Division of Research, Kaiser Permanente Northern California, 2000 Broadway, Oakland, CA, 94612, USA.
Quality and Operations Support, Kaiser Permanente California, Oakland, CA, 94612, USA.
J Autism Dev Disord. 2017 Nov;47(11):3347-3357. doi: 10.1007/s10803-017-3247-5.
This study investigates demographic and clinical factors associated with initiation, continuation, and adherence to behavioral health treatment (BHT) among children with autism spectrum disorder. Among 293 insured children referred for applied behavior analysis (ABA) based BHT, 23% never initiated treatment. Among those initiating treatment, 31% discontinued treatment within 1 year of treatment initiation, and only 15% received 80% or more of recommended treatment hours. Younger age at referral to treatment, private health insurance, and receiving more than 10 h/week of BHT were associated with treatment engagement. Co-occurring psychiatric and medical conditions were related to treatment discontinuation among children 5 years or older. These findings suggest specific subgroups that may benefit from additional support with engaging in recommended behavioral health treatment.
本研究调查了与自闭症谱系障碍儿童开始、继续和坚持行为健康治疗（BHT）相关的人口统计学和临床因素。在 293 名接受应用行为分析（ABA）为基础的 BHT 的参保儿童中，有 23%的儿童从未开始治疗。在开始治疗的儿童中，有 31%在治疗开始后 1 年内停止治疗，只有 15%的儿童接受了 80%或更多推荐的治疗时间。治疗转介时年龄较小、私人医疗保险以及每周接受超过 10 小时的 BHT 与治疗参与度相关。5 岁及以上儿童同时存在精神和医疗状况与治疗中断有关。这些发现表明，某些特定亚组可能需要额外的支持，以接受推荐的行为健康治疗。
