Mental Health Services for Autistic Individuals Across the Lifespan: Recent Advances and Current Gaps.

Mental Health Services for Autistic Individuals Across the Lifespan: Recent Advances and Current Gaps.
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DOI:
10.1007/s11920-021-01278-0
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发表时间:
2021-08-17
影响因子:
6.7
通讯作者:
Brookman-Frazee L
Brookman-Frazee L
中科院分区:
医学2区
文献类型:
--
作者:
Maddox BB;Dickson KS;Stadnick NA;Mandell DS;Brookman-Frazee L

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最近的心理健康服务研究与自闭症患者的综合介绍了显着的进步,目前的差距,并为改善这一人群的心理保健的建议。最近的进展包括提高对自闭症患者共同发生的心理健康状况的理解,越来越多的干预措施的证据基础,以解决这些问题,开发和实施新的服务模式,以支持这一人群的心理健康,以及心理健康服务和实施研究的大幅增加。持续的挑战包括缺乏针对自闭症患者的社区实施的心理健康干预措施,有限的劳动力能力,复杂和脱节的服务系统,以及心理健康服务的可及性和质量方面的种族,民族和社会经济差异。尽管我们对自闭症患者的心理健康需求和心理健康服务的理解有所进步,但仍然存在一些关键的差距。我们鼓励未来努力开发和测试可用于社区环境的干预措施,培训和激励劳动力提供这些干预措施,根据最佳实践重新调整政策和资金,并采用以公平为中心的方法来进行自闭症研究和护理。
This synthesis of recent mental health services research with autistic individuals presents significant advances, current gaps, and recommendations for improving mental healthcare for this population. Recent advances include improved understanding of co-occurring mental health conditions among autistic individuals, a growing evidence base for interventions to address them, the development and implementation of new service models to support mental health for this population, and a substantial increase in mental health services and implementation research focused on autism. Ongoing challenges include a lack of mental health interventions designed for community implementation with autistic individuals, limited workforce capacity, complex and disconnected service systems, and racial, ethnic, and socioeconomic disparities in accessibility and quality of mental health services. Despite the advances in our understanding of mental health needs and mental health services for autistic individuals, several critical gaps remain. We encourage future efforts to develop and test interventions that can be used in community settings, train and incentivize the workforce to provide them, realign policies and funding with best practice, and embrace an equity-focused approach to autism research and care.
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