians have published suggestions on how to improve therapy for autistic people. However, whether these ways to adapt (i.e. adaptations) therapy for autistic people are seen as helpful by autistic people themselves has not been investigated. We recruited 130 autistic adults to complete an online survey. They rated 55 adaptations to therapy from "Not at all helpful" to "Extremely helpful." We also asked for ideas of additional adaptations. Adaptations classified as neurodiversity affirming (e.g. having a therapist that embraces differences in brains and provides support to affirm neurodivergent identity) were rated highest. Approximately half of adaptations were rated positively at a group level. However, for almost every adaptation at least one person rated it as not at all helpful and at least one rated it as extremely helpful. Additional adaptations were around general good practice, financial cost, neurodiversity-affirming practices, practical, sensory/environmental, structure, and therapy style/techniques. Our findings add how helpful autistic people themselves rate adaptations to therapy and similarities and differences to clinicians. This is important to consider how these perspectives can differ. Findings also identify additional suggestions that clinicians could use in their practice and ideas for future research. Findings can help autistic adults in advocating for adaptations to therapy that address their needs by providing a list of possible adaptations. Furthermore, findings may help clinicians to better support their autistic clients. En ligne : https://dx.doi.org/10.1177/13623613251313569 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=558 [article] How can we make therapy better for autistic adults? Autistic adults" ratings of helpfulness of adaptations to therapy [texte imprimé] / Kristyn SOMMER, Auteur ; Amanda COOK, Auteur . - p.1540-1553. Langues : Anglais (eng) in Autism > 29-6 (June 2025) . - p.1540-1553 Mots-clés : accommodations  adaptations  autism  mental health  therapy Index. décimale : PER Périodiques Résumé : Autistic people are at elevated risk of mental health conditions and experience significant barriers to effective support. While adaptations to therapy for autistic people have been proposed by clinicians, there is limited research on how helpful autistic people themselves rate these. We aimed to address this gap. Participants were 130 autistic adults aged 18 to 64 years (85.4% female) who completed an online survey of the helpfulness of 55 therapy adaptations. Overall, we found positive ratings of helpfulness for approximately half of the adaptations. However, significant variability was found at an individual level with most adaptations rated from not helpful through to extremely helpful. Neurodiversity-affirming adaptations were rated highest overall. Participants shared additional adaptations including general good practice, financial, modality, neurodiversity-affirming practices, practical, sensory/environmental, structure, and therapy style/techniques. Findings highlight similarities and differences between clinician and autistic people?s perspectives, underscoring the need to include autistic people. Limitations of the restricted sample and generalizability are acknowledged. Future research including more diverse samples would be of value to expand on this research. The need to understand general preferences of autistic people and to individualize to the specific client is underscored by findings to begin bridging the mental health support gap for autistic people.Lay Abstract Autistic people experience more mental health conditions like depression or anxiety than non-autistic people. They are also more likely to experience difficulties in accessing mental health supports Clinicians have published suggestions on how to improve therapy for autistic people. However, whether these ways to adapt (i.e. adaptations) therapy for autistic people are seen as helpful by autistic people themselves has not been investigated. We recruited 130 autistic adults to complete an online survey. They rated 55 adaptations to therapy from "Not at all helpful" to "Extremely helpful." We also asked for ideas of additional adaptations. Adaptations classified as neurodiversity affirming (e.g. having a therapist that embraces differences in brains and provides support to affirm neurodivergent identity) were rated highest. Approximately half of adaptations were rated positively at a group level. However, for almost every adaptation at least one person rated it as not at all helpful and at least one rated it as extremely helpful. Additional adaptations were around general good practice, financial cost, neurodiversity-affirming practices, practical, sensory/environmental, structure, and therapy style/techniques. Our findings add how helpful autistic people themselves rate adaptations to therapy and similarities and differences to clinicians. This is important to consider how these perspectives can differ. Findings also identify additional suggestions that clinicians could use in their practice and ideas for future research. Findings can help autistic adults in advocating for adaptations to therapy that address their needs by providing a list of possible adaptations. Furthermore, findings may help clinicians to better support their autistic clients. En ligne : https://dx.doi.org/10.1177/13623613251313569 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=558

Therapists' Adaptations to an Intervention to Reduce Challenging Behaviors in Children with Autism Spectrum Disorder in Publicly Funded Mental Health Services / Margaret DYSON in Journal of Autism and Developmental Disorders, 49-3 (March 2019)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 49-3 (March 2019) . - p.924-934 Titre : Therapists' Adaptations to an Intervention to Reduce Challenging Behaviors in Children with Autism Spectrum Disorder in Publicly Funded Mental Health Services Type de document : texte imprimé Auteurs : Margaret DYSON, Auteur ; Colby CHLEBOWSKI, Auteur ; Lauren BROOKMAN-FRAZEE, Auteur Article en page(s) : p.924-934 Langues : Anglais (eng) Mots-clés : Adaptations  Autism spectrum disorder  Mental health intervention  Publicly funded mental health Index. décimale : PER Périodiques Résumé : Publicly funded mental health services play an important role in serving children with autism spectrum disorder (ASD). Previous research indicates a high likelihood of adaptations when therapists deliver evidence based practices to non-ASD populations, though less is known about therapists' use of adaptations for children with ASD receiving mental health services. The current study uses a mixed quantitative and qualitative approach to characterize the types and reasons therapists adapted a clinical intervention [An Individualized Mental Health Intervention for Children with ASD (AIM HI)] for delivery with clinically complex children with ASD served in publicly funded mental health settings and identify therapist characteristics that predict use of adaptations. The most common adaptations were characterized as augmenting AIM HI and were done to individualize the intervention to fit with therapeutic style, increase caregiver participation, and address clients' and caregivers' needs and functioning. No therapist characteristics emerged as significant predictors of adaptations. Results suggest that therapists' adaptations were largely consistent with the AIM HI protocol while individualizing the model to address the complex needs of youth with ASD. En ligne : http://dx.doi.org/10.1007/s10803-018-3795-3 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=386 [article] Therapists' Adaptations to an Intervention to Reduce Challenging Behaviors in Children with Autism Spectrum Disorder in Publicly Funded Mental Health Services [texte imprimé] / Margaret DYSON, Auteur ; Colby CHLEBOWSKI, Auteur ; Lauren BROOKMAN-FRAZEE, Auteur . - p.924-934. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 49-3 (March 2019) . - p.924-934 Mots-clés : Adaptations  Autism spectrum disorder  Mental health intervention  Publicly funded mental health Index. décimale : PER Périodiques Résumé : Publicly funded mental health services play an important role in serving children with autism spectrum disorder (ASD). Previous research indicates a high likelihood of adaptations when therapists deliver evidence based practices to non-ASD populations, though less is known about therapists' use of adaptations for children with ASD receiving mental health services. The current study uses a mixed quantitative and qualitative approach to characterize the types and reasons therapists adapted a clinical intervention [An Individualized Mental Health Intervention for Children with ASD (AIM HI)] for delivery with clinically complex children with ASD served in publicly funded mental health settings and identify therapist characteristics that predict use of adaptations. The most common adaptations were characterized as augmenting AIM HI and were done to individualize the intervention to fit with therapeutic style, increase caregiver participation, and address clients' and caregivers' needs and functioning. No therapist characteristics emerged as significant predictors of adaptations. Results suggest that therapists' adaptations were largely consistent with the AIM HI protocol while individualizing the model to address the complex needs of youth with ASD. En ligne : http://dx.doi.org/10.1007/s10803-018-3795-3 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=386

Ameliorating the disadvantage for autistic job seekers: An initial evaluation of adapted employment interview questions / Katie L. MARAS in Autism, 25-4 (May 2021)  

Public ISBD [article]  inAutism > 25-4 (May 2021) . - p.1060-1075 Titre : Ameliorating the disadvantage for autistic job seekers: An initial evaluation of adapted employment interview questions Type de document : texte imprimé Auteurs : Katie L. MARAS, Auteur ; Jade Eloise NORRIS, Auteur ; Jemma NICHOLSON, Auteur ; Brett HEASMAN, Auteur ; Anna REMINGTON, Auteur ; Laura CRANE, Auteur Article en page(s) : p.1060-1075 Langues : Anglais (eng) Mots-clés : adaptations  autism  employment  impression management  interviewing  perceptions Index. décimale : PER Périodiques Résumé : Despite possessing valuable skills, differences in the way that autistic people understand and respond to others in social situations mean that they are frequently disadvantaged in job interviews. We examined how autistic and non-autistic adults compared on standard (unmodified) job interview questions, and then used these findings to develop and evaluate supportive adaptations to questions. Fifty adults (25 autistic, 25 non-autistic) took part in two mock job interviews. Interview 1 provided a baseline measure of performance when answering typical, unmodified interview questions. Employment experts (unaware of participants' autism diagnoses) rated all interviewees on their responses to each question and their overall impressions of them and then provided feedback about how interviewees could improve and how questions could be adapted to facilitate this. Interviewees also provided feedback about the interview process, from their perspective. Adaptations to the questions were developed, with Interview 2 taking place approximately 6 months later. Results demonstrated that, in Interview 1, employment experts rated autistic interviewees less favourably than non-autistic interviewees. Ratings of both autistic and non-autistic participants' answers improved in Interview 2, but particularly for autistic interviewees (such that differences between autistic and non-autistic interviewees' performance reduced in Interview 2). Employers should be aware that adaptations to job interview questions are critical to level the playing field for autistic candidates. En ligne : http://dx.doi.org/10.1177/1362361320981319 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=444 [article] Ameliorating the disadvantage for autistic job seekers: An initial evaluation of adapted employment interview questions [texte imprimé] / Katie L. MARAS, Auteur ; Jade Eloise NORRIS, Auteur ; Jemma NICHOLSON, Auteur ; Brett HEASMAN, Auteur ; Anna REMINGTON, Auteur ; Laura CRANE, Auteur . - p.1060-1075. Langues : Anglais (eng) in Autism > 25-4 (May 2021) . - p.1060-1075 Mots-clés : adaptations  autism  employment  impression management  interviewing  perceptions Index. décimale : PER Périodiques Résumé : Despite possessing valuable skills, differences in the way that autistic people understand and respond to others in social situations mean that they are frequently disadvantaged in job interviews. We examined how autistic and non-autistic adults compared on standard (unmodified) job interview questions, and then used these findings to develop and evaluate supportive adaptations to questions. Fifty adults (25 autistic, 25 non-autistic) took part in two mock job interviews. Interview 1 provided a baseline measure of performance when answering typical, unmodified interview questions. Employment experts (unaware of participants' autism diagnoses) rated all interviewees on their responses to each question and their overall impressions of them and then provided feedback about how interviewees could improve and how questions could be adapted to facilitate this. Interviewees also provided feedback about the interview process, from their perspective. Adaptations to the questions were developed, with Interview 2 taking place approximately 6 months later. Results demonstrated that, in Interview 1, employment experts rated autistic interviewees less favourably than non-autistic interviewees. Ratings of both autistic and non-autistic participants' answers improved in Interview 2, but particularly for autistic interviewees (such that differences between autistic and non-autistic interviewees' performance reduced in Interview 2). Employers should be aware that adaptations to job interview questions are critical to level the playing field for autistic candidates. En ligne : http://dx.doi.org/10.1177/1362361320981319 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=444

Scoping review: Psychological treatments for service-users with Autism Spectrum Disorder, and complex emotional needs consistent with a diagnosis of personality disorder / Ethan BARR ; Jesse HARLEY ; Ella MATHER in Research in Autism, 124 (June 2025)  

Public ISBD [article]  inResearch in Autism > 124 (June 2025) . - 202583 Titre : Scoping review: Psychological treatments for service-users with Autism Spectrum Disorder, and complex emotional needs consistent with a diagnosis of personality disorder Type de document : texte imprimé Auteurs : Ethan BARR, Auteur ; Jesse HARLEY, Auteur ; Ella MATHER, Auteur Article en page(s) : 202583 Langues : Anglais (eng) Mots-clés : Autism  Personality disorder  ASD  BPD  Treatment  Adaptations Index. décimale : PER Périodiques Résumé : Background There are existing psychological treatments for Complex Emotional Needs (CEN), or difficulties consistent with a diagnosis of personality disorder, but it is unclear how effective these are for service-users who also have Autism Spectrum Disorder (ASD). This co-occurrence appears increasingly common, and it was identified that a scoping review could usefully explore and synthesise existing research in this area. Methods Structured search and review, then narrative synthesis of 28 texts. Results There were no large-scale, robust trials, in this area. Several small-scale studies were found, and other related literature was also reviewed, towards treatment recommendations for this client group. In particular, potential adaptations to existing CEN treatments are suggested, that could be implemented following comprehensive formulation of any given service-user?s strengths and difficulties. Conclusion Research in this area is very much in its infancy; but there are some promising preliminary suggestions for best practice that currently exist, and that should be put to further empirical testing. En ligne : https://doi.org/10.1016/j.reia.2025.202583 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=556 [article] Scoping review: Psychological treatments for service-users with Autism Spectrum Disorder, and complex emotional needs consistent with a diagnosis of personality disorder [texte imprimé] / Ethan BARR, Auteur ; Jesse HARLEY, Auteur ; Ella MATHER, Auteur . - 202583. Langues : Anglais (eng) in Research in Autism > 124 (June 2025) . - 202583 Mots-clés : Autism  Personality disorder  ASD  BPD  Treatment  Adaptations Index. décimale : PER Périodiques Résumé : Background There are existing psychological treatments for Complex Emotional Needs (CEN), or difficulties consistent with a diagnosis of personality disorder, but it is unclear how effective these are for service-users who also have Autism Spectrum Disorder (ASD). This co-occurrence appears increasingly common, and it was identified that a scoping review could usefully explore and synthesise existing research in this area. Methods Structured search and review, then narrative synthesis of 28 texts. Results There were no large-scale, robust trials, in this area. Several small-scale studies were found, and other related literature was also reviewed, towards treatment recommendations for this client group. In particular, potential adaptations to existing CEN treatments are suggested, that could be implemented following comprehensive formulation of any given service-user?s strengths and difficulties. Conclusion Research in this area is very much in its infancy; but there are some promising preliminary suggestions for best practice that currently exist, and that should be put to further empirical testing. En ligne : https://doi.org/10.1016/j.reia.2025.202583 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=556

Analyse de stratégies d’enseignement favorisant les apprentissages d’élèves avec troubles du comportement : de l’étayage à la responsabilisation / Claire GOULET in Nouvelle Revue de l'AIS (La), 72 (Janvier 2016)

Public ISBD [article]  inNouvelle Revue de l'AIS (La) > 72 (Janvier 2016) . - p.153-165 Titre : Analyse de stratégies d’enseignement favorisant les apprentissages d’élèves avec troubles du comportement : de l’étayage à la responsabilisation Type de document : texte imprimé Auteurs : Claire GOULET, Auteur Article en page(s) : p.153-165 Langues : Français (fre) Mots-clés : Adaptations  Autonomie  Comportement  Étayage  Formation  Pédagogie  Stratégies d’enseignement Index. décimale : PER Périodiques Résumé : Dans cette contribution, les stratégies d’enseignement efficaces mises en Å“uvre par quatre jeunes enseignantes, intervenant pour la première année auprès d’élèves porteurs de troubles du comportement et scolarisés dans des établissements spécialisés, sont recueillies, analysées puis catégorisées. Le but de cette étude est d’objectiver, dans les pratiques présentées, les gestes professionnels qui permettent de garder les élèves au travail durant un temps suffisant pour apprendre, afin de proposer des pistes d’action pédagogique transférables, en classe ordinaire ou dans un dispositif spécialisé. En conclusion, la réflexion est portée sur les enjeux de la démarche d’adaptation et la possibilité d’un allègement progressif des étayages proposés. Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=283 [article] Analyse de stratégies d’enseignement favorisant les apprentissages d’élèves avec troubles du comportement : de l’étayage à la responsabilisation [texte imprimé] / Claire GOULET, Auteur . - p.153-165. Langues : Français (fre) in Nouvelle Revue de l'AIS (La) > 72 (Janvier 2016) . - p.153-165 Mots-clés : Adaptations  Autonomie  Comportement  Étayage  Formation  Pédagogie  Stratégies d’enseignement Index. décimale : PER Périodiques Résumé : Dans cette contribution, les stratégies d’enseignement efficaces mises en Å“uvre par quatre jeunes enseignantes, intervenant pour la première année auprès d’élèves porteurs de troubles du comportement et scolarisés dans des établissements spécialisés, sont recueillies, analysées puis catégorisées. Le but de cette étude est d’objectiver, dans les pratiques présentées, les gestes professionnels qui permettent de garder les élèves au travail durant un temps suffisant pour apprendre, afin de proposer des pistes d’action pédagogique transférables, en classe ordinaire ou dans un dispositif spécialisé. En conclusion, la réflexion est portée sur les enjeux de la démarche d’adaptation et la possibilité d’un allègement progressif des étayages proposés. Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=283

Repas et autisme : une évaluation nécessaire pour des aménagements indispensables (situation aux aspects paradoxaux) / Emmanuelle PRUDHON in Rééducation Orthophonique, 249 (Mars 2012)

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