{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,24]],"date-time":"2025-10-24T04:50:01Z","timestamp":1761281401409,"version":"build-2065373602"},"reference-count":40,"publisher":"Cambridge University Press (CUP)","issue":"3","license":[{"start":{"date-parts":[[2025,4,4]],"date-time":"2025-04-04T00:00:00Z","timestamp":1743724800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Ir. j. psychol. Med."],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S0790966725000096_as1\">\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Autistic people have high levels of mental ill-health and an increased risk of suicide across the lifespan. Yet autistic people report difficulties communicating with healthcare professionals and accessing a range of healthcare services. At the same time, mental healthcare workers in other countries are reporting links between confidence when working with autistic patients and the degree of autism knowledge and training they can access.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0790966725000096_as2\">\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We sought to examine what factors helped or hindered Irish mental healthcare colleagues when working with autistic healthcare service users. An online survey using quantitative and qualitative metrics was circulated among psychiatrists who are members of the College of Psychiatrists of Ireland, both in training and at consultant level, from April 2021 to April 2022.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0790966725000096_as3\">\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Knowledge of autism was high among psychiatrists (\n                      <jats:italic>n<\/jats:italic>\n                      = 140), but self-efficacy scores were variable, particularly in relation to care pathways. Self-efficacy was better among psychiatrists with caseloads of children and youth or individuals with co-occurring intellectual disabilities. Three key qualitative themes emerged relating to capacity and training of mental health professionals, ways to improve mental health services provision for autistic individuals and also the critical need for co-creation and neurodiversity affirmative care.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0790966725000096_as4\">\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The study highlighted critical systemic and professional challenges in providing mental health care to autistic people in Ireland. We provide recommendations for reducing these challenges and for enabling the development of inclusive, evidenced-based care to autistic individuals.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/ipm.2025.9","type":"journal-article","created":{"date-parts":[[2025,4,4]],"date-time":"2025-04-04T03:17:48Z","timestamp":1743736668000},"page":"182-190","source":"Crossref","is-referenced-by-count":1,"title":["Examining the barriers and facilitators to mental health service provision for autistic people in Ireland: a survey of psychiatrists"],"prefix":"10.1017","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9462-2836","authenticated-orcid":false,"given":"Louise","family":"Gallagher","sequence":"first","affiliation":[{"name":"The University of Toronto"},{"name":"Trinity College"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura","family":"Crane","sequence":"additional","affiliation":[{"name":"University of Birmingham"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Dinneen","sequence":"additional","affiliation":[{"name":"Hospital for Sick Children"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Noha","family":"Ibrahim","sequence":"additional","affiliation":[{"name":"Cavan General Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Niamh","family":"Mulryan","sequence":"additional","affiliation":[{"name":"Avista"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nadia","family":"Bolshakova","sequence":"additional","affiliation":[{"name":"Trinity College"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adam","family":"Harris","sequence":"additional","affiliation":[{"name":"AsIAm"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Linda","family":"O\u2019Rourke","sequence":"additional","affiliation":[{"name":"Mater Misericodiae University Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth","family":"Pellicano","sequence":"additional","affiliation":[{"name":"University College London"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2025,4,4]]},"reference":[{"key":"S0790966725000096_ref5","doi-asserted-by":"publisher","DOI":"10.1007\/s40474-019-00159-9"},{"key":"S0790966725000096_ref3","doi-asserted-by":"crossref","first-page":"1508","DOI":"10.1177\/1362361318818167","article-title":"Experience of mental health diagnosis and perceived misdiagnosis in autistic, possibly autistic and non-autistic adults","volume":"23","author":"Au-Yeung","year":"2019","journal-title":"Autism"},{"key":"S0790966725000096_ref8","doi-asserted-by":"publisher","DOI":"10.1007\/s10803-011-1406-7"},{"key":"S0790966725000096_ref27","doi-asserted-by":"publisher","DOI":"10.1002\/aur.1965"},{"key":"S0790966725000096_ref38","doi-asserted-by":"publisher","DOI":"10.1007\/s10803-015-2579-2"},{"key":"S0790966725000096_ref2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2016-4300I"},{"key":"S0790966725000096_ref19","first-page":"13623613231167902","article-title":"Knowledge of autism gained by learning from people through a local UK autism champion network: a health and social care professional perspective","volume":"27","author":"Kirby","year":"2023","journal-title":"Autism"},{"volume-title":"Thematic Analysis: A Practical Guide","year":"2021","author":"Braun","key":"S0790966725000096_ref7"},{"key":"S0790966725000096_ref30","doi-asserted-by":"publisher","DOI":"10.1186\/s13229-023-00544-7"},{"key":"S0790966725000096_ref10","doi-asserted-by":"crossref","first-page":"1431","DOI":"10.1177\/1362361318816053","article-title":"\u2018People like me don\u2019t get support\u2019: autistic adults\u2019 experiences of support and treatment for mental health difficulties, self-injury and suicidality","volume":"23","author":"Camm-Crosbie","year":"2019","journal-title":"Autism"},{"key":"S0790966725000096_ref15","doi-asserted-by":"publisher","DOI":"10.1007\/s11920-022-01362-z"},{"key":"S0790966725000096_ref26","doi-asserted-by":"publisher","DOI":"10.1016\/j.rasd.2019.02.007"},{"key":"S0790966725000096_ref28","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2021.614102"},{"key":"S0790966725000096_ref29","unstructured":"National Disability Authority (2017). Models of good Practice in Effectively Supporting the Needs of Adults with Autism, without a Concurrent Intellectual Disability, Living in the Community [Report]. National Disability Authority. https:\/\/nda.ie\/publications\/good-practice-in-supporting-adults-with-autism."},{"key":"S0790966725000096_ref31","unstructured":"National Institute for Health and Care Excellence. (2012). Autism spectrum disorder in adults: Diagnosis and management (NICE Clinical Guideline No. 142). https:\/\/www.nice.org.uk\/guidance\/cg142."},{"key":"S0790966725000096_ref9","doi-asserted-by":"crossref","first-page":"e20899","DOI":"10.1097\/MD.0000000000020899","article-title":"Healthcare access for autistic adults: a systematic review","volume":"99","author":"Calleja","year":"2020","journal-title":"Medicine (Baltimore)"},{"key":"S0790966725000096_ref39","doi-asserted-by":"crossref","first-page":"951","DOI":"10.12669\/pjms.35.4.605","article-title":"Assessment of knowledge about childhood autism spectrum disorder among healthcare workers in Makkah- Saudi Arabia","volume":"35","author":"Hayat","year":"2019","journal-title":"Pak J Med Sci"},{"volume-title":"Autism Innovation Strategy - Analysis of Initial Public Consultation Submissions","year":"2023","key":"S0790966725000096_ref4"},{"key":"S0790966725000096_ref13","doi-asserted-by":"crossref","first-page":"20X101030","DOI":"10.3399\/bjgpopen20X101030","article-title":"Barriers and facilitators to primary health care for people with intellectual disabilities and\/or autism: an integrative review","volume":"4","author":"Doherty","year":"2020","journal-title":"BJGP Open"},{"key":"S0790966725000096_ref24","doi-asserted-by":"publisher","DOI":"10.1177\/13623613211057973"},{"key":"S0790966725000096_ref1","doi-asserted-by":"publisher","DOI":"10.1007\/s40489-020-00226-7"},{"key":"S0790966725000096_ref40","doi-asserted-by":"publisher","DOI":"10.1016\/j.rasd.2017.12.001"},{"key":"S0790966725000096_ref17","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.114.160192"},{"key":"S0790966725000096_ref25","doi-asserted-by":"publisher","DOI":"10.1038\/s41390-021-01465-y"},{"key":"S0790966725000096_ref6","doi-asserted-by":"publisher","DOI":"10.31128\/AJGP-11-20-5722"},{"key":"S0790966725000096_ref21","doi-asserted-by":"crossref","first-page":"434","DOI":"10.1016\/S1474-4422(20)30034-X","article-title":"Evidence-based support for autistic people across the lifespan: maximising potential, minimising barriers, and optimising the person-environment fit","volume":"19","author":"Lai","year":"2020","journal-title":"Lancet Neurology"},{"key":"S0790966725000096_ref11","doi-asserted-by":"publisher","DOI":"10.1111\/dmcn.15384"},{"key":"S0790966725000096_ref14","unstructured":"Joint Committee on Autism, Final Report of the Joint Committee on Autism. 2023. Government of Ireland Retrieved from https:\/\/data.oireachtas.ie\/ie\/oireachtas\/committee\/dail\/33\/joint_committee_on_autism\/reports\/2023\/2023-06-14_final-report-of-the-joint-committee-on-autism_en.pdf."},{"key":"S0790966725000096_ref18","doi-asserted-by":"publisher","DOI":"10.1007\/978-981-13-8437-0"},{"key":"S0790966725000096_ref22","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(19)30289-5"},{"key":"S0790966725000096_ref32","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-016-3763-6"},{"key":"S0790966725000096_ref35","doi-asserted-by":"crossref","first-page":"e445","DOI":"10.3399\/bjgp17X690449","article-title":"GPs\u2019 confidence in caring for their patients on the autism spectrum: an online self-report study","volume":"67","author":"Unigwe","year":"2017","journal-title":"British Journal of General Practice"},{"key":"S0790966725000096_ref12","doi-asserted-by":"publisher","DOI":"10.1192\/bjo.2019.12"},{"key":"S0790966725000096_ref23","doi-asserted-by":"publisher","DOI":"10.1007\/s10803-018-3797-1"},{"key":"S0790966725000096_ref36","unstructured":"Department of Health (2006) A Vision for Change. 2006, Government of Ireland: Dublin Ireland. https:\/\/www.hse.ie\/eng\/services\/publications\/mentalhealth\/mental-health---a-vision-for-change.pdf."},{"key":"S0790966725000096_ref20","doi-asserted-by":"publisher","DOI":"10.1038\/s41562-023-01718-2"},{"key":"S0790966725000096_ref16","doi-asserted-by":"publisher","DOI":"10.1016\/j.ssmmh.2024.100309"},{"key":"S0790966725000096_ref34","unstructured":"Department of Health (2020) Sharing the Vision. A Mental Health Policy for Everyone, Government of Ireland: Dublin, Ireland. https:\/\/www.gov.ie\/en\/publication\/2e46f-sharing-the-vision-a-mental-health-policy-for-everyone\/."},{"key":"S0790966725000096_ref33","doi-asserted-by":"publisher","DOI":"10.1111\/jcpp.13534"},{"key":"S0790966725000096_ref37","doi-asserted-by":"publisher","DOI":"10.1089\/aut.2020.29014.njw"}],"container-title":["Irish Journal of Psychological Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0790966725000096","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,24]],"date-time":"2025-10-24T04:44:07Z","timestamp":1761281047000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0790966725000096\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,4]]},"references-count":40,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2025,9]]}},"alternative-id":["S0790966725000096"],"URL":"https:\/\/doi.org\/10.1017\/ipm.2025.9","relation":{},"ISSN":["0790-9667","2051-6967"],"issn-type":[{"type":"print","value":"0790-9667"},{"type":"electronic","value":"2051-6967"}],"subject":[],"published":{"date-parts":[[2025,4,4]]}}}