scholarly journals Caregiver Burdens and Preventive Dental Care for Children with Autism Spectrum Disorder, Developmental Disability and/or Mental Health Conditions: National Survey of CSHCN, 2009–2010

2016 ◽  
Vol 20 (12) ◽  
pp. 2573-2580 ◽  
Author(s):  
R. Constance Wiener ◽  
Rini Vohra ◽  
Usha Sambamoorthi ◽  
S. Suresh Madhavan
2021 ◽  
Vol 2 (3) ◽  
pp. 311-317
Author(s):  
Isabel Margarita Barrera Yáñez ◽  
Shirley Alexandra Alfaro

Introducción: En el CESFAM de Lota Alto hay un aumento de pacientes con Trastorno del Espectro Autista, lo que sumado a la falta de capacitación de los profesionales dificulta la atención de estos niños, aumentando el tiempo sillón para la realización de cualquier procedimiento dental (2019). Objetivo: Lograr una atención odontológica más eficiente y eficaz en el paciente con Trastorno del Espectro Autista. Materiales   y   métodos: Estudio Observacional Descriptivo, de percepción del odontólogo al aplicar las intervenciones como Pictograma, fotogramas y escala de Eva en la atención odontológica de niños con Trastorno de Espectro Autista (TEA), Indicadores que evaluarán la aplicación: Disminución en el tiempo de atención con Escala de Likert. Resultados: Mediante la aplicación de Fotogramas como carta de presentación, Pictogramas sobre la realización de sellantes y Escala EVA con caritas el cual respecto a la molestia o dolor. Después de 2 meses de aplicación se consultó al Odontólogo. Donde el uso de la escala EVA obtuvo 100% satisfacción total en odontólogo destacando por su bajo costo y gran utilidad. De acuerdo a los resultados se lograr una atención odontológica más eficiente y eficaz la aplicación de Pictogramas, Fotogramas y Escala EVA. Conclusión: Se demostró la utilidad para el manejo de pacientes infantiles en general y con TEA funcionales, con buena acogida del personal de salud, y padres. Lo que a futuro se convertirá en una mayor productividad y a su vez las experiencias positivas creadas y mejora continua de estrategias de adaptación, donde lo más destacado es su bajo costo, como también la eficiencia y eficacia del producto, y mínimo costo.


2016 ◽  
Vol 15 (09) ◽  
pp. 100-105 ◽  
Author(s):  
Dr. Nithya Annie Thomas ◽  
Dr. Priya Shetty ◽  
Dr. Sowmya B. ◽  
Dr. Venkatesh Kodgi

2020 ◽  
Vol 50 (10) ◽  
pp. 3739-3747
Author(s):  
Rachel M. Fenning ◽  
Robin Steinberg-Epstein ◽  
Eric M. Butter ◽  
James Chan ◽  
Kelly McKinnon-Bermingham ◽  
...  

Autism ◽  
2021 ◽  
pp. 136236132110016
Author(s):  
Eliana Hurwich-Reiss ◽  
Colby Chlebowski ◽  
Teresa Lind ◽  
Kassandra Martinez ◽  
Karin M Best ◽  
...  

This study identified patterns of therapist delivery of evidence-based intervention strategies with children with autism spectrum disorder within publicly funded mental health services and compared patterns for therapists delivering usual care to those trained in AIM HI (“An Individualized Mental Health Intervention for ASD”). Data were drawn from a randomized community effectiveness trial and included a subsample of 159 therapists (86% female) providing outpatient or school-based psychotherapy. Therapist strategies were measured via observational coding of psychotherapy session recordings. Exploratory factor analysis used to examine patterns of strategy delivery showed that among therapists in the usual care condition, strategies loaded onto the single factor, General Strategies, whereas for therapists in the AIM HI training condition, strategies grouped onto two factors, Autism Engagement Strategies and Active Teaching Strategies. Among usual care therapists, General Strategies were associated with an increase in child behavior problems, whereas for AIM HI therapists, Active Teaching Strategies were associated with reductions in child behavior problems over 18 months. Results support the effectiveness of training therapists in evidence-based interventions to increase the specificity of strategies delivered to children with autism spectrum disorder served in publicly funded mental health settings. Findings also support the use of active teaching strategies in reducing challenging behaviors. Lay abstract This study was conducted to identify patterns of therapist delivery of evidence-based intervention strategies with children with autism spectrum disorder receiving publicly funded mental health services and compare strategy use for therapists delivering usual care to those trained to deliver AIM HI (“An Individualized Mental Health Intervention for ASD”), an intervention designed to reduce challenging behaviors in children with autism spectrum disorder. For therapists trained in AIM HI, intervention strategies grouped onto two factors, Autism Engagement Strategies and Active Teaching Strategies, while strategies used by usual care therapists grouped onto a broader single factor, General Strategies. Among usual care therapists, General Strategies were related to an increase in child behavior problems, whereas for AIM HI therapists, Active Teaching Strategies were related with reductions in child behavior problems over 18 months. Findings support the use of active teaching strategies in reducing challenging behaviors in children with autism spectrum disorder and provide support for the effectiveness of training therapists in evidence-based interventions to promote the delivery of targeted, specific intervention strategies to children with autism spectrum disorder in mental health services.


2019 ◽  
Vol 41 (4) ◽  
pp. 341-351 ◽  
Author(s):  
Kanae Suzuki ◽  
Shu Takagai ◽  
Masatsugu Tsujii ◽  
Hiroyuki Ito ◽  
Tomoko Nishimura ◽  
...  

Autism ◽  
2020 ◽  
Vol 24 (5) ◽  
pp. 1286-1299
Author(s):  
Teresa Lind ◽  
Anna S Lau ◽  
Christopher Gomez ◽  
Adriana Rodriguez ◽  
Karen Guan ◽  
...  

Mental health clinicians often report significant challenges when delivering evidence-based interventions in community settings, particularly when unexpected client stressors (or emergent life events) interfere with the therapy process. The current study sought to extend the study of emergent life events to children with autism spectrum disorder by examining the occurrence and impact of emergent life events in the context of a collaborative, caregiver-mediated intervention for reducing challenging behaviors in children with autism spectrum disorder, An Individualized Mental Health Intervention for ASD (AIM HI). Participants included 38 child–clinician dyads enrolled in a community effectiveness trial of An Individualized Mental Health Intervention for ASD. Video recordings of 100 therapy sessions were coded for caregiver-reported emergent life events and clinician adherence to the Individualized Mental Health Intervention for ASD protocol. Results indicated that mild to severe emergent life events were reported in 36% of sessions, and were reported for 58% of children at some point during treatment. Greater number of child comorbid diagnoses and less clinician experience were both significantly associated with a higher number of caregiver-reported emergent life events. There was no significant link between emergent life events and clinician adherence to the Individualized Mental Health Intervention for ASD protocol. Findings offer implications for evidence-based intervention implementation, particularly the importance of incorporating clinician training in addressing complex presentations and crises in the context of evidence-based interventions. Lay abstract Mental health clinicians often report significant challenges when delivering evidence-based interventions (EBI) in community settings, particularly when unexpected client stressors (or emergent life events; ELEs) interfere with the therapy process. The current study sought to extend the study of ELEs to children with Autism Spectrum Disorder (ASD) by examining the occurrence and impact of ELEs in the context of a collaborative, caregiver-mediated intervention for reducing challenging behaviors in children with ASD. This intervention was An Individualized Mental Health Intervention for children with ASD (referred to as AIM HI). Participants included 38 clinicians and child clients who were enrolled in a community effectiveness trial of AIM HI. Video recordings of 100 therapy sessions were coded for caregiver-reported ELEs and also how well clinicians adhered to the AIM HI protocol. Results indicated that mild to severe ELEs were reported in 36% of therapy sessions, and were reported for 58% of children at some point during the intervention. Children who had a greater number of diagnoses (in addition to the autism diagnosis) tended to have more ELEs. In addition, clinicians with less years of experience tended to have sessions with more ELEs. There was no significant link between ELEs and how well clinicians adhered to the AIM HI protocol. Findings offer implications for the implementation of EBI, particularly the importance of incorporating clinician training in addressing complex presentations and crises in the context of EBIs.


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