Checklists and Structured Interviews

Helverschou, Sissel Berge; Kildahl, Arvid Nikolai; Bakken, Trine Lise

doi:10.1007/978-3-030-46835-4_11

Cited by 12 publications

(23 citation statements)

References 116 publications

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“…Thus, some participants who did not meet PAC criteria for a psychiatric disorder may, nevertheless, meet clinical criteria for an anxiety disorder. This adds to previous findings that diagnosis cannot be reliably made on the basis of standardized questionnaires or checklists alone but requires a multimodal diagnostic process, combining clinical expertise and the use of different instruments (Helverschou et al, 2020; MacNeil, Lopes, & Minnes, 2009). For diagnosis in clinical services, more detailed and in depth clinical interviews and observations are recommended (Hollocks et al, 2018) which is why the AUP study design includes both checklist assessments and a final clinical diagnosis.…”

Section: Discussionmentioning

confidence: 75%

“…Each item is assessed on 2 domains: “Extent of problems” (1 = no problem to 4 = severe problem) and “Change from usual behavior” (Worsened, Unchanged, and Improved). (See Helverschou et al, 2020 for further details). A two‐step procedure identifies individuals with a possible psychiatric disorder.…”

Section: Aup Multicenter Studymentioning

confidence: 99%

“…For example, while it is well established that depression and anxiety are among the most frequent psychiatric disorders associated with ASD (Bakken et al, 2010; Helverschou et al, 2011; Hollocks et al, 2018; Moss, Howlin, Savage, Bolton, & Rutter, 2015; Lugo‐Marin et al, 2019; Simonoff et al, 2012; Skokauskas & Gallagher, 2010; Steensel, Bögels, & Perrin, 2011) most data on mental health problems are derived from cohorts of individuals with ASD without co‐occurring ID (Hollocks et al, 2018; Lugo‐Marin et al, 2019; Matson & Cervantes, 2014). Furthermore, there is no consensus about how to adapt standard diagnostic criteria for identifying mental illness in people with ASD and ID, and few specialist diagnostic instruments are available (Helverschou, Kildahl, & Bakken, 2020; Lugo‐Marin et al, 2019; Underwood, McCarthy, & Tsakanikos, 2011).…”

Section: Introductionmentioning

confidence: 99%

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Preliminary Findings From a Nationwide, Multicenter Mental Health Service for Adults and Older Adolescents With Autism Spectrum Disorder and ID

Helverschou

Bakken

Berge

et al. 2020

Policy Practice Intel Disabi

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Background The identification and treatment of psychiatric disorders in individuals with autism spectrum disorders (ASD) and ID presents many challenges. We describe the development of a professional network, together with a standardized protocol for clinical assessment, designed to promote clinical competence and professional development in eight clinical centers responsible for providing mental health services to autistic individuals with ID across all four health regions of Norway. Specific aims to describe: (1) patterns of psychiatric and behavior problems in patients treated by the network, (2) patterns of change over time, and (3) the relationship between psychiatric disorders and behavior problems. Method A standardized protocol was used to assess individual progress in 132 patients (inpatients and outpatients) with autism and ID over 2 years (at referral (T1), after 1 year (T2), and after 2 years (T3)). Changes in psychiatric symptoms and behavior problems were assessed with the Psychopathology in Autism Checklist (PAC) and Aberrant Behavior Checklist (ABC). Results Patients showed significant (p < .001) improvements from T1 to T2 on the psychosis, depression and anxiety subscales of the PAC, but no significant improvement on the obsessive compulsive disorder (OCD) subscale. Improvements were maintained from T2 to T3. Patients showed significant (p < .01) improvements on the ABC total score and on all ABC subscales except inappropriate speech from T1 to T2; these improvements were maintained from T2 to T3. Discussion The combination of a professional network and a standardized protocol for clinical assessment has promise as a strategy for improving professional competence and facilitating specialized mental health services for autistic individuals with ID and psychiatric disorders across an extensive geographical area.

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Section: Discussionmentioning

confidence: 75%

Section: Aup Multicenter Studymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Preliminary Findings From a Nationwide, Multicenter Mental Health Service for Adults and Older Adolescents With Autism Spectrum Disorder and ID

Helverschou

Bakken

Berge

et al. 2020

Policy Practice Intel Disabi

Self Cite

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“…Previous studies have emphasized the importance of using multimodal assessment strategies in psychiatric assessment in people with ASD and ID (Helverschou et al. 2020 , Bakken et al. , 2016a , Helverschou et al 2011b ), in particular to help differentiate ASD symptoms from comorbid psychiatric symptomology (van Steensel et al.…”

Section: Case Descriptionmentioning

confidence: 99%

“…Individuals with ASD and ID often have difficulties in self-report of symptoms, and even use of multiple informants may not compensate for this with regard to intra-psychic phenomena (Helverschou et al. 2020 , Santore et al. 2020 , Kildahl et al.…”

Section: Introductionmentioning

confidence: 99%

Case study: identification of anxiety and subsequent intervention in an adolescent male with autism, severe intellectual disability and self-injurious behaviour

Kildahl

Bakken

Matre

et al. 2020

International Journal of Developmental Disabilities

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Introduction : Anxiety disorders are highly prevalent in individuals with autism spectrum disorder (ASD), but knowledge is limited regarding identification and treatment of these disorders in individuals with ASD and more severe levels of intellectual disability (ID). The current case study aims to explore and describe the inpatient, psychiatric assessment in an adolescent male with ASD, severe ID and self-injurious behaviour (SIB) who was diagnosed with a co-occurring anxiety disorder. The study further aims to explore the implications of this diagnosis for subsequent intervention and care, including management of SIB. Materials and methods : Case study including multimodal, psychiatric assessment and subsequent intervention. Results : Following changes in care strategies attempting to incorporate the understanding of anxiety/trauma as contributing to SIB, a reduction of SIB was observed, and this reduced frequency was maintained when the patient was discharged from the inpatient setting. Conclusions : Though no causal inferences are possible, these experiences indicate that further research is needed regarding possible associations between SIB and anxiety in individuals with ASD, including implications for treatment. Experiences from the current case further indicate that it is possible to recognize and diagnose anxiety disorder in complex cases involving ASD, severe ID, limited verbal language skills, and severe SIB.

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