The Oxford Handbook Of Autism And Co Occurring Psychiatric Conditions

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The Oxford Handbook of Autism and Co-Occurring Psychiatric Conditions

Author : Susan W. White
Publisher : Oxford University Press, USA
ISBN 13 : 0190910763
Total Pages : 470 pages
Book Rating : 4.1/5 (99 download)

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Book Synopsis The Oxford Handbook of Autism and Co-Occurring Psychiatric Conditions by : Susan W. White

Download or read book The Oxford Handbook of Autism and Co-Occurring Psychiatric Conditions written by Susan W. White and published by Oxford University Press, USA. This book was released on 2020-03-16 with total page 470 pages. Available in PDF, EPUB and Kindle. Book excerpt: Co-occurring psychiatric conditions are extremely common among people who have autism spectrum disorder (ASD). The Oxford Handbook of Autism and Co-Occurring Psychiatric Conditions presents a compilation of the latest research in this area, summarized by internationally renowned experts. Each chapter presents an overview of the problem or disorder including information on prevalence in ASD and in the general public and a synthesis of the research on etiology, diagnostic best practices, and evidence-based intervention approaches. Case studies bring these concepts to life, and each chapter concludes with suggestions for future research directions in order to further develop our scientific and clinical understanding of the particular comorbidity. Given the fact that comorbidity is often a chronic and pervasive concern, this Handbook takes a lifespan approach, with each chapter touching on developmental aspects of the targeted problem, from early childhood through adulthood. The concluding section of the Handbook is comprised of content on clinical considerations and research approaches, including chapters on medications commonly used to treat co-occurring conditions, strategies for managing crisis situations in this clinical population, and community partnerships within an implementation science framework.

Psychiatric Symptoms and Comorbidities in Autism Spectrum Disorder

Author : Luigi Mazzone
Publisher : Springer
ISBN 13 : 3319296957
Total Pages : 154 pages
Book Rating : 4.3/5 (192 download)

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Book Synopsis Psychiatric Symptoms and Comorbidities in Autism Spectrum Disorder by : Luigi Mazzone

Download or read book Psychiatric Symptoms and Comorbidities in Autism Spectrum Disorder written by Luigi Mazzone and published by Springer. This book was released on 2016-05-19 with total page 154 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book explains in detail the diagnosis, management, and treatment of comorbid disorders in patients with autism spectrum disorders (ASD). Important insights are provided into the nature of the symptoms of psychiatric comorbidities in these patients, and particularly children and adolescents, with a view to assisting clinicians in reaching a correct diagnosis that will permit the implementation of appropriate treatment strategies, whether psychological or pharmacological. The full range of potential comorbidities is considered, including mood disorders, anxiety disorders, obsessive-compulsive disorder, schizophrenia spectrum and other psychotic disorders, eating disorders, disruptive behavioral disorders, Tourette’s disorder, and substance-related disorders. In each case guidance is provided on how to avoid incorrectly attributing symptoms to ASD and on treatment options. Psychiatric Comorbidities in Autism Spectrum Disorders will be of value to all practitioners who are confronted by patients with these complex co-occurring conditions.

The Oxford Handbook of Clinical Child and Adolescent Psychology

Author : Thomas H. Ollendick
Publisher : Oxford University Press
ISBN 13 : 0190669764
Total Pages : 960 pages
Book Rating : 4.1/5 (96 download)

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Book Synopsis The Oxford Handbook of Clinical Child and Adolescent Psychology by : Thomas H. Ollendick

Download or read book The Oxford Handbook of Clinical Child and Adolescent Psychology written by Thomas H. Ollendick and published by Oxford University Press. This book was released on 2018-11-13 with total page 960 pages. Available in PDF, EPUB and Kindle. Book excerpt: At the founding in 1896 of the first psychological clinic dedicated to children and adolescents, the study of the psychological treatment of young people lagged behind that of adults, and the basic psychopathology underlying mental disorders in this population was largely ignored. Since those early days, the field has evolved steadily and, in recent years, exponentially. The Oxford Handbook of Clinical Child and Adolescent Psychology is a state-of-the-science volume providing comprehensive coverage of the psychological problems and disorders of childhood. International in scope and penned by the discipline's most eminent scientists and practitioners, the handbook begins with a section on conceptual and empirical issues, followed by exceptional content on specific psychiatric disorders such as intellectual disability, externalizing and internalizing disorders, communication disorders, schizophrenia and bipolar disorder, personality disorders, and many more. The third section offers chapters on special problems in childhood and adolescence, including divorce, the incarceration of parents, suicide and non-suicidal self-injury, bullying, and medical illness. A fourth section covers delivery of clinical services in diverse settings, such as schools and prisons, and the handbook concludes with several chapters on emerging trends and future directions for the field. Conceptually rich and evidence-based, this handbook is an essential resource for students, practitioners, and researchers, providing a cutting-edge compendium of the latest theoretical and empirical developments by leaders of the discipline.

Autism Spectrum Disorder

Author : Martin J. Lubetsky
Publisher : OUP USA
ISBN 13 : 0199753857
Total Pages : 355 pages
Book Rating : 4.1/5 (997 download)

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Book Synopsis Autism Spectrum Disorder by : Martin J. Lubetsky

Download or read book Autism Spectrum Disorder written by Martin J. Lubetsky and published by OUP USA. This book was released on 2011-06-27 with total page 355 pages. Available in PDF, EPUB and Kindle. Book excerpt: Autism Spectrum Disorder of the Pittsburgh Pocket Psychiatry Series highlights current key topics for this developmental neurobiological disorder: early identification and diagnosis; medical, psychiatric, behavioral, social, educational and language evaluations and treatment approaches; genetics and neurobiology; and transition-age and adult services. This book incorporates practical clinical knowledge within a didactic framework to provide a comprehensive overview of Autism Spectrum Disorder (ASD) across the lifespan.

Oxford Textbook of the Psychiatry of Intellectual Disability

Author : Sabayasachi Bhaumik
Publisher : Oxford University Press, USA
ISBN 13 : 0198794584
Total Pages : 345 pages
Book Rating : 4.1/5 (987 download)

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Book Synopsis Oxford Textbook of the Psychiatry of Intellectual Disability by : Sabayasachi Bhaumik

Download or read book Oxford Textbook of the Psychiatry of Intellectual Disability written by Sabayasachi Bhaumik and published by Oxford University Press, USA. This book was released on 2020-01-23 with total page 345 pages. Available in PDF, EPUB and Kindle. Book excerpt: Intellectual Disability (ID) describes a lifelong condition of heterogeneous aetiology, associated with the impairment of intellectual functioning (IQ 70), significant impairment of adaptive skills, and onset before the age of 18 years. People with ID experience significant physical andmental health problems like associated sensory/motor impairments and epilepsy, some of which are contributed to by underlying primary causes. Psychiatric problems are also three times more common in people with ID in comparison to the general population.The psychiatry of ID is a core part of training to be a psychiatrist yet there are limited resources on this topic aimed at both trainees and practising clinicians alike. Oxford Textbook of the Psychiatry of Intellectual Disability bridges this gap by providing up-to-date evidence-based content onthe assessment, diagnosis, and management of psychiatry in people with ID.Featuring 28 chapters written by international experts in the field, the Oxford Textbook of the Psychiatry of Intellectual Disability presents fresh global insight and coverage of the subject. Chapters cover key topics from the developmental aspects of ID, mental disorders in childhood, andbehaviour phenotypes, through to physical health, dementia and other disorders associated with ageing.Each chapter provides trustworthy evidence and a wealth of practical advice for clinical situations, including case studies in community and hospital settings, and multiple choice questions for self-evaluation and consolidation of knowledge.

Autistic People With Co-occurring Psychological Conditions

Author : Gabriel Bennett
Publisher : Springer Nature
ISBN 13 : 9819706564
Total Pages : 132 pages
Book Rating : 4.8/5 (197 download)

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Book Synopsis Autistic People With Co-occurring Psychological Conditions by : Gabriel Bennett

Download or read book Autistic People With Co-occurring Psychological Conditions written by Gabriel Bennett and published by Springer Nature. This book was released on with total page 132 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Differential Diagnosis of Autism Spectrum Disorder

Author : Katherine K. M. Stavropoulos
Publisher : Oxford University Press
ISBN 13 : 0197516882
Total Pages : 249 pages
Book Rating : 4.1/5 (975 download)

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Book Synopsis Differential Diagnosis of Autism Spectrum Disorder by : Katherine K. M. Stavropoulos

Download or read book Differential Diagnosis of Autism Spectrum Disorder written by Katherine K. M. Stavropoulos and published by Oxford University Press. This book was released on 2022 with total page 249 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Although cases of autism can, in retrospect, be identified before Kanner's 1943 classic report (also see Donvan and Zucker 2016), it was Kanner's genius to put together the core features that we continue to associate with autism; autistic aloneness and restricted interests/difficulties with change. This description was straightforward and atheoretical and has stood the test of time even as we debate the boundaries of autism today. The early years following Kanner's initial presentation were plagued by a lack of consistency in diagnosis and several mistaken beliefs about autism, e.g., associations with childhood schizophrenia and inappropriate parenting. This changed dramatically in the 1970s as three lines of evidence helped establish the validity of autism as a diagnostic concept: These included: 1) the awareness that autism was a brain-based disorder associated with high rates of epilepsy with peaks of onset in early childhood and adolescence, 2) the first twin studies of autism made it clear that there was a very strong genetic component of autism with high concordance in MZ twins, and 3) children with autism responded best to structured teaching rather than unstructured psychotherapy (see Jackson and Volkmar, 2019 for a discussion)"--

Adolescents with Autism Spectrum Disorder

Author : Nicholas W. Gelbar
Publisher : Oxford University Press
ISBN 13 : 0190624825
Total Pages : 353 pages
Book Rating : 4.1/5 (96 download)

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Book Synopsis Adolescents with Autism Spectrum Disorder by : Nicholas W. Gelbar

Download or read book Adolescents with Autism Spectrum Disorder written by Nicholas W. Gelbar and published by Oxford University Press. This book was released on 2017-12-05 with total page 353 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Adolescents with Autism Spectrum Disorder synthesizes current science on adolescents and young adults with ASD in order to inform mental health practitioners and education professionals who work directly with these individuals"--

Handbook of Autism and Pervasive Developmental Disorders, Diagnosis, Development, Neurobiology, and Behavior

Author : Fred R. Volkmar
Publisher : John Wiley & Sons
ISBN 13 : 0471721107
Total Pages : 788 pages
Book Rating : 4.4/5 (717 download)

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Book Synopsis Handbook of Autism and Pervasive Developmental Disorders, Diagnosis, Development, Neurobiology, and Behavior by : Fred R. Volkmar

Download or read book Handbook of Autism and Pervasive Developmental Disorders, Diagnosis, Development, Neurobiology, and Behavior written by Fred R. Volkmar and published by John Wiley & Sons. This book was released on 2005-04-29 with total page 788 pages. Available in PDF, EPUB and Kindle. Book excerpt: Now expanded to two volumes, this invaluable reference work provides a comprehensive review of all information presently available about these disorders, drawing on findings and clinical experience from a number of related disciplines such as psychiatry, psychology, neurobiology, pediatrics, etc. The Handbook covers descriptive and diagnostic characteristics, biological contributions, intervention techniques, legal and social issues. The Third Edition is updated to include the newest work in animal models, genetics, neuropsychological processes, screening and assessment methods.

Autism, An Issue of ChildAnd Adolescent Psychiatric Clinics of North America

Author : Thomas Flis
Publisher : Elsevier Health Sciences
ISBN 13 : 0323733107
Total Pages : 201 pages
Book Rating : 4.3/5 (237 download)

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Book Synopsis Autism, An Issue of ChildAnd Adolescent Psychiatric Clinics of North America by : Thomas Flis

Download or read book Autism, An Issue of ChildAnd Adolescent Psychiatric Clinics of North America written by Thomas Flis and published by Elsevier Health Sciences. This book was released on 2020-03-13 with total page 201 pages. Available in PDF, EPUB and Kindle. Book excerpt: This issue of Child and Adolescent Psychiatric Clinics, guest edited by Drs. Robert Wisner-Carlson, Thomas Flis, Scott Pekrul and Robert Schloesser, will cover key topics of importance surrounding Autism Spectrum Disorders Across the Lifespan. This issue is Part I of II and one of four selected each year by our series Consulting Editor, Dr. Harsh Trivedi. Topics discussed in this issue include but are not limited to: Diagnosis, Developmental Changes, Social Skills Training, Transition through Adulthood, Intersection with Eating Disorders, Legal Issues and planning, Education, and Vocational and Prevocational issues, among other topics.

Handbook of Interdisciplinary Treatments for Autism Spectrum Disorder

Author : Robert D. Rieske
Publisher : Springer
ISBN 13 : 3030130274
Total Pages : 480 pages
Book Rating : 4.0/5 (31 download)

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Book Synopsis Handbook of Interdisciplinary Treatments for Autism Spectrum Disorder by : Robert D. Rieske

Download or read book Handbook of Interdisciplinary Treatments for Autism Spectrum Disorder written by Robert D. Rieske and published by Springer. This book was released on 2019-04-29 with total page 480 pages. Available in PDF, EPUB and Kindle. Book excerpt: This handbook examines the medical and therapeutic needs of individuals with autism spectrum disorder (ASD) and the effectiveness of treatments that are delivered through interdisciplinary teams. It analyzes the impact of interdisciplinary teams on assessment, diagnosis, treatment planning, and implementation and explores how evidence-based treatments can be developed and implemented. Chapters describe the wide-ranging effects of ASD and the challenges individuals and their family members face when seeking treatment. In addition, chapters provide an overview of the comorbidities and related disorders that often accompany ASD, including neurodevelopmental disorders, medical and behavioral problems, and psychopathology. The handbook also discusses the critical importance of caregivers in the treatment team as experts in their child’s strengths, problem areas, and functioning. Topics featured in this handbook include: Legal considerations in interdisciplinary treatments. Ethical considerations in the development and implementation of interdisciplinary teams. Evidence-based interdisciplinary treatment and evaluation considerations. The role of primary care physicians and subspecialty pediatricians within interdisciplinary teams. The impact of school psychologists related to assessment and intervention development. Vocational interventions that promote independence in individuals with ASD. The Handbook of Interdisciplinary Treatments for Autism Spectrum Disorder is a must-have resource for researchers, clinicians and professionals, and graduate students across such interrelated disciplines as clinical child, school, and developmental psychology, child and adolescent psychiatry, social work, rehabilitation medicine/therapy, pediatrics, and special education.

Autism Spectrum Disorders

Author : David Amaral
Publisher : Oxford University Press
ISBN 13 : 0199707472
Total Pages : 1456 pages
Book Rating : 4.1/5 (997 download)

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Book Synopsis Autism Spectrum Disorders by : David Amaral

Download or read book Autism Spectrum Disorders written by David Amaral and published by Oxford University Press. This book was released on 2011-05-01 with total page 1456 pages. Available in PDF, EPUB and Kindle. Book excerpt: Autism is an emerging area of basic and clinical research, and has only recently been recognized as a major topic in biomedical research. Approximately 1 in 150 children are diagnosed as autistic, so it is also an intense growth area in behavioral and educational treatments. Financial resources have begun to be raised for more comprehensive research and an increasing number of scientists are becoming involved in autism research. In many respects, autism has become a model for conducting translational research on a psychiatric disorder. This text provides a comprehensive summary of all current knowledge related to the behavioral, experiential, and biomedical features of the autism spectrum disorders including major behavioral and cognitive syndromology, common co-morbid conditions, neuropathology, neuroimmunology, and other neurological correlates such as seizures, allergy and immunology, gastroenterology, infectious disease, and epidemiology. Edited by three leading researchers, this volume contains over 80 chapters and nine shorter commentaries by thought leaders in the field, making the book a virtual "who's who" of autism research. This carefully developed book is a comprehensive and authoritative reference for what we know in this area as well as a guidepost for the next several years in all areas of autism research.

International Handbook of Autism and Pervasive Developmental Disorders

Author : Johnny L. Matson
Publisher : Springer Science & Business Media
ISBN 13 : 1441980652
Total Pages : 555 pages
Book Rating : 4.4/5 (419 download)

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Book Synopsis International Handbook of Autism and Pervasive Developmental Disorders by : Johnny L. Matson

Download or read book International Handbook of Autism and Pervasive Developmental Disorders written by Johnny L. Matson and published by Springer Science & Business Media. This book was released on 2011-06-16 with total page 555 pages. Available in PDF, EPUB and Kindle. Book excerpt: Since the early 1940s, when first identified as childhood psychosis and autistic psychopathy, autism spectrum disorder (ASD) has continued to burgeon into a major focus of inquiry and interest among researchers, practitioners, and the public alike. With each passing decade, the number of scholarly articles addressing ASD and related disabilities continues to soar. Today, thousands of papers on autism are published annually across various disciplines and journals, making it challenging – if not impossible – to keep pace with, let alone synthesize, all the latest developments. Based on a solid historical foundation of autism theory and research, the International Handbook of Autism and Pervasive Developmental Disorders integrates the broad scholarly base of literature with a trenchant analysis of the state of the field in nosology, etiology, assessment, and treatment. Its expert contributors examine recent findings and controversies (e.g., how prevalent autism actually is), along with longstanding topics of interest as well as emerging issues. Coverage includes: A survey of diagnostic criteria and assessment strategies. Genetic, behavioral, biopsychosocial, and cognitive models. Psychiatric disorders in persons with ASD. Theory of mind and facial recognition. Diagnostic instruments for assessing core features and challenging behaviors. Evidence-based psychosocial, pharmacological, and integrative treatments. Interventions specifically for adults with ASD. Training issues for professionals and parents. A review of findings of successful and promising therapies, coupled with guidance on how to distinguish between dubious and effective treatments. The International Handbook of Autism and Pervasive Developmental Disorders is an indispensable resource for researchers, professors, graduate students, and allied practitioners in clinical child and school psychology, child and adolescent psychiatry, education, social work, rehabilitation, pediatric medicine, and developmental psychology.

Anxiety in Children and Adolescents with Autism Spectrum Disorder

Author : Connor M. Kerns
Publisher : Academic Press
ISBN 13 : 0128052678
Total Pages : 274 pages
Book Rating : 4.1/5 (28 download)

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Book Synopsis Anxiety in Children and Adolescents with Autism Spectrum Disorder by : Connor M. Kerns

Download or read book Anxiety in Children and Adolescents with Autism Spectrum Disorder written by Connor M. Kerns and published by Academic Press. This book was released on 2017-01-05 with total page 274 pages. Available in PDF, EPUB and Kindle. Book excerpt: Anxiety in Children and Adolescents with Autism Spectrum Disorder: Evidence-Based Assessment and Treatment begins with a general overview of the history of research on anxiety in ASD and the path towards evidence-based assessment and treatment methods. Thereafter, chapters focus on the nature of ASD and anxiety comorbidity, the assessment of anxiety in ASD, and its treatment. Later chapters are devoted to future directions for research on this topic, including a discussion of anxiety assessment and treatment for adults and minimally verbal individuals. Anxiety disorders in children with autism spectrum disorder (ASD) can cause substantial distress and impairment over and above that caused by ASD alone. Emerging research on genetic, psychological, psychophysiological, and psychometric aspects of ASD establish anxiety as a valid and necessary treatment target in this population. This book is designed to help a broad array of providers who work with children with ASD understand cutting-edge, empirically supported treatments for anxiety, including specific treatment plans and strategies. Presents a balanced discussion of the scientific literature on anxiety in ASD Provides a pragmatic, clinically applied focus that gives readers a ‘how-to’ guide for the treatment of anxiety in ASD Considers the distinct ways in which anxiety presents in children and adolescents with ASD and the challenges this presents to assessment and treatment Examines emerging areas of anxiety assessment and treatment research in ASD

Handbook of Early Intervention for Autism Spectrum Disorders

Author : Jonathan Tarbox
Publisher : Springer Science & Business Media
ISBN 13 : 1493904019
Total Pages : 653 pages
Book Rating : 4.4/5 (939 download)

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Book Synopsis Handbook of Early Intervention for Autism Spectrum Disorders by : Jonathan Tarbox

Download or read book Handbook of Early Intervention for Autism Spectrum Disorders written by Jonathan Tarbox and published by Springer Science & Business Media. This book was released on 2014-04-04 with total page 653 pages. Available in PDF, EPUB and Kindle. Book excerpt: Current rates of autism diagnoses have been cause for concern and research as well as rumor and misinformation. Important questions surround the condition: how early can an accurate diagnosis be made? At what age should intervention start? How can parents recognize warning signs? And what causes autism in the first place? There are no easy answers, but the Handbook of Early Intervention for Autism Spectrum Disorders gives researchers, practitioners, and academics the science and guidance to better understand and intervene. Background chapters survey the history of professional understanding of the disorders and the ongoing debate over autism as a single entity or a continuum. Chapters on best methods in screening, assessment, and diagnosis reflect the transition between the DSM-V and older diagnostic criteria. And at the heart of the book, the intervention section ranges from evidence-based strategies for developing core skills to ethical concerns, cultural considerations, and controversial treatments. Included in the Handbook's broad-based coverage: Designing curriculum programs for children with autism spectrum disorders (ASD). Mainstream education for children with ASD. Teaching independent living skills to children with ASD. Social skills and play. Behavioral and mental health disorders in children with ASD. Training and supporting caregivers in evidence-based practices. Teaching cognitive skills to children with ASD. The Handbook of Early Intervention for Autism Spectrum Disorders is a comprehensive reference for researchers, professors, and graduate students as well as clinicians and other scientist-practitioners in clinical child and school psychology, child and adolescent psychiatry, social work, rehabilitation, special education, and pediatric medicine.

Handbook of Life Course Health Development

Author : Neal Halfon
Publisher : Springer
ISBN 13 : 3319471430
Total Pages : 667 pages
Book Rating : 4.3/5 (194 download)

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Book Synopsis Handbook of Life Course Health Development by : Neal Halfon

Download or read book Handbook of Life Course Health Development written by Neal Halfon and published by Springer. This book was released on 2017-11-20 with total page 667 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is open access under a CC BY 4.0 license. This handbook synthesizes and analyzes the growing knowledge base on life course health development (LCHD) from the prenatal period through emerging adulthood, with implications for clinical practice and public health. It presents LCHD as an innovative field with a sound theoretical framework for understanding wellness and disease from a lifespan perspective, replacing previous medical, biopsychosocial, and early genomic models of health. Interdisciplinary chapters discuss major health concerns (diabetes, obesity), important less-studied conditions (hearing, kidney health), and large-scale issues (nutrition, adversity) from a lifespan viewpoint. In addition, chapters address methodological approaches and challenges by analyzing existing measures, studies, and surveys. The book concludes with the editors’ research agenda that proposes priorities for future LCHD research and its application to health care practice and health policy. Topics featured in the Handbook include: The prenatal period and its effect on child obesity and metabolic outcomes. Pregnancy complications and their effect on women’s cardiovascular health. A multi-level approach for obesity prevention in children. Application of the LCHD framework to autism spectrum disorder. Socioeconomic disadvantage and its influence on health development across the lifespan. The importance of nutrition to optimal health development across the lifespan. The Handbook of Life Course Health Development is a must-have resource for researchers, clinicians/professionals, and graduate students in developmental psychology/science; maternal and child health; social work; health economics; educational policy and politics; and medical law as well as many interrelated subdisciplines in psychology, medicine, public health, mental health, education, social welfare, economics, sociology, and law.

Autism in the Workplace

Author : Amy E. Hurley-Hanson
Publisher : Springer Nature
ISBN 13 : 3030290492
Total Pages : 278 pages
Book Rating : 4.0/5 (32 download)

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Book Synopsis Autism in the Workplace by : Amy E. Hurley-Hanson

Download or read book Autism in the Workplace written by Amy E. Hurley-Hanson and published by Springer Nature. This book was released on 2019-11-15 with total page 278 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book explores the career experiences of Generation A, the half-million individuals with autism spectrum disorder (ASD) who will reach adulthood in the next decade. With Generation A eligible to enter the workforce in unprecedented numbers, research is needed to help individuals, organizations, and educational institutions to work together to create successful work experiences and career outcomes for individuals with ASD. Issues surrounding ASD in the workplace are discussed from individual, organizational, and societal perspectives. This book also examines the stigma of autism and how it may affect the employment and career experiences of individuals with ASD. This timely book provides researchers, practitioners, and employers with empirical data that examines the work and career experiences of individuals with ASD. It offers a framework for organizations committed to hiring individuals with ASD and enhancing their work experiences and career outcomes now and in the future.