Key Stakeholder Perspectives on Obstacles to an Autism-Specific Medicaid Waiver Service Delivery Model

Autor/inn/en	Holingue, Calliope; Jang, Yeon; Azad, Gazi; Landa, Rebecca
Titel	Key Stakeholder Perspectives on Obstacles to an Autism-Specific Medicaid Waiver Service Delivery Model
Quelle	In: Journal of Applied Research in Intellectual Disabilities, 35 (2022) 1, S.205-216 (12 Seiten)Infoseite zur Zeitschrift PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Holingue, Calliope)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1360-2322
DOI	10.1111/jar.12940
Schlagwörter	Autism; Pervasive Developmental Disorders; Delivery Systems; Barriers; Program Effectiveness; Staff Development; Training; Severity (of Disability); Interpersonal Communication; Work Environment; Salaries; Labor Turnover; Supply and Demand + Suchen Sie Ihr Suchwort? Autismus; Auslieferung; Personnel development; Personalentwicklung; Ausbildung; Schweregrad; Interpersonale Kommunikation; Arbeitsmilieu; Entlohnung; Gehalt; Bedarfsplanung
Abstract	Background: Children and youth with autism spectrum disorder have significant, multi-system needs that require supports, such as the autism waiver (AW) service delivery model. This study aimed to identify and describe characteristics of the AW, define obstacles and strengths in the provision of adequate services and provide recommendations for improving overall effectiveness. Methods: This mixed-methods exploratory study used an electronic survey to gain information and perceptions of AW provider agency directors (n = 27) and service coordinators (n = 30). Results: The key barriers reported were the shortage of qualified staff, inadequate staff training, complexity of cases or symptom severity of clients and lack of communication at multiple levels throughout the agency as well as with parents. Conclusions: Recommendations include reinforcing the workforce through higher salaries, greater training and communication interventions. These strategies may reduce staff turnover and shortage, lighten the caseload, reduce the waitlist period and improve the effectiveness and responsiveness of AW services. (As Provided).
Anmerkungen	Wiley. Available from: John Wiley & Sons, Inc. 111 River Street, Hoboken, NJ 07030. Tel: 800-835-6770; e-mail: cs-journals@wiley.com; Web site: https://www.wiley.com/en-us
Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2024/1/01