当我们试图扩大自闭症EBI时,我们必须考虑基础设施:来自早期干预系统的案例
Katherine Pickard1, Sarah R Edmunds2, Quentin Wedderburn2
1Department of Pediatrics, Division of Autism and Related Disabilities, Emory School of Medicine, 1920 Briarcliff Road, Atlanta, GA, 30329, Georgia. katherine.e.pickard@emory.edu.
在公共早期干预系统中扩大针对幼儿自闭症的基于证据的干预 (EBI),需要解决工作人员能力和领导力支持等因素. 这确保了自闭症服务的可持续公共卫生影响.
科学领域:
- 发展心理学 发展心理学
- 公共卫生系统 公共卫生系统
- 自闭症谱系障碍研究研究
背景情况:
- 越来越多的人对在公共系统中为年幼的自闭症儿童翻译基于证据的干预措施 (EBI) 感兴趣.
- 根据IDEA的C部分授权的公共早期干预 (EI) 系统,为发育迟缓的儿童提供服务.
- 目前关于培训自闭症EI提供者EBI的研究规模较小,缺乏对系统对齐和可扩展性的关注.
研究的目的:
- 审查影响EBI跨公共系统扩展的因素.
- 将这些因素扩展到公共EI系统中对自闭症EBI的实施.
- 确定对自闭症研究人员和EI提供者的影响.
主要方法:
- 在多样化的公共系统中对EBI扩展产生统一影响的因素的审查 (引用Fagan,2019).
- 扩展框架,分析在公共EI系统中对自闭症EBI的实施.
- 讨论自闭症EBI对幼儿和幼儿自闭症扩展的具体影响.
主要成果:
- 确定了EBI扩展的关键因素:开发者/资助者能力,公众意识/支持,领导力支持,社区参与,熟练的劳动力和数据监测.
- 这些因素对于使自闭症EBI与EI系统基础设施保持一致至关重要.
- 在扩大培训和维持公共卫生影响方面存在挑战.
结论:
- 在EI系统中成功扩大自闭症EBI的规模取决于解决已识别的系统因素.
- 熟练的劳动力和强大的数据监控对于有效实施至关重要.
- 需要进行进一步的研究,以优化幼儿公共EI系统中的自闭症EBI交付.
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