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五种方法可改善成年自闭症患者的精神保健服务:精神保健服务使用情况、障碍因素以及循证建议回顾。

Five Ways Providers Can Improve Mental Healthcare for Autistic Adults: A Review of Mental Healthcare Use, Barriers to Care, and Evidence-Based Recommendations.

机构信息

The Ohio State University, 228E Atwell Hall, 453 W 10th Ave., Columbus, OH, 43210, USA.

出版信息

Curr Psychiatry Rep. 2022 Oct;24(10):565-571. doi: 10.1007/s11920-022-01362-z. Epub 2022 Aug 15.

Abstract

PURPOSE OF REVIEW

We reviewed the literature from 2017 to 2022 on autistic adults' use of mental healthcare and barriers to care. To encourage immediate improvement in mental healthcare, we provide five strategies mental health providers can use to better care for autistic adults.

RECENT FINDINGS

Most autistic adults use mental healthcare and use it more often than non-autistic adults. Autistic adults' experiences with mental healthcare are characterized by (1) lack of providers knowledgeable about autism, (2) use of treatments that may not be accommodating to individual needs, and (3) difficulty navigating the complex healthcare system. These barriers contribute to prevalent unmet needs for mental healthcare. Autistic adults use mental healthcare frequently but have unmet mental health needs. As necessary systemic changes develop, providers can begin immediately to better care for autistic adults by learning about their needs and taking personalized care approaches to meet those needs.

摘要

目的综述

我们对 2017 年至 2022 年有关成年自闭症患者使用精神卫生保健服务和精神卫生保健障碍的文献进行了综述。为鼓励精神卫生保健服务的即刻改善,我们提供了精神卫生保健提供者可以用来更好地照顾成年自闭症患者的 5 种策略。

最近的发现

大多数成年自闭症患者使用精神卫生保健服务,且使用频率高于非自闭症成年患者。成年自闭症患者在使用精神卫生保健服务时面临以下特征:(1)缺乏了解自闭症的提供者;(2)使用可能不适合个人需求的治疗方法;(3)难以驾驭复杂的医疗保健系统。这些障碍导致普遍存在的精神卫生保健需求未得到满足。成年自闭症患者频繁使用精神卫生保健服务,但精神卫生需求未得到满足。随着必要的系统变革的发展,提供者可以通过了解他们的需求并采取个性化的护理方法来满足这些需求,从而立即开始更好地照顾成年自闭症患者。

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本文引用的文献

1
An Expert Discussion on Autism in the COVID-19 Pandemic.关于新冠疫情期间自闭症的专家讨论
Autism Adulthood. 2020 Jun 1;2(2):106-117. doi: 10.1089/aut.2020.29013.sjc. Epub 2020 Jun 10.
2
Avoiding Ableist Language: Suggestions for Autism Researchers.避免使用歧视性语言:给自闭症研究者的建议。
Autism Adulthood. 2021 Mar 1;3(1):18-29. doi: 10.1089/aut.2020.0014. Epub 2021 Mar 18.
7
Prevalence of Autism Spectrum Disorders in Adult Outpatient Psychiatry.成人门诊精神医学中自闭症谱系障碍的流行率。
J Autism Dev Disord. 2022 Sep;52(9):3769-3779. doi: 10.1007/s10803-021-05411-z. Epub 2022 Jan 6.
10
A review of executive functioning challenges and strengths in autistic adults.自闭症成人执行功能挑战和优势的综述。
Clin Neuropsychol. 2022 Jul;36(5):1116-1147. doi: 10.1080/13854046.2021.1971767. Epub 2021 Sep 9.

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