Journal article
Community-based care for autistic youth: community providers' reported use of treatment practices in the United States
Frontiers in psychiatry, v 14, pp 1212084-1212084
18 Sep 2023
PMID: 37791130
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Introduction: To illustrate the landscape of community-based care for autistic youth in the United States, we identified transdisciplinary psychosocial intervention practice sets that community providers report utilizing to care for this population, and examined characteristics associated with provider-reported utilization.
Methods: The Usual Care for Autism Study (UCAS) Survey assessed provider demographics and provider-reported use of transdisciplinary practices for common ASD co-occurring problems: social difficulties, externalizing behaviors, and anxiety. Community practitioners (N = 701) from allied health, behavioral, education, medical, mental health and other disciplines who treat or work with autistic youth (7-22 years) participated.
Results: Exploratory factor analysis yielded four factors: Consequence-Based Strategies (CBS), Cognitive-Behavioral and Therapy Strategies (CBTS), Antecedent-Based Strategies (ABS), and Teaching Strategies (TS). Providers across disciplines reported utilizing ABS more often than other sets. Providers from behavioral disciplines, with less than 4-year or Master degrees, or with more experience reported the most use of ABS, CBS and CBTS. Medical and behavioral providers reported the most use of TS. Setting and child characteristics were associated with practice set use, indicating variability by disability and client socioeconomic status.
Discussion: Findings reflect the complexity and inconsistency of the service landscape for autistic youth across the U.S. Only by understanding the service landscape and predictors of practice utilization, can researchers, policymakers, provider groups, and the autistic community facilitate effective implementation strategy development and use to ultimately improve community-based care.
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Details
- Title
- Community-based care for autistic youth: community providers' reported use of treatment practices in the United States
- Creators
- Amy Drahota - Michigan State UniversityAksheya Sridhar - Michigan State UniversityLauren J. Moskowitz - St. John's UniversityConnor M. Kerns - University of British ColumbiaLatha Soorya - Rush University Medical CenterAllison Wainer - Rush University Medical CenterElizabeth Cohn - Hunter CollegeMatthew D. Lerner - Stony Brook University
- Publication Details
- Frontiers in psychiatry, v 14, pp 1212084-1212084
- Publisher
- Frontiers Media Sa
- Number of pages
- 15
- Grant note
- Simons Foundation 381283 / Michael Smith Foundation for Health Research Scholar Award; Michael Smith Foundation for Health Research K23HD087427 / National Institute of Mental Health; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Mental Health (NIMH) Adelphi University Center for Health Innovation, Pershing Charitable Trust K01MH093477; R01MH110585 / Brian Wright Memorial Autism Fund This work was supported by the Adelphi University Center for Health Innovation, Pershing Charitable Trust, Brian Wright Memorial Autism Fund, and by funding through the National Institute of Mental Health (K01MH093477 [PI: Drahota] and R01MH110585 [PI: Ler SCH-2021-1709 / Eunice Kennedy Shriver National Institute of Child Health and Human Development; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- A.J. Drexel Autism Institute
- Web of Science ID
- WOS:001074295800001
- Scopus ID
- 2-s2.0-85173594768
- Other Identifier
- 991021861649704721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Psychiatry