自闭症青少年和年轻成年人在过渡到成年期期间使用心理健康服务的模式
Scott A Davis1, Izabela E Annis1, Phillip M Hughes1
1Division of Pharmaceutical Outcomes and Policy, University of North Carolina Eshelman School of Pharmacy, Asheville, North Carolina, USA.
Autism in adulthood : challenges and management
|December 20, 2023
概括
自闭症年轻人经常在放学后失去心理健康服务,增加风险. 这项研究描述了他们在这个关键的过渡时期的服务使用模式.
科学领域:
- 神经发育障碍 神经发育障碍
- 心理健康服务研究 心理健康服务研究
- 青少年和年轻人的健康
背景情况:
- 自闭症青少年和年轻人 (AYA) 经常在离开学校后停止提供心理健康服务.
- 这种服务中断可以导致在关键的发育时期心理健康结果较差.
- 了解服务利用模式对于改善护理连续性至关重要.
研究的目的:
- 描述自闭症AYA在过渡到成年期期间使用心理健康服务的模式.
- 识别与不同服务利用轨迹相关的因素.
主要方法:
- 从一个大型大学医疗保健系统中利用电子健康记录 (2015-2019) 进行的横截面研究.
- 包括11-27岁的自闭症个体,每年有临床接触.
- 评估了心理药物的使用,心理治疗,多药房,精神病急诊室 (ED) 访问和不良药物事件.
主要成果:
- 在该队列中,近一半的529名自闭症AYA接受了多药.
- 仅用药治疗是最常见的 (56.9%),其次是没有治疗 (22.7%) 和药物加上心理治疗 (18.7%).
- 年轻的AYA (17-21) 有更高的精神科ED访问的几率;年长的AYA (22-27) 有更高的心理药物和多药物的几率. 黑人AYA比非西班牙裔白人AYA更频繁地接受心理治疗,但多药性治疗的频率较少.
结论:
- 自闭症患者在过渡到成年期期间需要加强医疗保健系统的支持,以维持基本的心理健康服务.
- 改善获得经验丰富的提供者的机会对于解决复杂需求和减少医疗保健差异至关重要.
- 需要采取积极的干预措施,以防止服务中断和减轻不良心理健康结果.
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