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"He Just Wants Someone to Hear Him and Listen to Him": Barriers and Facilitators to Autistic Youth with Anxiety Receiving Quality Mental Healthcare. | LitMetric

AI Article Synopsis

  • About 50% of autistic youth experience anxiety that affects their daily lives, and while specific psychotherapies have been found effective, there's limited research on their application in community settings.
  • A study conducted through interviews with various stakeholders highlighted key barriers and facilitators to accessing mental health services for autistic youth, revealing themes related to youth characteristics, caregiver engagement, and provider relationship-building.
  • Recommendations for improving anxiety treatment include allowing more time for sessions to build rapport, matching providers to youth based on preferences, and increasing psychoeducation for families.

Article Abstract

About half of autistic youth present with clinically interfering anxiety. Psychotherapies with exposure-focused elements are effective in academic clinical settings and controlled trials. However, there is relatively less research examining the implementation of modified interventions for autistic youth with anxiety in community mental health settings. The current study explores community members' perceptions of barriers and facilitators that impact autistic youth with anxiety's receipt of quality mental health services in their community. Semi-structured interviews were conducted with 15 autistic youth, 15 caregivers of autistic youth, 11 community mental health clinicians, and 8 community mental health clinic leaders. Interviews were analyzed thematically. Participants shared their experiences with facilitators and barriers to autistic youth with anxiety receiving quality mental healthcare. Themes that emerged include (1) characteristics of the autistic youth, (2) engagement of autistic youth and caregivers, (3) building rapport between providers, autistic youth, and caregivers, (4) access to mental health services, (5) intervention fit, and (6) provider characteristics. Based on participants' perspectives and suggestions, future directions for anxiety treatment programs tailored for autistic youth include building more time into the intervention sessions to build rapport, incorporating autistic youth's preferences into provider matches, and providing families with more psychoeducation.

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http://dx.doi.org/10.1007/s10803-024-06574-1DOI Listing

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