8 recherche sur le mot-clé 'service utilization'

Caregiver perspectives, experiences and service satisfaction, and health service utilization among families of children with developmental disorders at a tertiary center in a low-resource setting / Kirsten A. DONALD in Research in Autism Spectrum Disorders, 110 (February 2024)  

Public ISBD [article]  inResearch in Autism Spectrum Disorders > 110 (February 2024) . - p.102285 Titre : Caregiver perspectives, experiences and service satisfaction, and health service utilization among families of children with developmental disorders at a tertiary center in a low-resource setting Type de document : Texte imprimé et/ou numérique Auteurs : Kirsten A. DONALD, Auteur Article en page(s) : p.102285 Mots-clés : Neurodevelopmental disorders  Perspectives  Experiences  Satisfaction  Health  Service utilization  Low-resource setting Index. décimale : PER Périodiques Résumé : Background We describe the health perspectives, experiences, and level of service satisfaction among caregivers of children with autism spectrum disorder (ASD) and those with global developmental delays (GDD) attending services at a tertiary paediatric center, and how these influence health services utilization (HSU). Methods In this cross-sectional study, we interviewed caregivers using pre-validated questionnaires to establish their health perspectives, family distress level, healthcare experiences and service satisfaction level. HSU was determined by a review of their medical records in the preceding year. We used descriptive statistics and logistic regression analysis to correlate these variables comparing households with children with ASD versus GDD. Results We enrolled 240 children, 116 had ASD and 124 with GDD, within the age range of 3?8 years, and more males (2:1). Overall, most caregivers believed they had a low understanding of these conditions and that existing treatments were not effective. Both groups reported moderate family distress, mean of 3.3 /10 (SD 1.2), and moderate satisfaction level (68.3%). The mean annual frequency of visits was 12.5, but higher in GDD (13.3 vs 11.5). Overall, households that believed that therapy was able to control the illness recorded higher HSU (p = 0.003). Among families with children with ASD, lower family distress (p = 0.003), and higher general satisfaction (p = 0.06) predicted higher HSU. Conclusion Caregivers hold complex perceptions around these conditions that influence their service usage. There is a need to empower the caregivers, decentralize early intervention services, and adopt family-centered approaches in supporting families, to improve service compliance. En ligne : https://doi.org/10.1016/j.rasd.2023.102285 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=520 [article] Caregiver perspectives, experiences and service satisfaction, and health service utilization among families of children with developmental disorders at a tertiary center in a low-resource setting [Texte imprimé et/ou numérique] / Kirsten A. DONALD, Auteur . - p.102285. in Research in Autism Spectrum Disorders > 110 (February 2024) . - p.102285 Mots-clés : Neurodevelopmental disorders  Perspectives  Experiences  Satisfaction  Health  Service utilization  Low-resource setting Index. décimale : PER Périodiques Résumé : Background We describe the health perspectives, experiences, and level of service satisfaction among caregivers of children with autism spectrum disorder (ASD) and those with global developmental delays (GDD) attending services at a tertiary paediatric center, and how these influence health services utilization (HSU). Methods In this cross-sectional study, we interviewed caregivers using pre-validated questionnaires to establish their health perspectives, family distress level, healthcare experiences and service satisfaction level. HSU was determined by a review of their medical records in the preceding year. We used descriptive statistics and logistic regression analysis to correlate these variables comparing households with children with ASD versus GDD. Results We enrolled 240 children, 116 had ASD and 124 with GDD, within the age range of 3?8 years, and more males (2:1). Overall, most caregivers believed they had a low understanding of these conditions and that existing treatments were not effective. Both groups reported moderate family distress, mean of 3.3 /10 (SD 1.2), and moderate satisfaction level (68.3%). The mean annual frequency of visits was 12.5, but higher in GDD (13.3 vs 11.5). Overall, households that believed that therapy was able to control the illness recorded higher HSU (p = 0.003). Among families with children with ASD, lower family distress (p = 0.003), and higher general satisfaction (p = 0.06) predicted higher HSU. Conclusion Caregivers hold complex perceptions around these conditions that influence their service usage. There is a need to empower the caregivers, decentralize early intervention services, and adopt family-centered approaches in supporting families, to improve service compliance. En ligne : https://doi.org/10.1016/j.rasd.2023.102285 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=520

Family Empowerment: Predicting Service Utilization for Children with Autism Spectrum Disorder / Patricia K. ZEMANTIC in Journal of Autism and Developmental Disorders, 52-11 (November 2022)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 52-11 (November 2022) . - p.4986-4993 Titre : Family Empowerment: Predicting Service Utilization for Children with Autism Spectrum Disorder Type de document : Texte imprimé et/ou numérique Auteurs : Patricia K. ZEMANTIC, Auteur ; Evangeline C. KURTZ-NELSON, Auteur ; Hannah BARTON, Auteur ; Jonathan SAFER-LICHTENSTEIN, Auteur ; Laura Lee MCINTYRE, Auteur Article en page(s) : p.4986-4993 Langues : Anglais (eng) Mots-clés : Autism Spectrum Disorder/diagnosis/epidemiology/therapy  Child  Complementary Therapies  Family  Humans  Autism  Early intervention  Family empowerment  Service utilization Index. décimale : PER Périodiques Résumé : Families of children with autism spectrum disorder (ASD) often utilize a variety of services. Relatively few studies have examined the relationship between family empowerment and service utilization for this population. The present study investigated the relationship between family empowerment and service utilization in families of children with ASD from the Pacific Northwest. Family empowerment did not predict the use of behavioral services or established related services. However, higher family empowerment was reported for families who reported use of complementary and alternative medicine. Implications for future research and clinical practice are discussed. En ligne : http://dx.doi.org/10.1007/s10803-021-05329-6 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=489 [article] Family Empowerment: Predicting Service Utilization for Children with Autism Spectrum Disorder [Texte imprimé et/ou numérique] / Patricia K. ZEMANTIC, Auteur ; Evangeline C. KURTZ-NELSON, Auteur ; Hannah BARTON, Auteur ; Jonathan SAFER-LICHTENSTEIN, Auteur ; Laura Lee MCINTYRE, Auteur . - p.4986-4993. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 52-11 (November 2022) . - p.4986-4993 Mots-clés : Autism Spectrum Disorder/diagnosis/epidemiology/therapy  Child  Complementary Therapies  Family  Humans  Autism  Early intervention  Family empowerment  Service utilization Index. décimale : PER Périodiques Résumé : Families of children with autism spectrum disorder (ASD) often utilize a variety of services. Relatively few studies have examined the relationship between family empowerment and service utilization for this population. The present study investigated the relationship between family empowerment and service utilization in families of children with ASD from the Pacific Northwest. Family empowerment did not predict the use of behavioral services or established related services. However, higher family empowerment was reported for families who reported use of complementary and alternative medicine. Implications for future research and clinical practice are discussed. En ligne : http://dx.doi.org/10.1007/s10803-021-05329-6 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=489

Vocational Rehabilitation Service Utilization and Employment Outcomes Among Secondary Students on the Autism Spectrum / Anne M ROUX in Journal of Autism and Developmental Disorders, 51-1 (January 2021)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 51-1 (January 2021) . - p.212-226 Titre : Vocational Rehabilitation Service Utilization and Employment Outcomes Among Secondary Students on the Autism Spectrum Type de document : Texte imprimé et/ou numérique Auteurs : Anne M ROUX, Auteur ; Jessica E. RAST, Auteur ; Kristy A. ANDERSON, Auteur ; Tamara GARFIELD, Auteur ; Paul T SHATTUCK, Auteur Article en page(s) : p.212-226 Langues : Anglais (eng) Mots-clés : Autism spectrum disorder  Employment  Secondary students  Service utilization  Transition-age youth  Vocational rehabilitation Index. décimale : PER Périodiques Résumé : U.S. policy interventions encourage earlier provision of Vocational Rehabilitation (VR) services to support students and youth with disabilities such as autism spectrum disorder (ASD) during the transition from school to work. We analyzed Rehabilitation Services Administration (RSA-911) data using multivariable logistic regression to determine the association of VR services receipt with employment outcomes for students ages 16-21, same-age non-student youth and young adults with ASD. Students with autism received job-related services (job search, job placement, and on-the-job supports) at rates significantly below comparison groups, even though odds of successful employment at VR exit were significantly higher if they received these services. Findings suggest that rates of employment among students with autism might be improved with intentional delivery of job-related services. En ligne : http://dx.doi.org/10.1007/s10803-020-04533-0 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=437 [article] Vocational Rehabilitation Service Utilization and Employment Outcomes Among Secondary Students on the Autism Spectrum [Texte imprimé et/ou numérique] / Anne M ROUX, Auteur ; Jessica E. RAST, Auteur ; Kristy A. ANDERSON, Auteur ; Tamara GARFIELD, Auteur ; Paul T SHATTUCK, Auteur . - p.212-226. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 51-1 (January 2021) . - p.212-226 Mots-clés : Autism spectrum disorder  Employment  Secondary students  Service utilization  Transition-age youth  Vocational rehabilitation Index. décimale : PER Périodiques Résumé : U.S. policy interventions encourage earlier provision of Vocational Rehabilitation (VR) services to support students and youth with disabilities such as autism spectrum disorder (ASD) during the transition from school to work. We analyzed Rehabilitation Services Administration (RSA-911) data using multivariable logistic regression to determine the association of VR services receipt with employment outcomes for students ages 16-21, same-age non-student youth and young adults with ASD. Students with autism received job-related services (job search, job placement, and on-the-job supports) at rates significantly below comparison groups, even though odds of successful employment at VR exit were significantly higher if they received these services. Findings suggest that rates of employment among students with autism might be improved with intentional delivery of job-related services. En ligne : http://dx.doi.org/10.1007/s10803-020-04533-0 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=437

A Profile on Emergency Department Utilization in Adolescents and Young Adults with Autism Spectrum Disorders / Guodong LIU in Journal of Autism and Developmental Disorders, 47-2 (February 2017)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 47-2 (February 2017) . - p.347-358 Titre : A Profile on Emergency Department Utilization in Adolescents and Young Adults with Autism Spectrum Disorders Type de document : Texte imprimé et/ou numérique Auteurs : Guodong LIU, Auteur ; Amanda M. PEARL, Auteur ; Lan KONG, Auteur ; Douglas L. LESLIE, Auteur ; Michael J. MURRAY, Auteur Article en page(s) : p.347-358 Langues : Anglais (eng) Mots-clés : Autism  Adolescence  Emergency department  Service utilization Index. décimale : PER Périodiques Résumé : There has been an increase in utilization of the Emergency Department (ED) in individuals with autism spectrum disorder (ASD) which may reflect a deficit of services (Green et al., Journal of the American Academy of Child and Adolescent Psychiatry 40(3):325–332, 2001; Gurney et al., Archives of Pediatric and Adolescent Medicine 160:825–830, 2006; Leichtman et al., American Journal of Orthopsyhciatry 72(2):227–235, 2001). The current study examined the rates of ED utilization between 2005 and 2013 in ASD youth 12- to 21-years-old. Adolescents with ASD accessed ED services four times as often as adolescents without ASD. Older adolescents and those living in rural areas showed a significant increase in ED visits over time. Post hoc analysis revealed increased ED utilization for females and behavioral health ED services over time. Better access to and greater understanding of services for adolescents with ASD is a critical need. En ligne : http://dx.doi.org/10.1007/s10803-016-2953-8 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=303 [article] A Profile on Emergency Department Utilization in Adolescents and Young Adults with Autism Spectrum Disorders [Texte imprimé et/ou numérique] / Guodong LIU, Auteur ; Amanda M. PEARL, Auteur ; Lan KONG, Auteur ; Douglas L. LESLIE, Auteur ; Michael J. MURRAY, Auteur . - p.347-358. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 47-2 (February 2017) . - p.347-358 Mots-clés : Autism  Adolescence  Emergency department  Service utilization Index. décimale : PER Périodiques Résumé : There has been an increase in utilization of the Emergency Department (ED) in individuals with autism spectrum disorder (ASD) which may reflect a deficit of services (Green et al., Journal of the American Academy of Child and Adolescent Psychiatry 40(3):325–332, 2001; Gurney et al., Archives of Pediatric and Adolescent Medicine 160:825–830, 2006; Leichtman et al., American Journal of Orthopsyhciatry 72(2):227–235, 2001). The current study examined the rates of ED utilization between 2005 and 2013 in ASD youth 12- to 21-years-old. Adolescents with ASD accessed ED services four times as often as adolescents without ASD. Older adolescents and those living in rural areas showed a significant increase in ED visits over time. Post hoc analysis revealed increased ED utilization for females and behavioral health ED services over time. Better access to and greater understanding of services for adolescents with ASD is a critical need. En ligne : http://dx.doi.org/10.1007/s10803-016-2953-8 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=303

Risk Factors for Emergency Department Utilization Among Adolescents with Autism Spectrum Disorder / G. LIU 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.4455-4467 Titre : Risk Factors for Emergency Department Utilization Among Adolescents with Autism Spectrum Disorder Type de document : Texte imprimé et/ou numérique Auteurs : G. LIU, Auteur ; A. M. PEARL, Auteur ; L. KONG, Auteur ; S. L. BROWN, Auteur ; D. BA, Auteur ; D. L. LESLIE, Auteur ; M. J. MURRAY, Auteur Article en page(s) : p.4455-4467 Langues : Anglais (eng) Mots-clés : Adolescence  Autism  Emergency Department  Risk factors  Service utilization Index. décimale : PER Périodiques Résumé : This study reaffirms our previous work documenting a higher number of Emergency Department (ED) visits by adolescent females with Autism Spectrum Disorder (ASD) as compared to adolescent males with ASD, as well as significantly more ED visits by older adolescents than younger adolescents with ASD. Combined externalizing and internalizing psychiatric co-morbidities as well as internalizing conditions alone predict a higher number of ED visits in this study. Illness severity as demonstrated by patterns of visits to primary care physicians and psychiatric referrals prior to ED visits and the prescription of two or more classes of psychotropic medications also predict higher number of ED visits. Finally, as expected, previous ED visits predict future ED visits. The identification of these factors may prove helpful in determining adequacy of current supports and resources for teens with ASD navigating the challenges of adolescence. En ligne : http://dx.doi.org/10.1007/s10803-019-04166-y Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=408 [article] Risk Factors for Emergency Department Utilization Among Adolescents with Autism Spectrum Disorder [Texte imprimé et/ou numérique] / G. LIU, Auteur ; A. M. PEARL, Auteur ; L. KONG, Auteur ; S. L. BROWN, Auteur ; D. BA, Auteur ; D. L. LESLIE, Auteur ; M. J. MURRAY, Auteur . - p.4455-4467. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 49-11 (November 2019) . - p.4455-4467 Mots-clés : Adolescence  Autism  Emergency Department  Risk factors  Service utilization Index. décimale : PER Périodiques Résumé : This study reaffirms our previous work documenting a higher number of Emergency Department (ED) visits by adolescent females with Autism Spectrum Disorder (ASD) as compared to adolescent males with ASD, as well as significantly more ED visits by older adolescents than younger adolescents with ASD. Combined externalizing and internalizing psychiatric co-morbidities as well as internalizing conditions alone predict a higher number of ED visits in this study. Illness severity as demonstrated by patterns of visits to primary care physicians and psychiatric referrals prior to ED visits and the prescription of two or more classes of psychotropic medications also predict higher number of ED visits. Finally, as expected, previous ED visits predict future ED visits. The identification of these factors may prove helpful in determining adequacy of current supports and resources for teens with ASD navigating the challenges of adolescence. En ligne : http://dx.doi.org/10.1007/s10803-019-04166-y Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=408

Vulnerabilities associated with physical health conditions for emergency department utilization in adolescents with autism spectrum disorder / Guodong LIU in Research in Autism Spectrum Disorders, 85 (July 2021)  

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The high societal costs of childhood conduct problems: evidence from administrative records up to age 38 in a longitudinal birth cohort / J. G. RIVENBARK in Journal of Child Psychology and Psychiatry, 59-6 (June 2018)  

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The economic costs and its predictors for childhood autism spectrum disorders in Ireland: How is the burden distributed? / A. RODDY in Autism, 23-5 (July 2019)  

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