The mental health needs of people with autism spectrum disorders

Kannabiran, Muthukumar; McCarthy, Jane

doi:10.1016/j.mppsy.2009.06.016

Cited by 20 publications

(5 citation statements)

References 25 publications

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“…There have also been efforts to implement evidence‐based interventions within regular clinical services (i.e., Wood, McLeod, Klebanoff, & Brookman‐Frazee, 2015), and practice pathway developments (Rosen et al, 2018). However, these studies have mainly involved younger individuals with ASD without ID (Kannabiran & McCarthy, 2009; Weston, Hodgekins, & Langdon, 2016; White, Ollendick, & Albanmo, 2013). Individuals with co‐occurring ASD and ID often need more complex treatment plans (Dunn et al, 2020) and almost no high quality, randomized control trials of psychosocial interventions for this group of adults exist.…”

Section: Introductionmentioning

confidence: 99%

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: Introductionmentioning

confidence: 99%

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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“…The additional impairment for young people and increased burden on families and mental health services has increased the necessity for successful and cost-effective treatments for comorbid mental health needs in the context of ASD (e.g. Donoghue et al 2011;Kannabiran and McCarthy 2009;Langdon et al 2013;Reichow et al 2011).…”

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confidence: 99%

A Systematic Review of Effective Modifications to Cognitive Behavioural Therapy for Young People with Autism Spectrum Disorders

Walters

Loades

Russell

2016

Rev J Autism Dev Disord

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The present review evaluated studies which effectively employed cognitive behavioural therapy (CBT) to alleviate symptoms of common mental health problems in young people with autism spectrum disorder (ASD). It assessed the modifications applied to CBT and compliance with recent guidelines from the National Institute of Health Care Excellence (NICE). Systematic searches of electronic databases, reference lists, and journals identified 12 studies meeting predetermined inclusion criteria. Results indicated that modified CBT yielded reductions in anxiety, obsessivecompulsive disorder (OCD), and depression. There was a lack of gold standard research into the effects of CBT for disorders other than anxiety. A greater number of modifications than recommended by NICE were consistently employed, including disorder-specific modifications. Implications for clinical intervention and future research are discussed.

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“…The reliability and validity of the data reported (including ASD and psychiatric diagnoses) are unclear. There are well‐documented challenges when assessing and diagnosing ASD, ID, and psychiatric disorders in people with one or more of these conditions (Ghaziuddin, 2005; Kannabiran & McCarthy, 2009; Tsakanikos et al., 2011b; Underwood et al., 2011). However, this is the very information that clinicians from specialist mental health services for adults with ID use to inform decisions about the provision of care for these individuals.…”

Section: Resultsmentioning

confidence: 99%

Health and Social Functioning of Adults With Intellectual Disability and Autism

Underwood

McCarthy

Tsakanikos

et al. 2012

Policy Practice Intel Disabi

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There is little information on the mental health needs of adults with intellectual disability (ID) and autism spectrum disorders (ASDs). Such evidence is much needed for the development of more effective mental health services for this group. The aim of this study is to compare adults with ID and ASD receiving specialist mental health services with participants without ASD. Data were collected from the anonymized case records of a clinic-based population in South East London. Health and social functioning were measured using the Health of the Nation Outcome Scale for people with Learning Disability (HoNOS-LD). A review of case records identified 371 service users in receipt of specialist mental health care who were eligible for the study. There were 117 people (32% of the sample) with a clinical diagnosis of ID and ASD. Participants with ASD were younger, more likely to be male, less likely to live independently and had more severe ID than those without ASD. Furthermore, those with ID and ASD were less likely to be diagnosed with a psychiatric disorder but had significantly higher scores on the HoNOS-LD (indicating lower health and social functioning) than those without ASD. A significant proportion of adults with ID who are in receipt of specialist mental health services also have a clinical diagnosis of ASD. This group has different mental health needs compared with those without ASD. The authors note the need for a more personalized approach to service delivery with a focus on improving social functioning and behavioral impairments.

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The mental health needs of people with autism spectrum disorders

Cited by 20 publications

References 25 publications

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

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

A Systematic Review of Effective Modifications to Cognitive Behavioural Therapy for Young People with Autism Spectrum Disorders

Health and Social Functioning of Adults With Intellectual Disability and Autism

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