Mental health Project ECHO Autism: Increasing access to community mental health services for autistic individuals.
Mental health Project ECHO Autism: Increasing access to community mental health services for autistic individuals.
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DOI：
10.1177/13623613211028000
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发表时间：
2022-03
期刊：
影响因子：
--
通讯作者：
Klinger LG
中科院分区：
文献类型：
--
作者：
Dreiling NG;Cook ML;Lamarche E;Klinger LG
尽管自闭症谱系障碍与心理健康状况并存的发病率很高(S)，但自闭症患者的心理健康治疗存在很大障碍。在向自闭症患者提供适当的服务方面，缺乏心理健康提供者的培训和自我效能，加剧了这些障碍。在缓解类似服务差距方面有效的一种方法是社区卫生保健结果扩展(项目ECHO)自闭症模型，这是一个远程指导平台，将初级保健医生与自闭症谱系障碍专家联系起来，以提高医生的知识、自我效能和实践。本研究开发并实施了心理健康版的自闭症项目，旨在增加心理健康提供者的知识、自我效能感和解决问题的能力。社区精神卫生提供者(N = 51)参加了为期6个月的回声自闭症项目，包括以精神健康为重点的教学和提供者案例介绍。对前后措施的分析显示，所有领域都有改善，包括提供者对自闭症谱系障碍、自我效能和问题解决的认识显著增加。参与者还表示，他们对自己的体验非常满意。综上所述，初步结果表明，ECHO自闭症项目可能是一种可行、可访问和有效的方法，可以提高心理健康提供者的能力，并最终增加患有共同心理健康诊断的自闭症患者获得服务的机会。尽管许多自闭症患者有额外的心理健康状况，但大多数人很难从心理健康提供者那里获得服务。这些服务很难获得的一个原因是，许多精神健康提供者对自己为自闭症患者提供服务的能力缺乏信心。为了与当地社区提供者分享自闭症专业知识，并增强他们与自闭症患者合作的信心，我们创建了一个精神健康版本的社区医疗保健结果扩展(项目ECHO)自闭症虚拟远程会诊计划。在这项先导性研究中，我们招募了51名社区精神卫生工作者参加回声自闭症项目。在每两周一次的会议期间，提供者从自闭症专家那里收到关于如何为自闭症患者量身定做心理健康干预措施(例如，注意力缺陷多动障碍或焦虑干预措施)的信息。他们还有机会就目前的案件提出问题和获得建议。在为期6个月的研究结束时，精神健康提供者在他们的自信心、自闭症知识和解决问题的技能方面都有了改善。这些提供者中近一半(45%)来自农村县，这表明ECHO自闭症远程会诊模式能够接触到可能无法接受培训的精神健康提供者。这项研究支持使用回声自闭症计划与精神健康提供者分享自闭症知识的可行性，从而为患有共同心理健康问题的自闭症患者扩大精神健康服务选择。
Despite the high prevalence of co-occurring autism spectrum disorders and mental health condition(s), there exist substantial barriers to mental health treatment for autistic individuals. These barriers are exacerbated by a lack of mental health provider training and self-efficacy in providing adapted services to autistic individuals. One method which has been effective in mitigating similar service gaps is the Extension for Community Healthcare Outcomes (Project ECHO) Autism model, a tele-mentoring platform that connects primary care physicians to autism spectrum disorder experts to improve physicians’ knowledge, self-efficacy, and practice. This study developed and implemented a pilot mental health version of Project ECHO Autism designed to increase mental health provider knowledge, self-efficacy, and problem-solving. Community mental health providers (N = 51) participated in the 6-month Project ECHO Autism including mental health–focused didactics and provider case presentations. Analysis of pre- and post-measures revealed improvements in all domains, including significant increases in provider knowledge of autism spectrum disorders, self-efficacy, and problem-solving. Participants additionally reported high satisfaction with their experience. Taken together, preliminary results indicate that Project ECHO Autism may be a feasible, accessible, and effective method for increasing mental health provider competence and ultimately increasing access to services for autistic individuals who have co-occurring mental health diagnoses. Although many autistic individuals have additional mental health conditions, most have a hard time getting services from mental health providers. One reason why these services can be hard to access is that many mental health providers do not feel confident in their ability to provide services to autistic individuals. To share autism expertise with local community providers and boost their confidence in working with autistic individuals, we created a mental health version of the Extension for Community Healthcare Outcomes (Project ECHO) Autism virtual teleconsultation program. In this pilot study, we recruited 51 community mental health providers to participate in Project ECHO Autism. During each biweekly session, providers received information from autism experts about how to tailor mental health interventions (e.g. attention-deficit hyperactivity disorder or anxiety interventions) for use with autistic individuals. They also had the opportunity to ask questions and get advice on their current cases. At the end of the 6-month study, mental health providers showed improvements in their confidence, in their knowledge of autism, and in their problem-solving skills. Nearly half (45%) of these providers participated from rural counties, suggesting that the Project ECHO Autism teleconsultation model was able to reach mental health providers who might not have been able to get training otherwise. This study supports the feasibility of using Project ECHO Autism to share autism knowledge with mental health providers, consequently expanding mental health service options for autistic individuals with co-occurring mental health conditions.
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影响因子：
4.4
作者：
Ahmedani, Brian K.;Hock, Robert M.
通讯作者：
Hock, Robert M.
DOI：
10.15585/mmwr.ss6706a1
发表时间：
2018-04-27
期刊：
Morbidity and mortality weekly report. Surveillance summaries (Washington, D.C. : 2002)
影响因子：
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作者：
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通讯作者：
Dowling NF
影响因子：
25.8
作者：
Brookman-Frazee, Lauren;Roesch, Scott;Ganger, William
通讯作者：
Ganger, William
影响因子：
1.6
作者：
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影响因子：
3.6
作者：
Berndt A;Murray CM;Kennedy K;Stanley MJ;Gilbert-Hunt S
通讯作者：
Gilbert-Hunt S