Clinician factors related to the delivery of psychotherapy for autistic youth and youth with attention-deficit hyperactivity disorder

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dc.contributor.authorRoudbarani, Flora
dc.contributor.authorModica, Paula Tablon
dc.contributor.authorMaddox, Brenna B
dc.contributor.authorBohr, Yvonne
dc.contributor.authorWeiss, Jonathan A
dc.date.accessioned2024-10-04T20:28:02Z
dc.date.available2024-10-04T20:28:02Z
dc.date.issued2022-07-02
dc.description.abstractAutistic children and adolescents are more likely than non-autistic youth to experience mental health problems, such as anxiety or depression, but less likely to receive psychotherapy to address these concerns. Recent research indicates that clinician factors, such as knowledge, attitudes, confidence and beliefs, can impact their decisions to provide care, though this work has primarily focused on adults or within the context of one kind of treatment (cognitive behaviour therapy). The current study examined psychological predictors (e.g. attitudes and confidence) of clinicians’ intention to deliver psychotherapy to autistic youth and those with attention-deficit hyperactivity disorder. Participants included 611 clinicians across publicly funded agencies in Ontario, Canada. Multiple mediation analyses revealed that clinician knowledge on mental health-related topics (e.g. core symptoms, developing treatment plans and identifying progress towards treatment goals) was associated with intention to treat autistic clients or clients with attention-deficit hyperactivity disorder, and normative pressures and attitudes partially mediated this association. Clinicians felt less likely to treat autistic clients than clients with attention-deficit hyperactivity disorder, partly because of differences in attitudes, normative pressures and knowledge. This research suggests that targeted training around autism and mental health care may be a useful initiative for agency staff. Lay abstract: Autistic children and youth often experience mental health problems, such as anxiety, depression and behavioural challenges. Although there are therapy programmes that have been found helpful in reducing these issues, such as cognitive behaviour therapy, autistic children often struggle to receive adequate mental health care. Clinicians’ knowledge, attitudes, confidence and beliefs about treating mental health problems in autistic people may be related to their choices in providing psychotherapy. Across Ontario, Canada, 611 mental health clinicians, working in publicly funded agencies, completed an online survey about their experiences and opinions on delivering therapy for autistic clients compared to those with attention-deficit hyperactivity disorder. Clinician knowledge was associated with their intention to treat autistic clients or clients with attention-deficit hyperactivity disorder, partly because of their attitudes and the social pressures or values they felt. Clinicians reported feeling less intent on providing therapy to autistic youth compared to youth with attention-deficit hyperactivity disorder because of differences in their attitudes, social pressures and knowledge. This research can inform the training and educational initiatives for mental health practitioners.
dc.description.sponsorshipLaMarsh Centre for Child and Youth Research, Children’s Mental Health Ontario, York University Research Chair in Autism and Neurodevelopmental Disability Mental Health
dc.format.mediumPrint-Electronic
dc.identifier.citationRoudbarani, F., Tablon Modica, P., Maddox, B. B., Bohr, Y., & Weiss, J. A. (2023). Clinician factors related to the delivery of psychotherapy for autistic youth and youth with attention-deficit hyperactivity disorder. Autism, 27(2), 415-427. https://doi.org/10.1177/13623613221106400
dc.identifier.issn1362-3613
dc.identifier.issn1461-7005
dc.identifier.urihttps://doi.org/10.1177/13623613221106400
dc.identifier.urihttps://hdl.handle.net/10315/42354
dc.language.isoen
dc.publisherSAGE Publications
dc.rightsAttribution 4.0 Internationalen
dc.rights.publisherCC BY
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectClinical and health psychology
dc.subjectPsychology
dc.subjectMental health
dc.subjectMental illness
dc.subjectBrain disorders
dc.subjectPediatric
dc.subjectBehavioral and social science
dc.subjectPsychological, social and economic factors
dc.subjectIndividual care needs
dc.subjectGood Health and Well Being
dc.subjectChild
dc.subjectHumans
dc.subjectAdolescent
dc.subjectAttention deficit disorder with hyperactivity
dc.subjectAutistic disorder
dc.subjectAutism spectrum disorder
dc.subjectPsychotherapy
dc.subjectOntario
dc.subject.meshChild
dc.subject.meshHumans
dc.subject.meshAdolescent
dc.subject.meshAttention Deficit Disorder with Hyperactivity
dc.subject.meshAutistic Disorder
dc.subject.meshAutism Spectrum Disorder
dc.subject.meshPsychotherapy
dc.subject.meshOntario
dc.subject.meshHumans
dc.subject.meshAttention Deficit Disorder with Hyperactivity
dc.subject.meshAutistic Disorder
dc.subject.meshPsychotherapy
dc.subject.meshAdolescent
dc.subject.meshChild
dc.subject.meshOntario
dc.subject.meshAutism Spectrum Disorder
dc.subject.meshChild
dc.subject.meshHumans
dc.subject.meshAdolescent
dc.subject.meshAttention Deficit Disorder with Hyperactivity
dc.subject.meshAutistic Disorder
dc.subject.meshAutism Spectrum Disorder
dc.subject.meshPsychotherapy
dc.subject.meshOntario
dc.symplectic.issue2
dc.symplectic.journalAutism
dc.symplectic.pagination415-427
dc.symplectic.subtypeJournal article
dc.symplectic.volume27
dc.titleClinician factors related to the delivery of psychotherapy for autistic youth and youth with attention-deficit hyperactivity disorder
dc.typeArticle

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