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

IF 2.8 2区心理学 Q1 PSYCHOLOGY, DEVELOPMENTAL Journal of Autism and Developmental Disorders Pub Date : 2019-08-01 DOI:10.1007/s10803-019-04029-6

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

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引用次数: 7

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.

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儿童和青少年自闭症谱系障碍在住院精神病服务中的护理路径的可持续性。

患有自闭症谱系障碍(ASD)的儿童经常在普通精神病机构住院，这些机构通常不是为满足他们的需求而设计的。对在普通精神科住院病房(ASD- cp)接受服务的青少年ASD护理途径的初步评估显示，在使用较少资源的情况下，有望改善结果(Kuriakose等人在《自闭症发展障碍杂志》48:4082-4089,2018)。由于住院精神病治疗的可持续性是必要的，但很少调查，本研究在18个月的随访期间(n = 15)与18个月的初始评估(n = 20)和18个月的预实施(n = 17)期间比较了ASD-CP结果的稳定性。在最初实施期后的18个月里，危机干预措施的使用，包括羁留/束缚和肌肉注射药物的使用，持续减少。讨论了影响和局限性。

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来源期刊

Journal of Autism and Developmental Disorders PSYCHOLOGY, DEVELOPMENTAL-

CiteScore

8.00

自引率

10.30%

发文量

433

期刊介绍： The Journal of Autism and Developmental Disorders seeks to advance theoretical and applied research as well as examine and evaluate clinical diagnoses and treatments for autism and related disabilities. JADD encourages research submissions on the causes of ASDs and related disorders, including genetic, immunological, and environmental factors; diagnosis and assessment tools (e.g., for early detection as well as behavioral and communications characteristics); and prevention and treatment options. Sample topics include: Social responsiveness in young children with autism Advances in diagnosing and reporting autism Omega-3 fatty acids to treat autism symptoms Parental and child adherence to behavioral and medical treatments for autism Increasing independent task completion by students with autism spectrum disorder Does laughter differ in children with autism? Predicting ASD diagnosis and social impairment in younger siblings of children with autism The effects of psychotropic and nonpsychotropic medication with adolescents and adults with ASD Increasing independence for individuals with ASDs Group interventions to promote social skills in school-aged children with ASDs Standard diagnostic measures for ASDs Substance abuse in adults with autism Differentiating between ADHD and autism symptoms Social competence and social skills training and interventions for children with ASDs Therapeutic horseback riding and social functioning in children with autism Authors and readers of the Journal of Autism and Developmental Disorders include sch olars, researchers, professionals, policy makers, and graduate students from a broad range of cross-disciplines, including developmental, clinical child, and school psychology; pediatrics; psychiatry; education; social work and counseling; speech, communication, and physical therapy; medicine and neuroscience; and public health.