成年人自闭症的诊断评估 - - 关于ADOS-2的神经发育相关专业学习的当前考虑
Eleanor Curnow1, Izy Utley1, Marion Rutherford1
1School of Health Sciences, Queen Margaret University, Musselburgh, United Kingdom.
Frontiers in psychiatry
|October 23, 2023
概括
自闭症诊断服务需要改进,以便更容易获得和以人为中心. 新的培训材料有助于临床医生使用自闭症诊断观察表第二版 (ADOS-2) 提供神经多样性肯定评估.
科学领域:
- 神经发育障碍 神经发育障碍
- 临床心理学 临床心理学
- 自闭症谱系障碍评估评估
背景情况:
- 针对成年人的自闭症评估服务面临批评,强调需要更容易获得,以人为中心和神经多样性为中心的方法.
- 当前的诊断工具,如自闭症诊断观察表,第二版 (ADOS-2),虽然是标准的,但可能与神经多样性范式和自闭症社区偏好相冲突.
- 劳动力发展对于提高成人自闭症诊断和支持能力至关重要.
研究的目的:
- 为管理ADOS-2用于成人自闭症诊断的临床医生开发和实施神经多样性肯定培训.
- 解决临床医生对ADOS-2的不确定性,并将神经多样性原则纳入自闭症评估实践.
- 通过将评估与他们的需求和偏好相协调,增强自闭症成年人的诊断体验.
主要方法:
- 国家自闭症实施小组与苏格兰的ADOS-2培训提供商之间的合作.
- 与已经完成ADOS-2培训的临床医生进行接触,以确定关注的领域.
- 培训材料的开发,包括诸如"没有我们就没有我们","差异不是赤字"和"神经发育镜头"等原则.
主要成果:
- 创建了培训材料,以支持ADOS-2评估人员采用确认神经多样性的实践.
- 临床医生有能力将关键原则纳入他们的评估方法,培养尊重和以人为中心的护理.
- 提供了实践改进的例子,以增强自闭症成年人的评估经验.
结论:
- 培训举措可以弥合标准化诊断工具和对自闭症成年人的神经多样性肯定护理之间的差距.
- 有效和尊重自闭症诊断评估需要整合自闭症观点和神经发育镜头.
- 持续的研究和劳动力发展对于改善自闭症诊断服务和成人支持至关重要.
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