Division of Child and Adolescent Psychiatry, Department of Psychiatry, New York State Psychiatric Institute & Columbia University, 1051 Riverside Drive, New York, NY, 10032, USA.
Center for Autism and Related Disorders, Kennedy Krieger Institute, 3901 Greenspring Ave, Baltimore, MD, 21211, USA.
Adm Policy Ment Health. 2021 Mar;48(2):266-278. doi: 10.1007/s10488-020-01064-9.
When parents and teachers align their practices across home and school, it may optimize services for children with autism spectrum disorder (ASD). Partners in School is a multi-faceted implementation strategy designed to improve ASD services in schools. The goal is to increase parents' and teachers' use of evidence-based practices (EBPs) and to align those EBPs across settings. We piloted Partners in School with 49 parent-teacher dyads to assess administration and the factors associated with reported fidelity to the model. Specifically, we measured the number of intervention steps both parents and teachers completed (reported alignment) and the characteristics associated with intervention alignment. Partners in School involves parent-teacher participation in a pre-consultation interview, an in-person consultation meeting, active implementation of the same EBPs in their respective settings, and a post-consultation interview. Parents and teachers also completed surveys pre- and post-consultation. On average, parents and teachers completed approximately five EBP steps on their own in their respective settings (i.e., at home or at school). Of these five steps, parents and teachers both completed three of the same EBPs steps, on average. Different factors were related to reported alignment for parents versus teachers; however, a similarity noted for both parents and teachers was that communication variables were associated with reported alignment. Our findings indicate the important role of communication in aligning stakeholders for ASD service delivery models.
当家长和教师在家庭和学校中协调他们的实践时,这可能会优化自闭症谱系障碍(ASD)儿童的服务。“学校合作伙伴”(Partners in School)是一种多方面的实施策略,旨在改善学校中的 ASD 服务。其目标是增加家长和教师对循证实践(EBP)的使用,并在各个环境中协调这些 EBP。我们用 49 对家长-教师二人组对“学校合作伙伴”进行了试点,以评估管理和与报告的模型保真度相关的因素。具体来说,我们测量了父母和教师各自完成的干预步骤数量(报告的一致性)以及与干预一致性相关的特征。“学校合作伙伴”涉及家长-教师参与预咨询访谈、面对面咨询会议、在各自环境中积极实施相同的 EBP 以及咨询后访谈。家长和教师还在咨询前后完成了调查。平均而言,家长和教师在各自的环境中各自完成了大约五个 EBP 步骤(即在家庭或学校)。在这五个步骤中,家长和教师平均完成了三个相同的 EBP 步骤。报告的一致性与家长和教师相关的因素不同;然而,家长和教师都注意到的一个相似之处是,沟通变量与报告的一致性相关。我们的研究结果表明,沟通在为 ASD 服务提供模型协调利益相关者方面起着重要作用。