Screening and treatment of trauma-related symptoms in youth with autism spectrum disorder among community providers in the United States. (February 2020)

• Record Type: Journal Article
• Authors: Kerns, Connor M; Berkowitz, Steven J; Moskowitz, Lauren J; Drahota, Amy; Lerner, Matthew D; Newschaffer, Craig J
• Is Part Of: Autism. Volume 24:Number 2(2020)
• Page Start: 515
• Page End: 525
• Publication Date: 2020-02
• Subjects: autism spectrum disorder -- children -- posttraumatic stress disorder -- providers -- services -- trauma; Autism -- Periodicals; Autism in children -- Periodicals; 616.85882005
• DOI: 10.1177/1362361319847908
• Languages: English
• ISSNs: 1362-3613

Abstract

Using a cross-sectional survey of 673 multidisciplinary autism spectrum disorder providers recruited from five different sites in the United States, we examined the frequency with which community-based providers inquire about, screen, and treat trauma-related symptoms in their patients/students and assessed their perceptions regarding the need for and barriers to providing these services. Univariate and bivariate frequencies of self-reported trauma service provision, training needs, and barriers were estimated. Multivariable logistic regressions identified provider and patient-related factors associated with trauma-related symptoms screening and treatment. Over 50% of providers reported some screening and treatment of trauma-related symptoms in youth with autism spectrum disorder. Over 70% informally inquired about trauma-related symptoms; only 10% universally screened. Screening and treatment varied by provider discipline, setting, amount of interaction, and years of experience with autism spectrum disorder, as well as by patient/student sex, ethnicity, and socioeconomic status. Most providers agreed that trauma screening is a needed service impeded by inadequate provider training in trauma identification and treatment. The findings indicate that community providers in the United States of varied disciplines are assessing and treating trauma-related symptoms in youth with autism spectrum disorder, and that evidence-based approaches are needed to inform and maximize these efforts.