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所有服务都在哪里:为患有并发心理健康问题的加拿大自闭症青少年绘制基于社区的服务地图。

Where are all the Services: Mapping Community-Based Services for Canadian Autistic Youth with Co-occurring Mental Health Conditions.

作者信息

Andreasen Stephanie, Kuntz Jennifer, Ames Megan E, Coombs E C, McMorris Carly

机构信息

Werklund School of Education, University of Calgary, Calgary, AB, Canada.

Owerko Centre, Alberta Children's Hospital Research Institute, Calgary, AB, Canada.

出版信息

J Autism Dev Disord. 2024 Dec 23. doi: 10.1007/s10803-024-06681-z.

Abstract

PURPOSE

Autistic youth are at heightened risk of mental health issues and face several barriers to accessing appropriate supports. A lack of available services is a common barrier that many autistic youth experience, with only 43% of autistic youth from the US who needed mental health services receiving them. Little is known about the availability of these mental health services in Canada, despite the high prevalence of mental health issues in autistic youth. The current study is one of very few that has reviewed the state of community-based programs and services for the support of mental health challenges in autistic people in North America, and the first such study in Canada.

METHODS

Using an environmental scan methodology, we conducted a search of resource listings on various community websites with a filter for "autism". The resulting websites were then reviewed to find what services providers offer for autistic youth (≥ 25 years) and contacted to complete a survey.

RESULTS

267 listings of mental health supports were identified in the initial search, with 94 sites that specifically mentioned serving autistic youth. 43% (n = 40) of service providers completed a survey about the services they offered, therapeutic approaches, and background training. Providers reported that neurodiversity approaches and multi-disciplinary teams were working well in their practices, yet funding access and society's views on autism were barriers they face.

CONCLUSION

Findings add to the growing body of evidence that availability of services is a systemic barrier that many autistic youth experience when accessing mental health supports.

摘要

目的

自闭症青少年面临心理健康问题的风险更高,且在获得适当支持方面面临诸多障碍。缺乏可用服务是许多自闭症青少年普遍遇到的障碍,在美国,只有43% 需要心理健康服务的自闭症青少年获得了此类服务。尽管自闭症青少年心理健康问题的患病率很高,但对于加拿大这些心理健康服务的可获得性却知之甚少。本研究是北美为数不多的对支持自闭症患者心理健康挑战的社区项目和服务状况进行审查的研究之一,也是加拿大的第一项此类研究。

方法

我们采用环境扫描方法,在各种社区网站上搜索资源列表,并设置 “自闭症” 过滤器。然后对搜索结果中的网站进行审查,以查找服务提供商为自闭症青少年(≥25岁)提供的服务,并联系他们完成一项调查。

结果

在初步搜索中,共识别出267个心理健康支持列表,其中94个网站特别提到为自闭症青少年提供服务。43%(n = 40)的服务提供商完成了一项关于他们提供的服务、治疗方法和背景培训的调查。提供商报告称,神经多样性方法和多学科团队在他们的实践中效果良好,但获得资金和社会对自闭症的看法是他们面临的障碍。

结论

研究结果进一步证明,服务的可获得性是许多自闭症青少年在获得心理健康支持时面临的系统性障碍。

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