Assessing the social validity of telehealth-based applied behavior analysis services for autism spectrum disorder

During the COVID-19 pandemic, applied behavior analysis services for many autistic individuals were transitioned to telehealth. The current study assessed caregiver-reported quality of life (QoL) and social validity for families of autistic children receiving only telehealth services (n = 96) or a combination of telehealth and in-person services (n = 173). Barriers to the telehealth experience were analyzed via an ANOVA, and the impact of funding source was analyzed using an independent samples t-test. Caregivers reported benefit across QoL and social validity items, with scores ranging from 3.31 to 4.44 (1 = least benefit, 5 = most benefit). While many caregivers reported no barriers regarding technology (44.61%), childcare (69.52%), and employment (64.68%), the presence of those barriers significantly impacted QoL and social validity scores. Funding source was not found to have a significant impact. Overall, caregivers found value in their child's telehealth services. Clinicians have an obligation to mitigate barriers to ensure the success of the intervention.     

Intersectional Trauma-Responsive Care: A Framework for Humanizing Care for Justice Involved Girls and Women of Color

ABSTRACT

Previous scholarship around intersectional frameworks and theories of gendered pathways has provided an invaluable lens in which to view women’s contact with the justice system. The current theory builds from this scholarship, and sets forth an Intersectional Trauma-Responsive Framework that explicitly considers the intersection of identities, including gender and race/ethnicity, under a trauma responsive umbrella. This framework underscores the interconnection between traumatic experiences and justice system contact, while also considering broader systems of oppression and societal disadvantage that impact girls and women of color. The framework encourages interventions and programming with justice involved girls and women and advocates for humanizing care in order to address women’s incarceration.