Top

Journal of Autism and Developmental Disorders

Gepubliceerd in:

07-05-2019 | Original Paper

Sustainability of a Care Pathway for Children and Adolescents with Autism Spectrum Disorder on an Inpatient Psychiatric Service

Auteurs: Paige Cervantes, Sarah Kuriakose, Lauren Donnelly, Beryl Filton, Mollie Marr, Eugene Okparaeke, Katherine Voorheis, Jennifer Havens, Sarah Horwitz

Gepubliceerd in: Journal of Autism and Developmental Disorders | Uitgave 8/2019

Abstract

Children with autism spectrum disorder (ASD) are frequently hospitalized within general psychiatric settings, which are not usually designed to meet their needs. An initial evaluation of a care pathway developed for youth with ASD receiving services in a general psychiatric inpatient unit (ASD-CP) showed promise in improving outcomes while using few resources (Kuriakose et al. in J Autism Dev Disord 48:4082–4089, 2018). As sustainability of inpatient psychiatric initiatives is imperative but rarely investigated, this study examined the stability of ASD-CP outcomes during an 18-month follow-up period (n = 15) compared to the 18-month initial evaluation (n = 20) and 18-month pre-implementation (n = 17) periods. Decreased use of crisis interventions, including holds/restraints and intramuscular medication use, was sustained in the 18 months after the initial implementation period. Implications and limitations are discussed.

vorige artikel Self-reported Sensory Hypersensitivity Moderates Association Between Tactile Psychophysical Performance and Autism-Related Traits in Neurotypical Adults

volgende artikel A Spectrotemporal Correlate of Language Impairment in Autism Spectrum Disorder

Birkmann, J. C., Sperduto, J. S., Smith, R. C., & Gill, K. J. (2006). A collaborative rehabilitation approach to the improvement of inpatient treatment for persons with a psychiatric disability. Psychiatric Rehabilitation Journal, 29(3), 157. https://doi.org/10.2975/29.2006.157.165.CrossRefPubMed

Croen, L. A., Najjar, D. V., Ray, G. T., Lotspeich, L., & Bernal, P. (2006). A comparison of health care utilization and costs of children with and without autism spectrum disorders in a large group-model health plan. Pediatrics, 118(4), e1203–e1211. https://doi.org/10.1542/peds.2006-0127.CrossRefPubMed

Field, A. (2009). Discovering statistics using SPSS. Thousand Oaks: SAGE Publications.

Kalb, L. G., Stuart, E. A., Freedman, B., Zablotsky, B., & Vasa, R. (2012). Psychiatric-related emergency department visits among children with an autism spectrum disorder. Pediatric Emergency Care, 28(12), 1269–1276. https://doi.org/10.1097/PEC.0b013e3182767d96.CrossRefPubMed

Kuriakose, S., Filton, B., Marr, M., Okparaeke, E., Cervantes, P., Siegel, M., et al. (2018). Does an autism spectrum disorder care pathway improve care for children and adolescents with ASD in Inpatient psychiatric units? Journal of Autism and Developmental Disorders., 48, 4082–4089. https://doi.org/10.1007/s10803-018-3666-y.CrossRefPubMed

Lean, M., Leavey, G., Killaspy, H., Green, N., Harrison, I., Cook, S., et al. (2015). Barriers to the sustainability of an intervention designed to improve patient engagement within NHS mental health rehabilitation units: A qualitative study nested within a randomised controlled trial. BMC Psychiatry, 15(1), 209. https://doi.org/10.1186/s12888-015-0592-9.CrossRefPubMedPubMedCentral

Madan, A., Borckardt, J. J., Grubaugh, A. L., Danielson, C. K., McLeod-Bryant, S., Cooney, H., et al. (2014). Efforts to reduce seclusion and restraint use in a State Psychiatric Hospital: A ten-year perspective. Psychiatric Services, 65(10), 1273–1276. https://doi.org/10.1176/appi.ps.201300383.CrossRefPubMed

Matson, J. L., & Boisjoli, J. A. (2009). Restraint procedures and challenging behaviours in intellectual disability: An analysis of causative factors. Journal of Applied Research in Intellectual Disabilities, 22(2), 111–117. https://doi.org/10.1111/j.1468-3148.2008.00477.x.CrossRef

McGuire, K., Erickson, C., Gabriels, R. L., Kaplan, D., Mazefsky, C., McGonigle, J., et al. (2015). Psychiatric hospitalization of children with autism or intellectual disability: Consensus statements on best practices. Journal of the American Academy of Child and Adolescent Psychiatry, 54(12), 969–971. https://doi.org/10.1016/j.jaac.2015.08.017.CrossRefPubMedPubMedCentral

McHugh, R. K., & Barlow, D. H. (2010). The dissemination and implementation of evidence-based psychological treatments: A review of current efforts. American Psychologist, 65(2), 73–84. https://doi.org/10.1037/a0018121.CrossRefPubMed

Novins, D. K., Green, A. E., Legha, R. K., & Aarons, G. A. (2013). Dissemination and implementation of evidence-based practices for child and adolescent mental health: A systematic review. Journal of the American Academy of Child & Adolescent Psychiatry, 52(10), 1009–1025.e18. https://doi.org/10.1016/j.jaac.2013.07.012.CrossRef

Ostertagova, E., Ostertag, O., & Kovac, J. (2014). Methodology and application of the Kruskal-Wallis test. Applied Mechanics and Materials Zurich, 611, 115–120. https://doi.org/10.4028/www.scientific.net/AMM.611.115.CrossRef

Siegel, M. (2018). The severe end of the spectrum: Insights and opportunities from the autism inpatient collection (AIC). Journal of Autism and Developmental Disorders., 5, 4. https://doi.org/10.1007/s10803-018-3731-6.CrossRefPubMedPubMedCentral

Siegel, M., & Gabriels, R. L. (2014). Psychiatric hospital treatment of children with autism and serious behavioral disturbance. Child and Adolescent Psychiatric Clinics of North America, 23(1), 125–142. https://doi.org/10.1016/j.chc.2013.07.004.CrossRefPubMed

Stange, K. C., Goodwin, M. A., Zyzanski, S. J., & Dietrich, A. J. (2003). Sustainability of a practice-individualized preventive service delivery intervention. American Journal of Preventive Medicine, 25(4), 296–300. https://doi.org/10.1016/S0749-3797(03)00219-8.CrossRefPubMed

Sturmey, P. (2018). Reducing restraint in individuals with intellectual disabilities and autism spectrum disorders: A systematic review group interventions. Advances in Neurodevelopmental Disorders, 2(4), 375–390. https://doi.org/10.1007/s41252-018-0088-y.CrossRef

Wiltsey Stirman, S., Kimberly, J., Cook, N., Calloway, A., Castro, F., & Charns, M. (2012). The sustainability of new programs and innovations: A review of the empirical literature and recommendations for future research. Implementation Science: IS, 7, 17. https://doi.org/10.1186/1748-5908-7-17.CrossRef

Titel: Sustainability of a Care Pathway for Children and Adolescents with Autism Spectrum Disorder on an Inpatient Psychiatric Service
Auteurs: Paige Cervantes
Sarah Kuriakose
Lauren Donnelly
Beryl Filton
Mollie Marr
Eugene Okparaeke
Katherine Voorheis
Jennifer Havens
Sarah Horwitz
Publicatiedatum: 07-05-2019
Uitgeverij: Springer US
Gepubliceerd in: Journal of Autism and Developmental Disorders / Uitgave 8/2019
Print ISSN: 0162-3257
Elektronisch ISSN: 1573-3432
DOI: https://doi.org/10.1007/s10803-019-04029-6

Andere artikelen Uitgave 8/2019

Specificity of Phonological Representations for Children with Autism Spectrum Disorder

OriginalPaper

Pediatric Prolonged-Release Melatonin for Sleep in Children with Autism Spectrum Disorder: Impact on Child Behavior and Caregiver’s Quality of Life

Open Access
Original Paper

Differences in Cognition and Behaviour in Multiplex and Simplex Autism: Does Prior Experience Raising a Child with Autism Matter?

Original Paper

“I’m Destined to Ace This”: Work Experience Placement During High School for Individuals with Autism Spectrum Disorder

OriginalPaper

From Toddlerhood to Adolescence: Which Characteristics Among Toddlers with Autism Spectrum Disorder Predict Adolescent Attention Deficit/Hyperactivity Symptom Severity? A Long-Term Follow-Up Study

Original Paper

Perceived Barriers and Existing Challenges in Participation of Children with Autism Spectrum Disorders: “He Did Not Understand and No One Else Seemed to Understand Him”

Original Paper

Bohn Stafleu van Loghum

Welkom bij THIM Hogeschool voor Fysiotherapie & Bohn Stafleu van Loghum

Registreer

Login

Sustainability of a Care Pathway for Children and Adolescents with Autism Spectrum Disorder on an Inpatient Psychiatric Service

Abstract

Andere artikelen Uitgave 8/2019

Specificity of Phonological Representations for Children with Autism Spectrum Disorder

Pediatric Prolonged-Release Melatonin for Sleep in Children with Autism Spectrum Disorder: Impact on Child Behavior and Caregiver’s Quality of Life

Differences in Cognition and Behaviour in Multiplex and Simplex Autism: Does Prior Experience Raising a Child with Autism Matter?

“I’m Destined to Ace This”: Work Experience Placement During High School for Individuals with Autism Spectrum Disorder

From Toddlerhood to Adolescence: Which Characteristics Among Toddlers with Autism Spectrum Disorder Predict Adolescent Attention Deficit/Hyperactivity Symptom Severity? A Long-Term Follow-Up Study

Perceived Barriers and Existing Challenges in Participation of Children with Autism Spectrum Disorders: “He Did Not Understand and No One Else Seemed to Understand Him”

Bohn Stafleu van Loghum

Welkom bij THIM Hogeschool voor Fysiotherapie & Bohn Stafleu van Loghum

Registreer

Login

Deel dit onderdeel of sectie (kopieer de link)

Abstract

Log in om toegang te krijgen

Specificity of Phonological Representations for Children with Autism Spectrum Disorder

Pediatric Prolonged-Release Melatonin for Sleep in Children with Autism Spectrum Disorder: Impact on Child Behavior and Caregiver’s Quality of Life

Differences in Cognition and Behaviour in Multiplex and Simplex Autism: Does Prior Experience Raising a Child with Autism Matter?

“I’m Destined to Ace This”: Work Experience Placement During High School for Individuals with Autism Spectrum Disorder

From Toddlerhood to Adolescence: Which Characteristics Among Toddlers with Autism Spectrum Disorder Predict Adolescent Attention Deficit/Hyperactivity Symptom Severity? A Long-Term Follow-Up Study

Perceived Barriers and Existing Challenges in Participation of Children with Autism Spectrum Disorders: “He Did Not Understand and No One Else Seemed to Understand Him”