Faculty of Biology, Medicine and Health, University of Manchester, Manchester, UK.
Royal Manchester Children's Hospital, Manchester University NHS Foundation Trust, Manchester, UK.
J Child Psychol Psychiatry. 2019 Dec;60(12):1353-1356. doi: 10.1111/jcpp.13110. Epub 2019 Oct 9.
Autism is a priority condition within global health and represents a significant public health challenge. In this Editorial, I argue for a new perspective on how this challenge might be met, based on the idea of autism as an enduring developmental condition and focused on the family as a key resource. Drawing on models from management of enduring conditions elsewhere in health and on recent autism intervention science, I make the case for a developmental sequence of pulsed interventions, initially focused on early family resilience and self-management, along with case management and timely step-up care to specialist management.
自闭症是全球健康的优先事项,也是一个重大的公共卫生挑战。在这篇社论中,我基于自闭症是一种持久的发育状况的观点,并将家庭视为关键资源,提出了一种应对这一挑战的新视角。借鉴其他健康领域管理持久状况的模式和最近的自闭症干预科学,我提出了一个脉冲干预的发展序列,最初侧重于早期家庭的适应力和自我管理,以及病例管理和及时升级到专业管理。