Unlocking Better Online Therapy for Autism in Rural Appalachia
Accessing Autism Spectrum Disorder (ASD) services in rural areas like Appalachia can be incredibly challenging. A recent study, "Access to Autism Spectrum Disorder Services for Rural Appalachian Citizens," highlights these difficulties and offers insights into improving service delivery. Here’s how practitioners can leverage these findings to enhance their skills and service offerings.
Understanding the Barriers
The study identifies three main barriers to accessing ASD services in rural Appalachia:
- Availability: There are few providers with ASD-specific training, and geographic isolation exacerbates this issue.
- Affordability: The cost of services is often prohibitive for families in these regions.
- Cultural Attitudes: Mistrust of outside professionals and a strong sense of autonomy can prevent families from seeking help.
Improving Service Delivery
Based on these findings, practitioners can take several steps to improve their services:
Increase Provider Availability
Consider advocating for policies that support loan forgiveness programs and service scholarships. These incentives can attract more ASD-trained professionals to rural areas. Additionally, collaborating with educational institutions to create specialized training programs can help develop a local workforce skilled in ASD services.
Enhance Affordability
Supporting autism insurance reform mandates that require coverage for evidence-based treatments can alleviate financial burdens on families. Practitioners should also explore telehealth services to provide remote care, reducing travel costs for families.
Build Cultural Competency
Understanding and respecting local cultural attitudes is crucial. Engage in “front porch talk” to build rapport and trust with families. Avoid jargon and show genuine respect for client autonomy. This approach can help overcome initial mistrust and foster better therapeutic relationships.
Encouraging Further Research
While the study provides valuable insights, it also highlights the need for more research. Practitioners should stay informed about ongoing studies and consider participating in or conducting research to continue improving ASD service delivery in rural areas.To read the original research paper, please follow this link:
Access to Autism Spectrum Disorder Services for Rural Appalachian Citizens.
Citation: Scarpa, A., Jensen, L. S., Gracanin, D., Ramey, S. L., Dahiya, A. V., Ingram, L. M., Albright, J., Gatto, A. J., Scott, J. P., & Ruble, L. (2020). Access to Autism Spectrum Disorder Services for Rural Appalachian Citizens. Journal of Appalachian Health, 2(1), 25-40. https://doi.org/10.13023/jah.0201.04