Characterizing Community-Based Mental Health Services for Children with Autism Spectrum Disorders and Disruptive Behavior Problems
Characterizing Community-Based Mental Health Services for Children with Autism Spectrum Disorders and Disruptive Behavior Problems
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DOI：
10.1007/s10803-010-0976-0
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发表时间：
2010-10-01
影响因子：
3.9
通讯作者：
Garland, Ann F.
中科院分区：
文献类型：
--
作者：
Brookman-Frazee, Lauren I.;Taylor, Robin;Garland, Ann F.
本研究描述了社区精神卫生诊所服务的自闭症谱系障碍（ASD）儿童的破坏性行为问题的特点，描述了心理治疗过程和结果，并检查了ASD儿童和非ASD对照组之间的差异。结果表明，在这种情况下服务的ASD儿童是高功能和诊断复杂。某些基于研究的行为和认知行为心理治疗策略经常被观察到，而父母培训策略和积极的教学策略被观察到的频率较低。执行战略的力度或彻底性相对较低。结果分析表明，儿童症状和家庭功能的改善。ASD患儿和非ASD患儿的治疗实施和结局相似。这些发现代表了第一个详细的观察数据，描述了ASD儿童社区心理健康服务的特征。
This study describes the characteristics of children with autism spectrum disorders (ASD) with disruptive behavior problems served in community-based mental health clinics, characterizes psychotherapy process and outcome, and examines differences between children with ASD and a non-ASD comparison group. Results indicate that children with ASD served in this setting are high functioning and diagnostically complex. Certain research-based behavioral and cognitive behavioral psychotherapeutic strategies were observed frequently, while parent training strategies and active teaching strategies were observed less frequently. The intensity or thoroughness with which strategies were pursued was relatively low. Outcome analyses indicate improvement in child symptoms and family functioning. Treatment delivery and outcome were similar for children with and without ASD. These findings represent the first detailed observational data characterizing community-based mental health services for children with ASD.