Scope of Occupational Therapy Services for Individuals With Autism Spectrum Disorder Across the Life Course

doi:10.5014/ajot.2015.696s18

Cited by 6 publications

(2 citation statements)

References 36 publications

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“…In this study, many teams were resourced for assessment and diagnosis only. A strength is considering future post-autism diagnosis team composition, for example, speech and language therapists to provide support with communication difficulties and occupational therapists managing sensory sensitivities or engaging in activities of daily living; few adults in this study described receiving support in these areas (Cummins et al, 2020; Tavassoli et al, 2014; Tomchek et al, 2015).…”

Section: Discussionmentioning

confidence: 99%

Consensus statements on optimal adult post-autism diagnosis support and services: Delphi process following a UK survey of autistic adults, relatives and clinicians

Wigham

Ingham

Couteur

et al. 2022

Autism

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Opportunities for adults to access support following a clinical diagnosis of autism are limited. This study investigated perspectives of autistic adults, relatives and clinicians regarding characteristics of optimal adult autism post-diagnosis support and services. In Stage 1, key stakeholders were surveyed about recent experiences of UK adult autism post-diagnostic services immediately following assessment/up to 12 months afterwards. Information gathered from Stage 1 was used to devise a set of statements describing optimal post-autism diagnostic support/service characteristics. In Stage 2 statements were presented to clinicians in a modified Delphi process. Data analyses were non-parametric and descriptive. Three hundred forty-three autistic adults and 45 relatives completed the Stage 1 surveys. Thirty-five clinicians completed a parallel survey. Just over half of adults and relatives reported receiving a follow-up appointment. Fewer than 40% of autistic people received support/services 12 months after diagnosis. Eleven statements describing optimal post-autism diagnostic support/service provision were developed and consensus among clinicians was reached on all. Autistic adults, relatives and clinicians described some aspects of post-autism diagnosis support and services positively; however, there were significant opportunities for improvement. The study findings can be used to develop current UK post-diagnosis support and services and may be relevant internationally. Lay Abstract Research has identified types of support helpful to autistic people, for example, physical and mental health interventions, psycho-education, peer support, developing positive identities and affiliation with social groups. However, accessing suitable post-autism diagnosis support and services is extremely difficult. We asked autistic adults, relatives and clinicians about their experiences of receiving and delivering post-autism diagnosis support/services. In Stage 1, 343 autistic adults and 45 relatives completed a survey. They answered questions about their experiences of UK autism post-diagnosis support/services for adults within 12 months after receiving a diagnosis. Thirty-five clinicians completed a similar survey. Just over half of adults and relatives said there was a follow-up appointment or discussion about support after diagnosis. Fewer than 40% received any support/services in 12 months after diagnosis. We used information from the surveys to create 11 statements describing characteristics of appropriate adult post-autism diagnosis support/services. In Stage 2, we asked clinicians for their views on the statements – they agreed with all of them. For example, those adults are offered an additional follow-up meeting after diagnosis and have access to mental and physical health services. We shared results with autistic adults, relatives and clinicians at two events. Some autistic adults, relatives and clinicians were positive about post-autism diagnosis support/services. However, they described many areas for improvement. The study findings can be used to define, develop and improve the types of adult post-diagnosis support services.

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Section: Discussionmentioning

confidence: 99%

Consensus statements on optimal adult post-autism diagnosis support and services: Delphi process following a UK survey of autistic adults, relatives and clinicians

Wigham

Ingham

Couteur

et al. 2022

Autism

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“…All children with ASD would benefit from occupational therapy to enable successful and age-appropriate performance in their daily occupations as well as positive engagement with their environment and society 3,10,11 . Such services at a PHC level in South Africa are likely to be delivered by inexperienced occupational therapists completing their community service year 12 (a year completed immediately after qualification as a requirement to obtain licensure as an independent practitioner 12 ).…”

Section: Research Article Abstractmentioning

confidence: 99%

Occupational therapy services for children with Autism Spectrum Disorder on the primary healthcare platform

Greenberg,

De Witt,

Botha

2023

S. Afr. j. occup. ther.

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INTRODUCTION: The diagnosis of Autism Spectrum Disorder (ASD) is complex. In a low middle income country, like South Africa, early recognition of ASD rarely occurs on the primary health care (PHC) platform.To mitigate late diagnosis of ASD, which has a poorer prognosis, the purpose of this study was to identify the knowledge and clinical competencies required by inexperienced occupational therapists to improve early detection of and service delivery for children with ASD at the PHC level METHODS: A descriptive qualitative design explored the perceptions of occupational therapy experts as to the required knowledge and clinical competencies necessary for inexperienced occupational therapists to deliver services to children with ASD on the PHC platform. Thematic inductive analysis was used to analyse the data FINDINGS: Two themes emerged: Theme one: the perceived critical knowledge for early identification, assessment and treatment of children with ASD.Theme two: the clinical competencies required forassessment and effective treatment of children with ASD on the PHC level CONCLUSION: This study identified the perceived knowledge and clinical competencies needed to improve early identification and service community-based delivery for children with ASD on the PHC platform by early career occupational therapists IMPLICATIONS FOR PRACTICE ■ This study provides critical knowledge and clinical competencies to occupational therapists to facilitate effective therapeutic services to children with ASD on the PHC platform. ■ The study identified appropriate screening, assessment and intervention that could assist occupational therapy service planners to reduce the gap of service delivery for children with ASD within the concept of UHC provision on a community-based level in SA. ■ Faculty at tertiary educational institutions may utilise the findings in order to adapt curriculums to better prepare inexperienced occupational therapists with working with children with ASD on the community-based level.

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Collaboration between Behavior Analysts and Occupational Therapists in Autism Service Provision: Bridging the Gap

Gasiewski

Weiss

Leaf

et al. 2021

Behav Analysis Practice

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Scope of Occupational Therapy Services for Individuals With Autism Spectrum Disorder Across the Life Course

Cited by 6 publications

References 36 publications

Consensus statements on optimal adult post-autism diagnosis support and services: Delphi process following a UK survey of autistic adults, relatives and clinicians

Consensus statements on optimal adult post-autism diagnosis support and services: Delphi process following a UK survey of autistic adults, relatives and clinicians

Occupational therapy services for children with Autism Spectrum Disorder on the primary healthcare platform

Collaboration between Behavior Analysts and Occupational Therapists in Autism Service Provision: Bridging the Gap

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