Abstract
Autistic children often receive support for mental health and emotional challenges through community-based group-format cognitive behavioural therapy (CBT). CBT is manualized, but in community settings, interventions tend to not be delivered as intended. Inherent individual preferences and behavioural challenges in autistic children often lead to intervention adaptations that better suit individual client needs. This study used the FRAME framework to categorize and understand adaptations made to the Secret Agent Society: Small Group (SAS: SG) CBT program for autistic children (8-12 years). Interviews were conducted with therapists and then transcribed, analyzed and thematically coded using the framework. Results indicate that adaptations were primarily unplanned, content-based, and modifications were made based on clients' cognitive capacity. These results can provide useful information to help identify adaptations that do not interfere with the effectiveness of programming.
Published Version
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