Caven Isabelle, Nguyen Claire, Wiegelmann Justine, Laframboise Erica, Penner Melanie
Holland Bloorview Kids Rehabilitation Hospital, Toronto, ON, Canada.
Department of Paediatrics, Michael Garron Hospital, Toronto, ON, Canada.
Front Psychiatry. 2023 Sep 25;14:1242748. doi: 10.3389/fpsyt.2023.1242748. eCollection 2023.
Understanding how behaviour therapists incorporate diagnostic assessments into their intervention planning can help to streamline assessment procedures and facilitate communication. The objectives are to identify what information from the diagnostic assessment is received by behaviour therapists and which assessment elements are most important and relevant for treatment planning. Behaviour therapists, identified through Ontario registries, were surveyed about their use of diagnostic information in treatment planning. Seventy-one behaviour therapists completed the survey (response rate = 35.5%). The diagnostic information most frequently received by respondents included brief (69%) and detailed (49.2%) physician/psychologist report, speech/language assessment report (52.1%) and individualised education plan (50.7%). Most respondents indicated that information from the physician/psychologist report is often out-dated (74.6% Agree/Strongly Agree). There was variable agreement that the information in the diagnostic package influences the type and quantity of treatment. These findings demonstrate that while diagnostic assessments received by behaviour therapists are important to their planning, other independently obtained sources of information, such as client interviews, are relatively more important to this process. The diagnostic assessment is one tool to inform treatment planning; however, up-to-date information about the child's needs is likely to be more informative.
了解行为治疗师如何将诊断评估纳入其干预计划,有助于简化评估程序并促进沟通。目标是确定行为治疗师从诊断评估中获得了哪些信息,以及哪些评估要素对治疗计划最为重要和相关。通过安大略省的登记处确定了行为治疗师,并对他们在治疗计划中使用诊断信息的情况进行了调查。71名行为治疗师完成了调查(回复率 = 35.5%)。受访者最常收到的诊断信息包括简短(69%)和详细(49.2%)的医生/心理学家报告、言语/语言评估报告(52.1%)和个性化教育计划(50.7%)。大多数受访者表示,医生/心理学家报告中的信息往往过时(74.6%同意/强烈同意)。对于诊断包中的信息会影响治疗的类型和数量,存在不同程度的认同。这些发现表明,虽然行为治疗师收到的诊断评估对他们的计划很重要,但其他独立获取的信息来源,如与客户的面谈,在这个过程中相对更重要。诊断评估是为治疗计划提供信息的一种工具;然而,关于儿童需求的最新信息可能更具参考价值。