Therapists' Adaptations to an Intervention to Reduce Challenging Behaviors in Children with Autism Spectrum Disorder in Publicly Funded Mental Health Services.
Therapists' Adaptations to an Intervention to Reduce Challenging Behaviors in Children with Autism Spectrum Disorder in Publicly Funded Mental Health Services.
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DOI：
10.1007/s10803-018-3795-3
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发表时间：
2019-03
影响因子：
3.9
通讯作者：
Brookman-Frazee L
中科院分区：
文献类型：
--
作者：
Dyson MW;Chlebowski C;Brookman-Frazee L
公共资助的心理健康服务在为患有自闭症谱系障碍 (ASD) 的儿童提供服务方面发挥着重要作用。先前的研究表明，当治疗师向非自闭症谱系障碍人群提供基于证据的实践时，适应的可能性很高，尽管对于治疗师对接受心理健康服务的自闭症谱系障碍儿童使用适应措施知之甚少。目前的研究使用定量和定性混合的方法来描述治疗师采用临床干预[自闭症儿童个体化心理健康干预（AIM HI）]的类型和原因，以在公共资助的心理健康机构中为临床复杂的自闭症儿童提供服务，并确定预测适应使用的治疗师特征。最常见的适应措施是增强 AIM HI，并进行个性化干预以适应治疗风格，增加护理人员的参与，并满足客户和护理人员的需求和功能。治疗师的特征没有成为适应的重要预测因素。结果表明，治疗师的调整与 AIM HI 协议基本一致，同时个性化模型以满足 ASD 青少年的复杂需求。
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.
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影响因子：
2.2
作者：
WILLMS, DG;BEST, JA;SINGER, J
通讯作者：
SINGER, J
DOI：
10.1023/b:mhsr.0000024351.12294.65
发表时间：
2004-06-01
期刊：
Mental health services research
影响因子：
--
作者：
Aarons, Gregory A
通讯作者：
Aarons, Gregory A
影响因子：
3.9
作者：
Brookman-Frazee, Lauren I.;Drahota, Amy;Stadnick, Nicole
通讯作者：
Stadnick, Nicole
影响因子：
1.2
作者：
Aarons, Gregory A.;Miller, Elizabeth A.;Bradway, Richard
通讯作者：
Bradway, Richard
影响因子：
1.7
作者：
Cooper, Brittany Rhoades;Shrestha, Gitanjali;Hill, Laura
通讯作者：
Hill, Laura