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The ethical imperative to honor autistic clients' autonomy in mental health treatment. | LitMetric

The ethical imperative to honor autistic clients' autonomy in mental health treatment.

Front Psychiatry

Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA, United States.

Published: September 2023

AI Article Synopsis

Article Abstract

Autistic adolescents and adults commonly experience mental health concerns; however, mental health clinicians may hold implicit stigmatizing views of autism that contribute to case conceptualization and treatment goal setting that align more with caregivers' than clients' goals. This impingement on client autonomy is concerning, problematic, and potentially harmful for autistic clients who are of an age to set their own treatment agenda regardless of co-occurring intellectual disability and/or language delays. An application of the shared decision-making framework, an evidence-based tool for promoting client autonomy, can help to avoid these challenges in treatment. In this perspective, we use a case vignette as an anchor for discussing the imperative of honoring autistic clients' autonomy in mental health treatment and guiding shared decision-making to reduce stigma, promote autonomy, and increase collaborative care for autistic clients in mental health treatment.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10561286PMC
http://dx.doi.org/10.3389/fpsyt.2023.1259025DOI Listing

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