Module 8: Behavioral Health Services & Systems of Care

Learning Objectives for Module 8:

  • Identify and define different psychosocial behavioral health services for transition age youth diagnosed with ASD and their families across a continuum of care, including applied behavior analysis (ABA), cognitive behavioral therapy (CBT), social skills training, in-home behavior therapy, FP, TM, CBHI/ICC, PCA, ESP/DDS, and psychiatric hospitalization.
  • Provide care providers with an understanding of how to help transition age youth diagnosed with ASD and their families effectively navigate different systems of care during this developmental period, including DDS, DMH and CBHI (in Massachusetts).
Module 8 PowerPoint Slides:

    This module includes a video with Dr. Jodi Wenger, MD on Coordinating Care:

    Dr. Sarah Valentine, PhD explains how CBT is used to help transition age youth develop healthy relationships:

    Dr. Jack Maypole, MD describes best practices in navigating systems of care for transition age youth.

    Lucia Morales, LCSW, discusses in-home behavioral therapy, including a case example.


    Read more about evidence-informed CBT treatment manuals for TAY diagnosed with ASD and how to access them:

    Articles on Behavioral Health Services & Systems of Care for TAY diagnosed with ASD/ID:

    Binnie, J., & Blainey, S. (2013). The use of cognitive behavioural therapy for adults with autism spectrum disorders: a review of the evidence. Mental Health Review Journal, 18(2), 93-104.

    Bodfish, J. W., Symons, F. J., Parker, D. E., & Lewis, M. H. (2000). Varieties of repetitive behavior in autism: Comparisons to mental retardation. Journal of Autism and Developmental Disorders, 30(3), 237-243.

    de Bruin, E. I., Ferdinand, R. F., Meester, S., de Nijs, P. F., & Verheij, F. (2007). High rates of psychiatric co-morbidity in PDD-NOS. Journal of Autism and Developmental Disorders, 37(5), 877-886.

    Esbensen, A. J., Seltzer, M. M., Lam, K. S., & Bodfish, J. W. (2009). Age-related differences in restricted repetitive behaviors in autism spectrum disorders. Journal of Autism and Developmental Disorders, 39(1), 57-66.

    Hume, K., Boyd, B. A., Hamm, J. V., & Kucharczyk, S. (2014). Supporting independence in adolescents on the autism spectrum. Remedial and Special Education, 35(2), 102-113.

    Kanner, L. (1943). Autistic disturbances of affective contact. Nervous Child, 2(3), 217-250.

    Kendall, P. C., Hudson, J. L., Gosch, E., Flannery-Schroeder, E., & Suveg, C. (2008). Cognitive-behavioral therapy for anxiety disordered youth: a randomized clinical trial evaluating child and family modalities. Journal of Consulting and Clinical Psychology, 76(2), 282.

    Kerns, C. M., & Kendall, P. C. (2012). The presentation and classification of anxiety in autism spectrum disorder. Clinical Psychology: Science and Practice, 19(4), 323-347.

    Kreslins, A., Robertson, A. E., & Melville, C. (2015). The effectiveness of psychosocial interventions for anxiety in children and adolescents with autism spectrum disorder: a systematic review and meta-analysis. Child and Adolescent Psychiatry and Mental Health, 9(1), 22.

    Leyfer, O. T., Folstein, S. E., Bacalman, S., Davis, N. O., Dinh, E., Morgan, J., … & Lainhart, J. E. (2006). Comorbid psychiatric disorders in children with autism: interview development and rates of disorders. Journal of Autism and Developmental Disorders, 36(7), 849-861.

    Moree, B. N., & Davis, T. E. (2010). Cognitive-behavioral therapy for anxiety in children diagnosed with autism spectrum disorders: Modification trends. Research in Autism Spectrum Disorders, 4(3), 346-354.

    Muris, P., Steerneman, P., Merckelbach, H., Holdrinet, I., & Meesters, C. (1998). Comorbid anxiety symptoms in children with pervasive developmental disorders. Journal of Anxiety Disorders, 12(4), 387-393.

    Roth, M. E., Gillis, J. M., & Reed, F. D. D. (2014). A meta-analysis of behavioral interventions for adolescents and adults with autism spectrum disorders. Journal of Behavioral Education, 23(2), 258-286.

    Ruta, L., Mugno, D., D’Arrigo, V. G., Vitiello, B., & Mazzone, L. (2010). Obsessive–compulsive traits in children and adolescents with Asperger syndrome. European Child & Adolescent Psychiatry, 19(1), 17.

    Simonoff, E., Pickles, A., Charman, T., Chandler, S., Loucas, T., & Baird, G. (2008). Psychiatric disorders in children with autism spectrum disorders: prevalence, comorbidity, and associated factors in a population-derived sample. Journal of the American Academy of Child & Adolescent Psychiatry, 47(8), 921-929.

    Sukhodolsky, D. G., Bloch, M. H., Panza, K. E., & Reichow, B. (2013). Cognitive-behavioral therapy for anxiety in children with high-functioning autism: a meta-analysis. Pediatrics, 132(5), e1341-e1350.

    Ung, D., Selles, R., Small, B. J., & Storch, E. A. (2015). A systematic review and meta-analysis of cognitive-behavioral therapy for anxiety in youth with high-functioning autism spectrum disorders. Child Psychiatry & Human Development, 46(4), 533-547.

    Volkmar, F., Cook, E. H., Pomeroy, J., Realmuto, G., & Tanguay, P. (1999). Practice parameters for the assessment and treatment of children, adolescents, and adults with autism and other pervasive developmental disorders. Journal of the American Academy of Child & Adolescent Psychiatry, 38(12), 32S-54S.