Development and Implementation of an Autism Spectrum and Intellectual Developmental Disorders Specialty Track Within Child and Adolescent Psychiatry Fellowship.
Development and Implementation of an Autism Spectrum and Intellectual Developmental Disorders Specialty Track Within Child and Adolescent Psychiatry Fellowship.
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儿童和青少年精神病学奖学金内自闭症谱系和智力发育障碍专业轨道的开发和实施。
DOI：
10.1007/s40596-023-01797-3
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发表时间：
2023
期刊：
影响因子：
--
通讯作者：
Moreno-De-Luca,Daniel
中科院分区：
文献类型：
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作者：
Katz,Julia;Hunt,Jeffrey;Cammuso,Karen;Moreno-De-Luca,Daniel
自闭症谱系障碍(ASD)和智力发育障碍(IDD)的患病率随着精神卫生服务在这一人群中的使用而逐渐上升[1]，这是由于精神疾病的共生情况较高[2]。然而，获得适当和及时的精神卫生保健的机会有限[3]。虽然在获得精神卫生保健方面的挑战是多因素的，但其中一个因素包括临床医生对治疗ASD或IDD患者缺乏舒适性和熟悉性，这影响了他们的自我认知能力[3]。当检查当前ASD和IDD的儿童和青少年精神病学(CAP)团契培训时，43%的项目要求更多的培训资源，大多数报告说，在门诊和住院经验中，每个研究员每年接触的病例不到5例[3]。培训期间的这种有限暴露可能会对提供者的能力产生负面影响，并随后导致对这一人群的治疗犹豫不决，这可能导致护理延迟或错误的治疗选择。相反，增加与ASD和IDD患者的接触有助于改变临床医生在与这些人群互动时的态度和舒适度[4]。
The prevalence of autism spectrum disorder (ASD) and intellectual developmental disabilities (IDD) has been gradually rising [1] along with the use of mental health services in this population due to higher psychiatric co-occurring conditions [2]. However, access to appropriate and timely mental health care has been limited [3]. While challenges in access to mental health care are multifactorial, one factor includes clinicians’ lack of comfort and familiarity with treating individuals with ASD or IDD, impacting their selfperceived competency [3].When examining current child and adolescent psychiatry (CAP) fellowship training in ASD and IDD, 43% of programs requested more resources for training, and the majority reported exposure of less than 5 cases per fellow per year across outpatient and inpatient experiences [3]. This limited exposure during training can negatively impact provider competency and subsequently result in hesitation to treat this population, which may result in delay of care or incorrect treatment selection. In contrast, increased contact with individuals who have ASD and IDD can help with changing clinicians’ attitudes and comfort level when interacting with this population [4].