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Autor/inn/enBroder Fingert, Sarabeth; Carter, Alice; Pierce, Karen; Stone, Wendy L.; Wetherby, Amy; Scheldrick, Chris; Smith, Christopher; Bacon, Elizabeth; James, Stephen N.; Ibañez, Lisa; Feinberg, Emily
TitelImplementing Systems-Based Innovations to Improve Access to Early Screening, Diagnosis, and Treatment Services for Children with Autism Spectrum Disorder: An Autism Spectrum Disorder Pediatric, Early Detection, Engagement, and Services Network Study
QuelleIn: Autism: The International Journal of Research and Practice, 23 (2019) 3, S.653-664 (12 Seiten)
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Spracheenglisch
Dokumenttypgedruckt; online; Zeitschriftenaufsatz
ISSN1362-3613
DOI10.1177/1362361318766238
SchlagwörterAutism; Pervasive Developmental Disorders; Innovation; Screening Tests; Clinical Diagnosis; Early Intervention; Children; Barriers; Program Implementation; Young Children; Access to Health Care; Access to Education; Family Involvement
AbstractIn 2013, the National Institute of Mental Health funded five trials of unique, multicomponent, systems-based innovations designed to improve access to early screening, diagnosis, and treatment of autism spectrum disorder--collectively known as the Autism Spectrum Disorder Pediatric, Early Detection, Engagement, and Services Network. As part of an ongoing effort to pool data and learn from shared experience, we collected information across all studies about innovation components and implementation strategies. First, each study group completed standardized checklists based on the Template for Intervention Description and Replication and the Expert Recommendation for Implementing Change. Then, we interviewed principal and co-investigators of each study (n = 9) to further explore innovation components and assess barriers and facilitators to implementation. Innovation strategies were diverse (five different autism spectrum disorder screeners were used, 40% included early intervention trainings, 60% involved new technology). Common implementation strategies included developing stakeholder relationships and provider trainings. Barriers included inefficient systems of care, difficulty engaging families in the innovations, provider attitudes, and organizational culture (e.g. difficulty changing clinic processes). These findings suggest that--despite diverse settings and a variety of innovation content--common facilitators and challenges exist in implementing innovations to enhance access to early autism spectrum disorder screening, diagnosis, and treatment. (As Provided).
AnmerkungenSAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: http://sagepub.com
Erfasst vonERIC (Education Resources Information Center), Washington, DC
Update2020/1/01
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