PDF(Pubmed)
Abstract：
Autistic youth and adults are more likely to experience psychiatric symptoms (e.g. depression, anxiety) and to use psychiatric services than non-autistic people, yet research on evidence-based approaches to enhance psychiatric care for autistic people is limited. Measurement-based care is an evidence-based approach to psychotherapy that improves outcomes for clients, clinicians, and organizations by routinely administering and evaluating measures to clients. Despite this, research on measurement-based care systems for autistic clients is sparse. To address this gap, we developed an autism-adapted measurement-based care (MBC-AUT) system for and with autistic people and pilot tested the system in an outpatient psychiatry clinic to investigate the preliminary feasibility, acceptability, benefits, and barriers to this system for clients and clinicians. Findings suggested that the MBC-AUT system was a feasible and acceptable system for the first 18 autistic youth, their caregivers, and autistic adults to use the system. In semi-structured interviews, clients and clinicians discussed the benefits of the MBC-AUT system to various therapeutic processes, as well as several important barriers to the use of the system. We offer potential solutions to address these barriers and to reduce client and clinician burden, and propose future directions for this line of research to increase access to more autistic people. As autistic clients continue to seek psychological services amid social landscapes of increasing complexity (e.g. COVID-19 pandemic), efforts to enhance the delivery of psychotherapy for this population are critical.
摘要：
未经证实：自闭症青年和成年人更容易出现精神症状（例如抑郁症，焦虑)和使用精神科服务比非自闭症患者，然而，关于基于证据的方法来加强自闭症患者的精神病护理的研究是有限的。基于测量的护理是一种基于证据的心理治疗方法，可以改善客户的结果，临床医生,和组织通过定期管理和评估客户的措施。尽管如此,针对自闭症患者的基于测量的护理系统的研究很少。为了解决这个差距，我们为自闭症患者开发了一种适应自闭症的基于测量的护理（MBC-AUT）系统，并在门诊精神病学诊所进行了飞行员测试，以研究其初步可行性，可接受性,好处,以及客户和临床医生对该系统的障碍。研究结果表明，MBC-AUT系统对前18名自闭症青年是可行且可接受的系统，他们的照顾者，和自闭症成年人使用该系统。在半结构化面试中，客户和临床医生讨论了MBC-AUT系统对各种治疗过程的好处，以及使用该系统的几个重要障碍。我们提供潜在的解决方案来解决这些障碍，并减轻客户和临床医生的负担。并为这一系列研究提出未来的方向，以增加更多自闭症患者的机会。随着自闭症患者在日益复杂的社会环境中继续寻求心理服务(例如COVID-19大流行)，努力加强对这一人群的心理治疗是至关重要的。
