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劳动力对儿童自闭症评估和治疗中的种族和民族公平的看法:“我们所做一切的基石”。

Workforce perspective on racial and ethnic equity in early childhood autism evaluation and treatment: "The cornerstone of everything we do".

机构信息

Duke University, USA.

出版信息

Autism. 2024 Oct;28(10):2598-2611. doi: 10.1177/13623613241235522. Epub 2024 Mar 13.

Abstract

Black and non-White Latinx children tend to receive autism diagnoses later in life and with a higher degree of impairment than White children. The purpose of this study was to learn what is currently helping as well as preventing Black and non-White Latinx children from getting access to autism evaluation and services. We held virtual interviews with 26 experts who work with autistic children and their families, including clinical providers, researchers, advocates, and policymakers/government representatives. From these interviews, we identified four themes that have an impact on equity in autism services: (1) , (2) w, (3) , and (4) These findings show the need for improved workforce diversity, autism-specific education, payment structures, and additional support for workforce members to avoid burnout. To make childhood autism services more equitable, diversity in recruitment across training levels, cultural awareness, increased autism education for all pediatric providers, and partnerships with caregivers as experts must be prioritized. These investments in the autism workforce will allow professionals in the field to better meet the needs of children and families from Black and non-White Latinx communities and achieve equity in early childhood autism services.

摘要

黑人和非裔拉丁裔拉丁裔儿童往往在生命后期被诊断出患有自闭症,且其损伤程度比白人儿童更高。本研究旨在了解当前有哪些因素有助于帮助黑人和非裔拉丁裔拉丁裔儿童获得自闭症评估和服务,并探讨有哪些因素阻碍了他们获得这些机会。我们对 26 名与自闭症儿童及其家庭合作的专家进行了虚拟访谈,包括临床医生、研究人员、倡导者以及政策制定者/政府代表。从这些访谈中,我们确定了四个影响自闭症服务公平性的主题:(1) ;(2) ;(3) ;(4) 。这些发现表明需要提高劳动力的多样性、提供自闭症相关教育、改变支付结构,并为工作人员提供更多支持以避免倦怠。为了使儿童自闭症服务更加公平,必须优先考虑在培训各级、文化意识、为所有儿科医生提供更多自闭症教育以及与照顾者建立合作伙伴关系方面的招聘多样性。对自闭症劳动力的这些投资将使该领域的专业人员能够更好地满足黑人和非裔拉丁裔拉丁裔社区儿童和家庭的需求,并实现儿童自闭症服务的早期公平。

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