Department of Health Policy and Management, Rollins School of Public Health, Emory University, Atlanta.
Psychiatr Serv. 2020 Apr 1;71(4):385-388. doi: 10.1176/appi.ps.201900058. Epub 2019 Dec 11.
The rising prevalence of autism spectrum disorder (ASD) underscores the importance of access to evidence-based interventions such as applied behavior analysis (ABA). Anecdotal evidence suggests limitations in the supply of ABA providers, but data remain scarce. The authors provide the first known examination of the supply of certified ABA providers in the United States.
Using 2018 data from the Behavior Analyst Certification Board, the authors compared the per capita supply of certified ABA providers in each state with a benchmark established using the Board's guidelines. Additionally, the authors examined state and regional variations in the supply of certified ABA providers.
The per capita supply of certified ABA providers fell below the benchmark in 49 states and was higher in the Northeast than in other regions (p<0.001).
New workforce policies are needed to increase the supply of certified ABA providers to meet the needs of youths with ASD.
自闭症谱系障碍(ASD)的发病率不断上升,突显了获得循证干预措施(如应用行为分析(ABA))的重要性。有传闻证据表明,ABA 服务提供者的供应存在限制,但数据仍然很少。作者首次对美国认证的 ABA 服务提供者的供应情况进行了研究。
作者使用行为分析师认证委员会 2018 年的数据,将每个州的认证 ABA 服务提供者的人均供应量与使用该委员会指南确定的基准进行了比较。此外,作者还研究了认证 ABA 服务提供者在各州和地区的供应情况。
在 49 个州,认证 ABA 服务提供者的人均供应量低于基准水平,东北地区的供应量高于其他地区(p<0.001)。
需要制定新的劳动力政策来增加认证 ABA 服务提供者的供应,以满足 ASD 青少年的需求。