Improving the Sensory Environments of Mental Health in-patient Facilities for Autistic Children and Young People

Improving the Sensory Environments of Mental Health in-patient Facilities for Autistic Children and Young People
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改善自闭症儿童和青少年心理健康住院设施的感官环境

DOI:
10.1080/13575279.2022.2126437
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发表时间:
2023
影响因子:
1.9
通讯作者:
Williams G
Williams G
中科院分区:
--
文献类型:
--
作者:
Williams G

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与正常儿童相比,精神健康状况不佳是全世界许多自闭症儿童和年轻人的严重问题。在英国,我们有越来越多的自闭症年轻人在NHS资助的住院精神卫生机构接受治疗。虽然感觉处理差异现已被添加到自闭症的国际诊断标准中,但最近由儿童和青年心理健康工作队委托并由国家包容发展小组提供的自闭症主导和共同制作的基于实践的研究已经确定,自闭症感觉差异和需求的知识在制度上是缺乏的。特别是,NHS英格兰资助的住院设施的感官环境有时会对自闭症年轻人提出极端的挑战,最好的情况是阻碍健康,最坏的情况是加剧现有的心理健康问题:通过越来越多的限制性设置,引发一个向上发展的循环。本文分享了一些这样的学习,从咨询有住院服务经验的年轻自闭症患者和自闭症专家的经验,对新的感觉病房环境的评论。我们首先介绍了自闭症的框架,主要是由感官和社会加工差异形成的,并概述了这一观点对自闭症青少年和儿童的住院护理的意义。然后,我们提供了一个概述,目前存在于自闭症儿童和青少年住院精神卫生设施的感官挑战。最后,我们总结了一些建议,为未来的研究领域,围绕适应病房环境的影响,有希望为更广泛的国际环境。
Poor mental health—compared to that of the neurotypical child population—is a serious concern for many autistic children and young people around the world. In the UK, we have an increasing number of autistic young people receiving care in NHS funded in-patient mental health facilities. While sensory processing differences have now been added to international diagnostic criteria for autism, recent autistic-led and co-produced, practice-based research commissioned by the Children and Young People’s Mental Health Taskforce and delivered by National Development Team for Inclusion has identified that knowledge of autistic sensory differences and needs is institutionally absent. In particular, the sensory environments of NHS England-funded in-patient facilities were found to present sometimes extreme challenges for autistic young people that at best hinder wellbeing and at worst exacerbate existing mental health problems: instigating a cycle of progressing upwards through increasingly restrictive settings for some. This paper shares some of this learning, gained from the consultation with young autistic people who have experience of inpatient services and autisticExperts by Experienceworking on novel sensory ward environment reviews. We first introduce the framing of autism as primarily shaped by sensory and social processing differences and outline the significance of this perspective for the in-patient care of autistic young people and children. We then provide an overview of the current sensory challenges that exist in inpatient mental health facilities for autistic children and young people. Finally, we conclude with some suggestions for areas of future research around the impact of adapting ward environments, that have promise for broader and international settings.
评论:扩大自闭症科学参与方法的研究范围 - 对 Happé 和 Frith (2020) 的评论。
DOI: --
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