Skip to main content
Top
Gepubliceerd in: Journal of Autism and Developmental Disorders 2/2023

17-11-2020 | Original Paper

Changes in Attitudes and Knowledge after Trainings in a Clinical Care Pathway for Autism Spectrum Disorder

Auteurs: Lauren J. Donnelly, Paige E. Cervantes, Fei Guo, Cheryl R. Stein, Eugene Okparaeke, Sarah Kuriakose, Beryl Filton, Jennifer Havens, Sarah M. Horwitz

Gepubliceerd in: Journal of Autism and Developmental Disorders | Uitgave 2/2023

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Caring for individuals with autism spectrum disorder (ASD) can be complicated, especially when challenging behaviors are present. Providers may feel unprepared to work with these individuals because specialized training for medical and social service providers is limited. To increase access to specialized training, we modified an effective half-day ASD-Care Pathway training (Kuriakose et al. 2018) and disseminated it within five different settings. This short, focused training on strategies for preventing and reducing challenging behaviors of patients with ASD resulted in significant improvements in staff perceptions of challenging behaviors, increased comfort in working with the ASD population, and increased staff knowledge for evidence-informed practices. Implications, including the impact of sociodemographic characteristics on pre/post changes, and future directions are discussed.
Literatuur
go back to reference Aarons, G. A. (2004). Mental health provider attitudes toward adoption of evidence-based practice: The evidence-based practice attitude scale (EBPAS). Mental Health Services Research, 6(2), 61–74.CrossRefPubMedPubMedCentral Aarons, G. A. (2004). Mental health provider attitudes toward adoption of evidence-based practice: The evidence-based practice attitude scale (EBPAS). Mental Health Services Research, 6(2), 61–74.CrossRefPubMedPubMedCentral
go back to reference American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.CrossRef American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.CrossRef
go back to reference Brookman-Frazee, L., Roesch, S., Chlebowski, C., Baker-Ericzen, M., & Ganger, W. (2019). Effectiveness of training therapists to deliver an individualized mental health intervention for children with ASD in publicly funded mental health services: A cluster randomized clinical trial. JAMA Psychiatry. https://doi.org/10.1001/jamapsychiatry.2019.0011. Brookman-Frazee, L., Roesch, S., Chlebowski, C., Baker-Ericzen, M., & Ganger, W. (2019). Effectiveness of training therapists to deliver an individualized mental health intervention for children with ASD in publicly funded mental health services: A cluster randomized clinical trial. JAMA Psychiatry. https://​doi.​org/​10.​1001/​jamapsychiatry.​2019.​0011.
go back to reference Cervantes, P., Kuriakose, S., Donnelly, L., Filton, B., Marr, M., Okparaeke, E., Voorheis, K., Havens, J., & Horwitz, S. (2019). Sustainability of a care pathway for children and adolescents with autism Spectrum disorder on an inpatient psychiatric service. Journal of Autism and Developmental Disorders. https://doi.org/10.1007/s10803-019-04029-6. Cervantes, P., Kuriakose, S., Donnelly, L., Filton, B., Marr, M., Okparaeke, E., Voorheis, K., Havens, J., & Horwitz, S. (2019). Sustainability of a care pathway for children and adolescents with autism Spectrum disorder on an inpatient psychiatric service. Journal of Autism and Developmental Disorders. https://​doi.​org/​10.​1007/​s10803-019-04029-6.
go back to reference Donnelly, L. J., Cervantes, P. E., Okparaeke, E., Stein, C. R., Filton, B., Kuriakose, S., Havens, J., & Horwitz, S. M. (2020). Staff perceptions and implementation Fidelity of an autism Spectrum disorder care pathway on a child/adolescent general psychiatric inpatient service. Journal of Autism and Developmental Disorders. https://doi.org/10.1007/s10803-020-04509-0. Donnelly, L. J., Cervantes, P. E., Okparaeke, E., Stein, C. R., Filton, B., Kuriakose, S., Havens, J., & Horwitz, S. M. (2020). Staff perceptions and implementation Fidelity of an autism Spectrum disorder care pathway on a child/adolescent general psychiatric inpatient service. Journal of Autism and Developmental Disorders. https://​doi.​org/​10.​1007/​s10803-020-04509-0.
go back to reference Hastings, R. P., & Brown, T. (2002). Behavioural knowledge, causal beliefs and self-efficacy as predictors of special educators’ emotional reactions to challenging behaviours. Journal of Intellectual Disability Research: JIDR, 46(Pt 2), 144–150.CrossRefPubMed Hastings, R. P., & Brown, T. (2002). Behavioural knowledge, causal beliefs and self-efficacy as predictors of special educators’ emotional reactions to challenging behaviours. Journal of Intellectual Disability Research: JIDR, 46(Pt 2), 144–150.CrossRefPubMed
go back to reference Kuriakose, S., Filton, B., Marr, M., Okparaeke, E., Cervantes, P., Siegel, M., Horwitz, S., & Havens, J. (2018). Does an autism Spectrum disorder care pathway improve Care for Children and Adolescents with ASD in inpatient psychiatric units? Journal of Autism and Developmental Disorders. https://doi.org/10.1007/s10803-018-3666-y. Kuriakose, S., Filton, B., Marr, M., Okparaeke, E., Cervantes, P., Siegel, M., Horwitz, S., & Havens, J. (2018). Does an autism Spectrum disorder care pathway improve Care for Children and Adolescents with ASD in inpatient psychiatric units? Journal of Autism and Developmental Disorders. https://​doi.​org/​10.​1007/​s10803-018-3666-y.
go back to reference Lean, M., Leavey, G., Killaspy, H., Green, N., Harrison, I., Cook, S., Craig, T., Holloway, F., Arbuthnott, M., & King, M. (2015). Barriers to the sustainability of an intervention designed to improve patient engagement within NHS mental health rehabilitation units: A qualitative study nested within a randomised controlled trial. BMC Psychiatry, 15(1), 209. https://doi.org/10.1186/s12888-015-0592-9.CrossRefPubMedPubMedCentral Lean, M., Leavey, G., Killaspy, H., Green, N., Harrison, I., Cook, S., Craig, T., Holloway, F., Arbuthnott, M., & King, M. (2015). Barriers to the sustainability of an intervention designed to improve patient engagement within NHS mental health rehabilitation units: A qualitative study nested within a randomised controlled trial. BMC Psychiatry, 15(1), 209. https://​doi.​org/​10.​1186/​s12888-015-0592-9.CrossRefPubMedPubMedCentral
go back to reference Maenner, M. J., Shaw, K. A., Baio, J., Washington, A., Patrick, M., DiRienzo, M., Christensen, D. L., Wiggins, L. D., Pettygrove, S., Andrews, J. G., Lopez, M., Hudson, A., Baroud, T., Schwenk, Y., White, T., Rosenberg, C. R., Lee, L.-C., Harrington, R. A., Huston, M., et al. (2020). Prevalence of autism Spectrum disorder among children aged 8 years—Autism and developmental disabilities monitoring network, 11 sites, United States, 2016. MMWR Surveillance Summaries, 69(4), 1–12. https://doi.org/10.15585/mmwr.ss6904a1.CrossRefPubMedCentral Maenner, M. J., Shaw, K. A., Baio, J., Washington, A., Patrick, M., DiRienzo, M., Christensen, D. L., Wiggins, L. D., Pettygrove, S., Andrews, J. G., Lopez, M., Hudson, A., Baroud, T., Schwenk, Y., White, T., Rosenberg, C. R., Lee, L.-C., Harrington, R. A., Huston, M., et al. (2020). Prevalence of autism Spectrum disorder among children aged 8 years—Autism and developmental disabilities monitoring network, 11 sites, United States, 2016. MMWR Surveillance Summaries, 69(4), 1–12. https://​doi.​org/​10.​15585/​mmwr.​ss6904a1.CrossRefPubMedCentral
go back to reference McDonnell, A., Sturmey, P., Oliver, C., Cunningham, J., Hayes, S., Galvin, M., Walshe, C., & Cunningham, C. (2008). The effects of staff training on staff confidence and challenging behavior in services for people with autism spectrum disorders. Research in Autism Spectrum Disorders, 2(2), 311–319. https://doi.org/10.1016/j.rasd.2007.08.001.CrossRef McDonnell, A., Sturmey, P., Oliver, C., Cunningham, J., Hayes, S., Galvin, M., Walshe, C., & Cunningham, C. (2008). The effects of staff training on staff confidence and challenging behavior in services for people with autism spectrum disorders. Research in Autism Spectrum Disorders, 2(2), 311–319. https://​doi.​org/​10.​1016/​j.​rasd.​2007.​08.​001.CrossRef
go back to reference McGonigle, J. J., Migyanka, J. M., Glor-Scheib, S. J., Cramer, R., Fratangeli, J. J., Hegde, G. G., Shang, J., & Venkat, A. (2014). Development and evaluation of educational materials for pre-hospital and emergency department personnel on the care of patients with autism spectrum disorder. Journal of Autism and Developmental Disorders, 44(5), 1252–1259. https://doi.org/10.1007/s10803-013-1962-0.CrossRefPubMed McGonigle, J. J., Migyanka, J. M., Glor-Scheib, S. J., Cramer, R., Fratangeli, J. J., Hegde, G. G., Shang, J., & Venkat, A. (2014). Development and evaluation of educational materials for pre-hospital and emergency department personnel on the care of patients with autism spectrum disorder. Journal of Autism and Developmental Disorders, 44(5), 1252–1259. https://​doi.​org/​10.​1007/​s10803-013-1962-0.CrossRefPubMed
go back to reference Siegel, M., Doyle, K., Chemelski, B., Payne, D., Ellsworth, B., Harmon, J., Robbins, D., Milligan, B., & Lubetsky, M. (2012). Specialized inpatient psychiatry units for children with autism and developmental disorders: A United States survey. Journal of Autism and Developmental Disorders, 42(9), 1863–1869. https://doi.org/10.1007/s10803-011-1426-3.CrossRefPubMed Siegel, M., Doyle, K., Chemelski, B., Payne, D., Ellsworth, B., Harmon, J., Robbins, D., Milligan, B., & Lubetsky, M. (2012). Specialized inpatient psychiatry units for children with autism and developmental disorders: A United States survey. Journal of Autism and Developmental Disorders, 42(9), 1863–1869. https://​doi.​org/​10.​1007/​s10803-011-1426-3.CrossRefPubMed
go back to reference Verschuur, R., Huskens, B., Verhoeven, L., & Didden, R. (2017). Increasing opportunities for question-asking in school-aged children with autism Spectrum disorder: Effectiveness of staff training in pivotal response treatment. Journal of Autism and Developmental Disorders, 47(2), 490–505. https://doi.org/10.1007/s10803-016-2966-3.CrossRefPubMed Verschuur, R., Huskens, B., Verhoeven, L., & Didden, R. (2017). Increasing opportunities for question-asking in school-aged children with autism Spectrum disorder: Effectiveness of staff training in pivotal response treatment. Journal of Autism and Developmental Disorders, 47(2), 490–505. https://​doi.​org/​10.​1007/​s10803-016-2966-3.CrossRefPubMed
go back to reference Zijlmans, L. J. M., Embregts, P. J. C. M., Gerits, L., Bosman, A. M. T., & Derksen, J. J. L. (2015). The effectiveness of staff training focused on increasing emotional intelligence and improving interaction between support staff and clients. Journal of Intellectual Disability Research, 59(7), 599–612. https://doi.org/10.1111/jir.12164.CrossRefPubMed Zijlmans, L. J. M., Embregts, P. J. C. M., Gerits, L., Bosman, A. M. T., & Derksen, J. J. L. (2015). The effectiveness of staff training focused on increasing emotional intelligence and improving interaction between support staff and clients. Journal of Intellectual Disability Research, 59(7), 599–612. https://​doi.​org/​10.​1111/​jir.​12164.CrossRefPubMed
go back to reference Zwaigenbaum, L., Nicholas, D. B., Muskat, B., Kilmer, C., Newton, A. S., Craig, W. R., Ratnapalan, S., Cohen-Silver, J., Greenblatt, A., Roberts, W., & Sharon, R. (2016). Perspectives of health care providers regarding emergency Department Care of Children and Youth with autism Spectrum disorder. Journal of Autism and Developmental Disorders, 46(5), 1725–1736. https://doi.org/10.1007/s10803-016-2703-y.CrossRefPubMed Zwaigenbaum, L., Nicholas, D. B., Muskat, B., Kilmer, C., Newton, A. S., Craig, W. R., Ratnapalan, S., Cohen-Silver, J., Greenblatt, A., Roberts, W., & Sharon, R. (2016). Perspectives of health care providers regarding emergency Department Care of Children and Youth with autism Spectrum disorder. Journal of Autism and Developmental Disorders, 46(5), 1725–1736. https://​doi.​org/​10.​1007/​s10803-016-2703-y.CrossRefPubMed
Metagegevens
Titel
Changes in Attitudes and Knowledge after Trainings in a Clinical Care Pathway for Autism Spectrum Disorder
Auteurs
Lauren J. Donnelly
Paige E. Cervantes
Fei Guo
Cheryl R. Stein
Eugene Okparaeke
Sarah Kuriakose
Beryl Filton
Jennifer Havens
Sarah M. Horwitz
Publicatiedatum
17-11-2020
Uitgeverij
Springer US
Gepubliceerd in
Journal of Autism and Developmental Disorders / Uitgave 2/2023
Print ISSN: 0162-3257
Elektronisch ISSN: 1573-3432
DOI
https://doi.org/10.1007/s10803-020-04775-y

Andere artikelen Uitgave 2/2023

Journal of Autism and Developmental Disorders 2/2023 Naar de uitgave