在公共资助的教育和心理健康环境中,护理人员对自闭症儿童的担忧不同:来自社区实施-有效性试验的结果
Laurel R Benjamin1,2,3,4, Aubyn C Stahmer5,6, Anna Lau7
1San Diego State University, USA.
概括
对于自闭症儿童的照顾者担忧因服务环境而异,心理健康计划侧重于外部化行为,学校侧重于社会和重复性行为. 了解这些优先事项是定制干预措施的关键.
科学领域:
- 儿童心理学 儿童心理学
- 发育障碍 发育障碍是一种发展障碍.
- 医疗保健服务研究 医疗保健服务研究
背景情况:
- 护理人员的关注对于塑造对自闭症儿童的支持至关重要.
- 在不同的服务系统中了解这些问题对于有效干预至关重要.
研究的目的:
- 描述学校和心理健康环境中对自闭症儿童的护理人员的担忧.
- 确定与这些问题相关的儿童和家庭特征.
- 探讨基于服务交付设置的关注点的差异.
主要方法:
- 对353名学龄自闭症儿童的护理人员确定的主要担忧进行了定性分析.
- 使用修改的顶级问题编码系统来分类问题.
- 检查了关注与儿童/家庭特征之间的关联,控制设置.
主要成果:
- 外向化行为 (侵略性),社会差异和注意力困难是常见的担忧.
- 经常报告自闭症特异性问题,特别是社会反应能力.
- 关注点因环境而异:心理健康环境强调外化行为,而学校环境则专注于受限制的重复行为和社会差异.
结论:
- 护理人员的担忧是多方面的,并受到服务提供背景的影响.
- 根据护理人员的优先事项制定具体的干预措施是必不可少的.
- 需要跨系统的协调,以有效地解决不同的护理人员需求.
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