"He Just Wants Someone to Hear Him and Listen to Him": Barriers and Facilitators to Autistic Youth with Anxiety Receiving Quality Mental Healthcare.

Autor: Delgado D; TEACCH Autism Program, University of North Carolina at Chapel Hill, Chapel Hill, USA.; Department of Psychology, University of Georgia, Athens, USA., LaPoint SC; TEACCH Autism Program, University of North Carolina at Chapel Hill, Chapel Hill, USA.; School of Teacher Education, Florida State University, Tallahassee, USA., Simmons GL; TEACCH Autism Program, University of North Carolina at Chapel Hill, Chapel Hill, USA., Heinly JM; TEACCH Autism Program, University of North Carolina at Chapel Hill, Chapel Hill, USA., Shepherd de WS; Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, 1977 Butler Blvd, Suite 4-400, Houston, TX, 77030, USA.; Department of Clinical Child Psychology, University of Kansas, Lawrence, USA., Kiernan B; TEACCH Autism Program, University of North Carolina at Chapel Hill, Chapel Hill, USA., Brookman-Frazee L; Department of Psychiatry, University of California, San Diego, USA.; Child and Adolescent Services Research Center, San Diego, USA., Storch EA; Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, 1977 Butler Blvd, Suite 4-400, Houston, TX, 77030, USA. Eric.Storch@bcm.edu., Maddox BB; TEACCH Autism Program, University of North Carolina at Chapel Hill, Chapel Hill, USA.
Jazyk: angličtina
Zdroj: Journal of autism and developmental disorders [J Autism Dev Disord] 2024 Oct 12. Date of Electronic Publication: 2024 Oct 12.
DOI: 10.1007/s10803-024-06574-1
Abstrakt: About half of autistic youth present with clinically interfering anxiety. Psychotherapies with exposure-focused elements are effective in academic clinical settings and controlled trials. However, there is relatively less research examining the implementation of modified interventions for autistic youth with anxiety in community mental health settings. The current study explores community members' perceptions of barriers and facilitators that impact autistic youth with anxiety's receipt of quality mental health services in their community. Semi-structured interviews were conducted with 15 autistic youth, 15 caregivers of autistic youth, 11 community mental health clinicians, and 8 community mental health clinic leaders. Interviews were analyzed thematically. Participants shared their experiences with facilitators and barriers to autistic youth with anxiety receiving quality mental healthcare. Themes that emerged include (1) characteristics of the autistic youth, (2) engagement of autistic youth and caregivers, (3) building rapport between providers, autistic youth, and caregivers, (4) access to mental health services, (5) intervention fit, and (6) provider characteristics. Based on participants' perspectives and suggestions, future directions for anxiety treatment programs tailored for autistic youth include building more time into the intervention sessions to build rapport, incorporating autistic youth's preferences into provider matches, and providing families with more psychoeducation.
(© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
Databáze: MEDLINE
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