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Does an Autism Spectrum Disorder Care Pathway Improve Care for Children and Adolescents with ASD in Inpatient Psychiatric Units?

Overview
Journal J Autism Dev Disord
Publisher Springer
Date 2018 Jul 5
PMID 29971653
Citations 11
Authors
Sarah Kuriakose
Beryl Filton
Mollie Marr
Eugene Okparaeke
Paige Cervantes
Matthew Siegel
Sarah Horwitz
Jennifer Havens
Affiliations
Soon will be listed here.
Abstract

Youth with autism spectrum disorder (ASD) are psychiatrically hospitalized at high rates. Though specialized psychiatric units are effective, few specialized units exist. The ASD Care Pathway (ASD-CP) was developed as a scalable approach to improving care in general psychiatric units through staff training and a package of autism-specific intervention strategies. An evaluation of the effectiveness of the ASD-CP in a public hospital child psychiatric service compared 18 months (n = 17) versus 18 months (n = 20) post implementation. Average length of hospital stay decreased 40% (22.4-13.4 days) and use of crisis interventions decreased 77% (holds/restraints; 0.65/day to 0.15/day), though each result only approached statistical significance (p = 0.07; 0.057). This study provides preliminary evidence for improved outcomes after implementation of an ASD-CP.

Citing Articles

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Yan D, Jeon A, Ng Y, Rivera A, Donnelly L, Baker L J Autism Dev Disord. 2024; .

PMID: 39699766 DOI: 10.1007/s10803-024-06690-y.

Patients with Autism Spectrum or Intellectual Disability in the Psychiatric Emergency Department: Findings from a 10-year Retrospective Review.

Hong V, Miller F, Kentopp S, Reynard H, Biermann B, Beser C J Autism Dev Disord. 2024; .

PMID: 39661252 DOI: 10.1007/s10803-024-06658-y.

Characterizing the clinical and sociodemographic profiles of hospitalized adolescents with autism spectrum disorder.

Avrahami M, Ben-Dor D, Ratzon R, Weizman A, Danieli P Glob Ment Health (Camb). 2024; 11:e63.

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Building Bricks of Integrated Care Pathway for Autism Spectrum Disorder: A Systematic Review.

Fulceri F, Gila L, Caruso A, Micai M, Romano G, Scattoni M Int J Mol Sci. 2023; 24(7).

PMID: 37047213 PMC: 10094376. DOI: 10.3390/ijms24076222.

Prevalence of Autism Spectrum Disorder (ASD) in Inpatient Adolescent Psychiatric Population.

Kriegel G, Paul S, Leonard K, Sandor P J Autism Dev Disord. 2023; 55(3):1138-1145.

PMID: 37022576 PMC: 11828784. DOI: 10.1007/s10803-023-05923-w.

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