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A Systematic Review of the Perceived Barriers and Facilitators to Accessing Psychological Treatment for Mental Health Problems in Individuals on the Autism Spectrum

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Abstract

Individuals on the autism spectrum experience high rates of mental health issues. Meta-analyses indicate promising effects of psychological therapies, but challenges remain in ensuring and supporting access. This systematic review identified 12 studies that report on the barriers and facilitators to accessing psychological treatments for mental health or emotional/behavioural challenges for individuals on the autism spectrum. The most commonly reported barrier was a lack of therapist knowledge or expertise in autism or an inability or unwillingness on the part of the therapist to tailor approaches to support the needs of those on the autism spectrum. Fewer studies identified facilitators to accessing services. The findings highlight avenues for improving access to mental health services for individuals on the autism spectrum.

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Authors and Affiliations

Authors

Contributions

Dawn Adams: designed the study, wrote the protocol, coordinated the inter-rater review process, was the third rater for the review process, screened the full-test articles, extracted and synthesised the data from the included manuscripts, drafted the initial manuscript, and finalised the manuscript for submission.

Kate Young: conducted the systematic review, contributed to the writing of the manuscript, critically reviewed the manuscript, and approved the final manuscript as submitted.

Corresponding author

Correspondence to Dawn Adams.

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The authors declare that they have no conflicts of interest.

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Adams, D., Young, K. A Systematic Review of the Perceived Barriers and Facilitators to Accessing Psychological Treatment for Mental Health Problems in Individuals on the Autism Spectrum. Rev J Autism Dev Disord 8, 436–453 (2021). https://doi.org/10.1007/s40489-020-00226-7

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  • DOI: https://doi.org/10.1007/s40489-020-00226-7

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