“We’re underserved, but we do the best we can”: Accessing Behavioral Health Services for Autistic Children in Rural Appalachia

IF 1.5 Q3 EDUCATION, SPECIAL
Ryan J. Martin, Summer Bottini, Kait Gould, Ainsley Losh, Jaime Crowley-Zalaket, Meka N. McCammon, Jennifer R. Wolgemuth, Cynthia Anderson
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引用次数: 0

Abstract

Objectives

Autistic children and their families, especially those with co-occurring externalizing behavior, benefit from specialized behavioral healthcare services such as behavioral parent training (BPT). While past research has examined common barriers to families accessing care in a broad sense, relatively little is known about the unique experiences of families in the Appalachian region.

Methods

The present study employed qualitative methods to explore the experiences of seven parents and three community providers interested in telehealth-delivered BPT for their autistic children/clients. Interviews inquired about participants’ experiences with autism and accessing care in rural Appalachia.

Results & Conclusions

We found caregiver and provider perspectives aligned and centered around the multifaceted unmet needs of these families; barriers to accessing services in this region; factors that enable greater access, including telehealth; and the unique role that Appalachian culture plays in the provision of services. Preliminary recommendations for addressing the needs of autistic children and their families in rural Appalachia and directions for future research are discussed.

“我们得不到充分的服务,但我们尽我们所能”:为阿巴拉契亚农村自闭症儿童提供行为健康服务
目的自闭症儿童及其家庭,特别是那些同时出现外化行为的儿童,从行为父母训练(BPT)等专门的行为保健服务中受益。虽然过去的研究从广义上考察了家庭获得护理的共同障碍,但对阿巴拉契亚地区家庭的独特经历知之甚少。方法采用定性方法,对7名家长和3名社区服务提供者对远程医疗为自闭症儿童/服务对象实施BPT的经验进行分析。采访询问了参与者在阿巴拉契亚农村患自闭症和获得护理的经历。结果和结论我们发现护理人员和提供者的观点一致,并以这些家庭的多方面未满足需求为中心;本区域获得服务的障碍;增加获取机会的因素,包括远程保健;以及阿巴拉契亚文化在提供服务方面所发挥的独特作用。讨论了解决阿巴拉契亚农村自闭症儿童及其家庭需求的初步建议和未来的研究方向。
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来源期刊
Advances in Neurodevelopmental Disorders
Advances in Neurodevelopmental Disorders Social Sciences-Social Sciences (miscellaneous)
CiteScore
2.10
自引率
0.00%
发文量
72
期刊介绍: Advances in Neurodevelopmental Disorders publishes high-quality research in the broad area of neurodevelopmental disorders across the lifespan. Study participants may include individuals with:Intellectual and developmental disabilitiesGlobal developmental delayCommunication disordersLanguage disordersSpeech sound disordersChildhood-onset fluency disorders (e.g., stuttering)Social (e.g., pragmatic) communication disordersUnspecified communication disordersAutism spectrum disorder (ASD)Attention-deficit/hyperactivity disorder (ADHD), specified and unspecifiedSpecific learning disordersMotor disordersDevelopmental coordination disordersStereotypic movement disorderTic disorders, specified and unspecifiedOther neurodevelopmental disorders, specified and unspecifiedPapers may also include studies of participants with neurodegenerative disorders that lead to a decline in intellectual functioning, including Alzheimer’s disease, amyotrophic lateral sclerosis, Creutzfeldt-Jakob disease, vascular dementia, Lewy body dementia, frontotemporal dementia, corticobasal degeneration, Huntington’s disease, and progressive supranuclear palsy. The journal includes empirical, theoretical and review papers on a large variety of issues, populations, and domains, including but not limited to: diagnosis; incidence and prevalence; and educational, pharmacological, behavioral and cognitive behavioral, mindfulness, and psychosocial interventions across the life span. Animal models of basic research that inform the understanding and treatment of neurodevelopmental disorders are also welcomed. The journal is multidisciplinary and multi-theoretical, and encourages research from multiple specialties in the social sciences using quantitative and mixed-method research methodologies.
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