Emergent Life Events in the Delivery of a Caregiver-Mediated Evidence-Based Intervention for Children with Autism Spectrum Disorder in Publicly Funded Mental Health Services

Autor/inn/en	Lind, Teresa; Lau, Anna S.; Gomez, Christopher; Rodriguez, Adriana; Guan, Karen; Chlebowski, Colby; Zhang, Aimee; Chorpita, Bruce; Brookman-Frazee, Lauren
Titel	Emergent Life Events in the Delivery of a Caregiver-Mediated Evidence-Based Intervention for Children with Autism Spectrum Disorder in Publicly Funded Mental Health Services
Quelle	In: Autism: The International Journal of Research and Practice, 24 (2020) 5, S.1286-1299 (14 Seiten) PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Lind, Teresa)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1362-3613
DOI	10.1177/1362361319881084
Schlagwörter	Experience; Evidence Based Practice; Intervention; Mental Health Programs; Autism; Pervasive Developmental Disorders; Children; Stress Variables; Therapy; Behavior Problems; Comorbidity; Program Implementation; Clinical Diagnosis; Fidelity; Child Behavior; Measures (Individuals); Eyberg Child Behavior Inventory; Social Responsiveness Scale + Suchen Sie Ihr Suchwort? Erfahrung; Autismus; Child; Kind; Kinder; Therapie; Messdaten
Abstract	Mental health clinicians often report significant challenges when delivering evidence-based interventions in community settings, particularly when unexpected client stressors (or emergent life events) interfere with the therapy process. The current study sought to extend the study of emergent life events to children with autism spectrum disorder by examining the occurrence and impact of emergent life events in the context of a collaborative, caregiver-mediated intervention for reducing challenging behaviors in children with autism spectrum disorder, An Individualized Mental Health Intervention for ASD (AIM HI). Participants included 38 child-clinician dyads enrolled in a community effectiveness trial of An Individualized Mental Health Intervention for ASD. Video recordings of 100 therapy sessions were coded for caregiver-reported emergent life events and clinician adherence to the Individualized Mental Health Intervention for ASD protocol. Results indicated that mild to severe emergent life events were reported in 36% of sessions, and were reported for 58% of children at some point during treatment. Greater number of child comorbid diagnoses and less clinician experience were both significantly associated with a higher number of caregiver-reported emergent life events. There was no significant link between emergent life events and clinician adherence to the Individualized Mental Health Intervention for ASD protocol. Findings offer implications for evidence-based intervention implementation, particularly the importance of incorporating clinician training in addressing complex presentations and crises in the context of evidence-based interventions. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2024/1/01