Evidence-Base Practice: Screening for Depression and Suicidality in High Functioning Autistic Spectrum Disorder Adolescents

Research regarding assessing for suicide and depression in high-functioning autistic spectrum disorders (HFASDs) is very limited. An extensive literature review focusing on HFASDs was conducted, which resulted in adolescents with HFASDs are likely to experience depression and suicidality compared to those who are neurotypical or those not diagnosed with an autistic spectrum disorder (ASD) because of limited social and communication skills. These deficits put these individuals at risk for depression, therefore, suicidality. PubMed, SCOPUS, PsychiatryOnline. and Cumulative Index to Nursing and Allied Health Literature (C1NAHL) were used to research information for this independent study. Implications for psychiatric nurse practitioners and other clinicians are to screen HFASDs adolescents more often for depression and suicidality because of the complication of having limited communication and social skills as well as. difficulty developing meaningful relationships

A Qualitative Evaluation of Double Up Food Bucks Farmers’ Market Incentive Program Access

Objective Explore factors affecting access to and use of Double Up Food Bucks (DUFB), a farmers’ market program that doubles Supplemental Nutrition Assistance Program benefits for use toward the purchase of fruits and vegetables (FV). Design Focus groups. Setting Metro and nonmetro counties in Utah and western Upstate New York. Participants Nine groups composed of 62 low-income adults (3–9/group). Phenomena of Interest Satisfaction with, barriers to, and facilitators of program use; suggestions for improvement. Analysis Transcribed verbatim and coded thematically in NVivo 11 software according to template analysis. Results Program satisfaction was high and driven by FV affordability, perceived support of local farmers, positive market experiences, and high-quality FV. Primary barriers to using DUFB were lack of program information and inconvenient accessibility. Insufficient program communication was a consistent problem that elicited numerous suggestions regarding expansion of program marketing. Emergent topics included issues related to the token-based administration of DUFB and debate regarding stigma experienced during DUFB participation. Conclusions and Implications Results suggest that although DUFB elicits many points of satisfaction among users, program reach may be limited owing to insufficient program marketing. Even among satisfied users, discussion of barriers was extensive, indicating that program reach and impact may be bolstered by efforts to improve program accessibility