Demographic and Clinical Characteristics Associated with Engagement in Behavioral Health Treatment Among Children with Autism Spectrum Disorders

This study investigates demographic and clinical factors associated with initiation, continuation, and adherence to behavioral health treatment (BHT) among children with autism spectrum disorder. Among 293 insured children referred for applied behavior analysis (ABA) based BHT, 23% never initiated t...

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Detalles Bibliográficos
Autores principales: Croen, Lisa A., Shankute, Naomi, Davignon, Meghan, Massolo, Maria L., Yoshida, Cathleen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer US 2017
Materias:
Original Paper
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5633658/
https://www.ncbi.nlm.nih.gov/pubmed/28748332
http://dx.doi.org/10.1007/s10803-017-3247-5
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author Croen, Lisa A.
Shankute, Naomi
Davignon, Meghan
Massolo, Maria L.
Yoshida, Cathleen
author_facet Croen, Lisa A.
Shankute, Naomi
Davignon, Meghan
Massolo, Maria L.
Yoshida, Cathleen
author_sort Croen, Lisa A.
collection PubMed
description This study investigates demographic and clinical factors associated with initiation, continuation, and adherence to behavioral health treatment (BHT) among children with autism spectrum disorder. Among 293 insured children referred for applied behavior analysis (ABA) based BHT, 23% never initiated treatment. Among those initiating treatment, 31% discontinued treatment within 1 year of treatment initiation, and only 15% received 80% or more of recommended treatment hours. Younger age at referral to treatment, private health insurance, and receiving more than 10 h/week of BHT were associated with treatment engagement. Co-occurring psychiatric and medical conditions were related to treatment discontinuation among children 5 years or older. These findings suggest specific subgroups that may benefit from additional support with engaging in recommended behavioral health treatment.
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spelling pubmed-56336582017-10-23 Demographic and Clinical Characteristics Associated with Engagement in Behavioral Health Treatment Among Children with Autism Spectrum Disorders Croen, Lisa A. Shankute, Naomi Davignon, Meghan Massolo, Maria L. Yoshida, Cathleen J Autism Dev Disord Original Paper This study investigates demographic and clinical factors associated with initiation, continuation, and adherence to behavioral health treatment (BHT) among children with autism spectrum disorder. Among 293 insured children referred for applied behavior analysis (ABA) based BHT, 23% never initiated treatment. Among those initiating treatment, 31% discontinued treatment within 1 year of treatment initiation, and only 15% received 80% or more of recommended treatment hours. Younger age at referral to treatment, private health insurance, and receiving more than 10 h/week of BHT were associated with treatment engagement. Co-occurring psychiatric and medical conditions were related to treatment discontinuation among children 5 years or older. These findings suggest specific subgroups that may benefit from additional support with engaging in recommended behavioral health treatment. Springer US 2017-07-26 2017 /pmc/articles/PMC5633658/ /pubmed/28748332 http://dx.doi.org/10.1007/s10803-017-3247-5 Text en © The Author(s) 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Original Paper
Croen, Lisa A.
Shankute, Naomi
Davignon, Meghan
Massolo, Maria L.
Yoshida, Cathleen
Demographic and Clinical Characteristics Associated with Engagement in Behavioral Health Treatment Among Children with Autism Spectrum Disorders
title Demographic and Clinical Characteristics Associated with Engagement in Behavioral Health Treatment Among Children with Autism Spectrum Disorders
title_full Demographic and Clinical Characteristics Associated with Engagement in Behavioral Health Treatment Among Children with Autism Spectrum Disorders
title_fullStr Demographic and Clinical Characteristics Associated with Engagement in Behavioral Health Treatment Among Children with Autism Spectrum Disorders
title_full_unstemmed Demographic and Clinical Characteristics Associated with Engagement in Behavioral Health Treatment Among Children with Autism Spectrum Disorders
title_short Demographic and Clinical Characteristics Associated with Engagement in Behavioral Health Treatment Among Children with Autism Spectrum Disorders
title_sort demographic and clinical characteristics associated with engagement in behavioral health treatment among children with autism spectrum disorders
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5633658/
https://www.ncbi.nlm.nih.gov/pubmed/28748332
http://dx.doi.org/10.1007/s10803-017-3247-5
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