Improving Community Mental Health Services for Adults with ASD and Co-Occurring Psychiatric Disorders

改善患有自闭症谱系障碍和并发精神疾病的成年人的社区心理健康服务

基本信息

批准号：
9314174
负责人：
Brenna Maddox
金额：
$ 6.12万
依托单位：
UNIVERSITY OF PENNSYLVANIA
依托单位国家：
美国
项目类别：
财政年份：
2017
资助国家：
美国
起止时间：
2017-05-01 至 2020-04-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9314174
关键词：
Adult Anxiety Anxiety Disorders Attitude Belief Caring Child Clinic Cognitive Therapy Collaborations Communities Community Mental Health Centers Community Mental Health Services Data Development Disease Effectiveness Evidence based intervention Expert Opinion Family Family member Fellowship Focus Groups Foundations Goals Grant Guidelines Health Professional Health Services Research Healthcare High Prevalence Hybrids Impairment Individual Intervention Interview Knowledge Lead Manuals Medical Mental Depression Mental Health Mental Health Services Mental disorders Methods Outcome Pennsylvania Philadelphia Play Policy Research Population Preparation Protocols documentation Provider Quality of Care Quality of life Reporting Research Research Activity Research Personnel Research Support Role Scholarship School-Age Population Self Efficacy Services Structure Surveys Symptoms Testing Training Training Activity Training Programs Universities Work Youth anxiety treatment autism spectrum disorder career community partnership design evidence base experience implementation science implementation trial improved mental health center mental training programs skills success uptake

项目摘要

PROJECT SUMMARY/ABSTRACT Most adults with autism spectrum disorder (ASD) struggle with mental health problems, most commonly anxiety and depression. Despite their high prevalence and associated impairment, co-occurring psychiatric disorders often are untreated in adults with ASD. Emerging evidence suggests that specially modified cognitive-behavioral therapy (CBT) effectively reduces anxiety and depression in adults with ASD; however, few clinicians are trained to deliver this type of care. Little is known regarding how to best deploy such evidence-based mental health interventions for adults with ASD in community mental health (CMH) settings. The aims of the proposed study are to: 1) Identify CMH clinicians' training needs, from both therapist and consumer perspectives, to provide quality care to adults with ASD and co-occurring anxiety disorders; 2) Adapt an anxiety treatment manual for adults with ASD and a therapist training protocol to implement this intervention in CMH centers; and 3) Examine the feasibility and acceptability of the adapted treatment and associated therapist training protocol. This study will rely on an established academic-community partnership between the University of Pennsylvania's Center for Mental Health Policy and Services Research and two Philadelphia CMH centers serving adults. Qualitative and quantitative data from focus groups, semi-structured individual interviews, and online surveys, combined with expert opinion, will be integrated to inform the design of the anxiety intervention manual for adults with ASD and a CMH clinician training protocol. Findings from this study will be used to increase the currently limited treatment options available for adults with ASD and co-occurring anxiety disorders. The proposed research and training activities facilitate the applicant's long-term goal of pursuing an academic research career dedicated to improving mental health services and quality of life for adults with ASD through dissemination and implementation science. Specific training goals are to: 1) Gain expertise in academic-community partnership; 2) Develop skills related to designing and implementing new practices in the public mental health sector; 3) Acquire a strong foundation in mixed methods; and 4) Integrate research, professional development, and scholarship to prepare for success as an independent researcher.

项目概要/摘要大多数患有自闭症谱系障碍 (ASD) 的成年人都面临着心理健康问题，最常见的是焦虑和抑郁。尽管其患病率很高且存在相关障碍，但同时发生的精神疾病患有自闭症谱系障碍 (ASD) 的成人患者的疾病通常得不到治疗。新出现的证据表明，经过特殊修改认知行为疗法（CBT）可有效减少自闭症谱系障碍成人患者的焦虑和抑郁；然而，很少有临床医生接受过提供此类护理的培训。关于如何最好地部署此类技术，人们知之甚少在社区心理健康 (CMH) 环境中对自闭症谱系障碍成人进行循证心理健康干预。拟议研究的目的是： 1) 从治疗师和治疗师那里确定 CMH 临床医生的培训需求从消费者的角度来看，为患有自闭症谱系障碍和同时发生的焦虑症的成年人提供优质护理； 2）改编自闭症谱系障碍成人焦虑治疗手册和治疗师培训方案来实施这一目标对 CMH 中心的干预； 3) 检查调整治疗的可行性和可接受性相关治疗师培训协议。这项研究将依赖于一个已建立的学术界宾夕法尼亚大学心理健康政策和服务中心之间的合作伙伴关系研究中心和两个为成人提供服务的费城 CMH 中心。来自焦点的定性和定量数据小组、半结构化个人访谈和在线调查，结合专家意见，将整合为 ASD 成人和 CMH 临床医生的焦虑干预手册的设计提供信息培训协议。这项研究的结果将用于增加目前有限的治疗选择适用于患有自闭症谱系障碍 (ASD) 和同时发生的焦虑症的成年人。拟议的研究和培训活动有助于申请人实现致力于学术研究职业的长期目标通过传播和改善自闭症谱系障碍成人的心理健康服务和生活质量实施科学。具体培训目标是： 1）获得学术界的专业知识合伙; 2) 培养与设计和实施公众心理新实践相关的技能卫生部门； 3）在混合方法方面打下坚实的基础； 4）整合研究、专业发展和奖学金，为作为独立研究员的成功做好准备。