Service Delivery Experiences and Intervention Needs of Military Families with Children with ASD

Authors
Davis, J. M. Finke, E. Hickerson, B.
Publication year
2016
Citation Title
Service delivery experiences and intervention needs of military families with children with ASD
Journal Name
Journal of Autism and Developmental Disorders
Journal Volume
46
Issue Number
5
Page Numbers
14-Jan
DOI
10.1007/s10803-016-2706-8
Summary
Autism Spectrum Disorders (ASD) are being diagnosed more frequently, which affects both civilian and military families. This study investigated the services children in military families with ASD experience, particularly surrounding relocations. Results indicated that most children experience a gap in services after a relocation and many are in need of additional services.


Key Findings
Most military spouses indicated that their families experienced some problems accessing the services they felt their child with ASD required, including gaps in service around relocations, access to only some necessary interventions, and lack of access to assistive technology.
Many of these spouses indicated deficiencies in quality of services offered for their child, including lack of continuity services and school programming after relocations resulting in delayed progress.
The most common needs reported by military spouses for their child with ASD were social skills training, behavior management intervention, and speech, occupational, or physical therapies.
Implications for Program Leaders
Develop resources for families with children with special needs who have recently experienced relocation regarding local service providers
Create support groups for military spouses with children with special needs to encourage informal support and the sharing of information within the community
Offer workshops regarding the processes used in local schools for the implementation of education plans for children with special needs and how to navigate that process
Implications for Policy Makers
Encourage collaboration between installation family programs and local community providers to increase the ability to connect families with services quickly after relocation
Support programs and agencies that are able to provide multiple services to children with special needs (such as social skills training, behavior management, and pediatric therapies in one location)
Recommend education for professionals working with military families in school settings regarding the importance of continuity in education plans after relocation
Methods
Participants were recruited through groups for military families and families of children with special needs on social media.
Participants completed online surveys, providing information about demographics, satisfaction with therapeutic services, and barriers to receiving adequate services with relation to relocations.
Data were examined with descriptive statistics, particularly through an examination of the proportion of people who selected each response to various questions.
Participants
Participants were 189 military spouses with children (average age 10 years old, SD = 4.13) with ASD who had experienced on average four relocations (SD = 1.66).
Most of the spouses were female (96%), White (91%), and stay-at-home caregivers (66%), with an average age of 37 years old (SD=5.83).
Active Duty parents served in the Army (47%), Navy (24%), Air Force (15%), Marines (8%), or Coast Guard (5%) and were in the enlisted (60%) or officer (40%) ranks.
Limitations
Participants opted into the study; they may differ from those who did not participate in the study in important ways (such as having strong opinions regarding service experiences) that may influence findings.
Researchers asked participants to retrospectively evaluate the impact of relocations on service experiences, which may produce information that is biased in some way.
The sample was limited to families of Active Duty Service members, so results cannot be extended to include families of Service members in the Reserve Component.
Avenues for Future Research
Utilize a longitudinal design to evaluate changes in service experiences over time, with particular attention to times around relocations and parental deployment
Evaluate the service experiences of families of Service members in the Reserve Component
Investigate other factors that may be barriers to positive service experiences and explain why some families are satisfied with services while others are not
Design Rating
2 Stars - There are some flaws in the study design or research sample, but those flaws do not significantly threaten the ability to make conclusions based on the data.
Methods Rating
2 Stars - There are no significant biases or deficits in the way the variables in the study are defined or measures and conclusions are appropriately drawn from the analyses performed.
Limitations Rating
2 Stars - There are a few factors that limit the ability to extend the results to an entire population, but the results can be extended to most of the population.
Focus
Multiple Branches
Population Focus
Military Component
Abstract
The purpose of this study was to describe the experiences of military families with children with autism spectrum disorder (ASD) specifically as it relates to relocation. Online survey methodology was used to gather information from military spouses with children with ASD. The finalized dataset included 189 cases. Descriptive statistics and frequency analyses were used to examine participant demographics and service delivery questions. Results indicated the larger sample of military spouses largely confirmed the experiences reported qualitatively in previous studies and contributed information that was previously unknown about variables associated with the access, availability, quality, and frequency of intervention services for military families with children with ASD
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