“当前观点”是否表明,接受心理健康服务的自闭症年轻人有更多的合并症和复杂的需求?

IF 1.1 Q4 PSYCHOLOGY, DEVELOPMENTAL Advances in Autism Pub Date : 2023-06-07 DOI:10.1108/aia-02-2023-0005
Lisa M. Thompson, E. Wilkinson, Sharleen Nall-Evans, Felix Michelet, M. Lewis, Fiona Pender, S. Jaydeokar
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引用次数: 0

摘要

目的自闭症青年有健康和护理需求,多机构干预可能会使他们受益。在英格兰,“当前观点”工具通常用于描述被转介到精神卫生服务机构的年轻人的需求。本研究旨在探讨自闭症与非自闭症青少年共病与复杂需求之间的关系,以评估自闭症青少年的多方面需求。设计/方法/方法使用电子病历数据进行了一项队列研究,比较自闭症和非自闭症的年轻人,看看四个“当前视图”工具类别中的哪些项目与自闭症年轻人有关。与自闭症年轻人相关的问题是:“社区问题”、“成就问题”和“被认为有需要的孩子”(均p < 0.001)。自闭症青少年在复杂性/情境/教育因素三项得分显著高于自闭症青少年(p < 0.05)。与自闭症年轻人相关的合并症包括焦虑、“行为困难”、“同伴关系困难”和“自我照顾问题”(均p < 0.001)。这与自闭症年轻人的合并症和复杂性因素增加有关,这表明来自机构的更多支持可能是有益的。原创性/价值很少有研究使用“当前观点”工具中的数据来评估被转介服务的年轻人。可以更多地利用这些数据来规划和提供服务。
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Can the “Current View” show that autistic young people referred to mental health services have more comorbidities and complex needs?
Purpose Autistic young people have health and care needs that may benefit from a multi-agency intervention. The “Current View” tool is routinely used in England to profile the needs of young people referred to mental health services. This study aims to examine associations between comorbidities and complex needs in autistic and non-autistic young people to assess the multifaceted needs of autistic young people. Design/methodology/approach A cohort study was conducted using data from the electronic patient record, comparing autistic and non-autistic young people to see which items in the four “Current View” tool categories were associated with autistic young people. Findings Issues associated with autistic young people were: “community issues”, “attainment issues” and “deemed child in need” (all p < 0.001). Autistic young people scored significantly more items (p < 0.05) in the categories complexity/contextual/educational factors. Comorbidities associated with autistic young people included anxiety, “behavioural difficulties”, “peer relationship difficulties” and “self-care issues” (all p < 0.001). There was an association with increased comorbidities and complexity factors in autistic young people which suggests increased support from agencies may be beneficial. Originality/value Few studies have used data in the “Current View” tool to assess young people referred to services. More use could be made of this data for planning and delivering services.
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来源期刊
Advances in Autism
Advances in Autism PSYCHOLOGY, DEVELOPMENTAL-
CiteScore
2.30
自引率
0.00%
发文量
13
期刊介绍: Advances in Autism is unique in its focus on the health and care aspects and outcomes for people with autism. The journal''s content is international in focus and peer-reviewed. It includes the following: research-based articles evidence-based clinical and support articles articles on policy and advances in services where these can be internationally applied. Key areas of research covered include: clinical developments people''s experience through qualitative research policy debates and outcomes inclusion and quality of life developmental issues population and epidemiological studies services developments evidence-based reviews of key practice issues.
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