Improving Psychiatric Hospital Care for Pediatric Patients with Autism Spectrum Disorders and Intellectual Disabilities / Robin GABRIELS in Autism Research and Treatment, (April 2012)  

Public ISBD [article]  inAutism Research and Treatment > (April 2012) . - 7 p. Titre : Improving Psychiatric Hospital Care for Pediatric Patients with Autism Spectrum Disorders and Intellectual Disabilities Type de document : Texte imprimé et/ou numérique Auteurs : Robin GABRIELS, Auteur ; John A. AGNEW, Auteur ; Carol BERESFORD, Auteur ; Mary Ann MORROW, Auteur ; Gary MESIBOV, Auteur ; Marianne Z. WAMBOLDT, Auteur Année de publication : 2012 Article en page(s) : 7 p. Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : Pediatric patients with autism spectrum disorders (ASD) and/or intellectual disabilities (ID) are at greater risk for psychiatric hospitalization compared to children with other disorders. However, general psychiatric hospital environments are not adapted for the unique learning styles, needs, and abilities of this population, and there are few specialized hospital-based psychiatric care programs in the United States. This paper compares patient outcomes from a specialized psychiatric hospital program developed for pediatric patients with an ASD and/or ID to prior outcomes of this patient population in a general psychiatric program at a children’s hospital. Record review data indicate improved outcomes for patients in the specialized program of reduced recidivism rates (12% versus 33%) and decreased average lengths of inpatient stay (as short as 26 days versus 45 days). Available data from a subset of patients ( �� = 4 3 ) in the specialized program showed a decrease in irritability and hyperactivity behaviors from admission to discharge and that 35 previously undetected ASD diagnoses were made. Results from this preliminary study support specialized psychiatric care practices with this population to positively impact their health care outcomes. En ligne : http://dx.doi.org/10.1155/2012/685053 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=178 [article] Improving Psychiatric Hospital Care for Pediatric Patients with Autism Spectrum Disorders and Intellectual Disabilities [Texte imprimé et/ou numérique] / Robin GABRIELS, Auteur ; John A. AGNEW, Auteur ; Carol BERESFORD, Auteur ; Mary Ann MORROW, Auteur ; Gary MESIBOV, Auteur ; Marianne Z. WAMBOLDT, Auteur . - 2012 . - 7 p. Langues : Anglais (eng) in Autism Research and Treatment > (April 2012) . - 7 p. Index. décimale : PER Périodiques Résumé : Pediatric patients with autism spectrum disorders (ASD) and/or intellectual disabilities (ID) are at greater risk for psychiatric hospitalization compared to children with other disorders. However, general psychiatric hospital environments are not adapted for the unique learning styles, needs, and abilities of this population, and there are few specialized hospital-based psychiatric care programs in the United States. This paper compares patient outcomes from a specialized psychiatric hospital program developed for pediatric patients with an ASD and/or ID to prior outcomes of this patient population in a general psychiatric program at a children’s hospital. Record review data indicate improved outcomes for patients in the specialized program of reduced recidivism rates (12% versus 33%) and decreased average lengths of inpatient stay (as short as 26 days versus 45 days). Available data from a subset of patients ( �� = 4 3 ) in the specialized program showed a decrease in irritability and hyperactivity behaviors from admission to discharge and that 35 previously undetected ASD diagnoses were made. Results from this preliminary study support specialized psychiatric care practices with this population to positively impact their health care outcomes. En ligne : http://dx.doi.org/10.1155/2012/685053 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=178

Is there a relationship between restricted, repetitive, stereotyped behaviors and interests and abnormal sensory response in children with autism spectrum disorders? / Robin GABRIELS in Research in Autism Spectrum Disorders, 2-4 (October 2008)  

Public ISBD [article]  inResearch in Autism Spectrum Disorders > 2-4 (October 2008) . - p.660-670 Titre : Is there a relationship between restricted, repetitive, stereotyped behaviors and interests and abnormal sensory response in children with autism spectrum disorders? Type de document : Texte imprimé et/ou numérique Auteurs : Robin GABRIELS, Auteur ; John A. AGNEW, Auteur ; Lucy Jane MILLER, Auteur ; Edward GOLDSON, Auteur ; Jane GRALLA, Auteur ; Zhaoxing PAN, Auteur ; James C. LEDBETTER, Auteur ; Juliet P. DINKINS, Auteur ; Elizabeth HOOKS, Auteur Année de publication : 2008 Article en page(s) : p.660-670 Langues : Anglais (eng) Mots-clés : Repetitive-behaviors Sensory-response Autism-spectrum-disorders Children Adolescents Index. décimale : PER Périodiques Résumé : This study examined the relation between restricted, repetitive, and stereotyped behaviors and interests (RBs) and sensory responses in a group of 70 children and adolescents diagnosed with an autism spectrum disorder (ASD). Caregivers completed the Repetitive Behavior Scale-Revised (RBS-R) and the Sensory Profile. Controlling for IQ and age, total RBS-R and Sensory Profile scores revealed significant correlations both prior to and after removing overlapping items. Examination of the co-occurrence of RBs and atypical sensory responses in this population suggests a subgroup has consistently high rates of problems in both RBs and sensory processing. In addition, this subgroup has high rates of prescribed psychoactive medications and co-morbid psychiatric diagnoses. The IQ and age of this subgroup did not differ significantly from the rest of the participants. Results are consistent with previous research describing the co-occurrence of RBs and sensory response abnormalities in the ASD population. Further investigation of the subset of individuals with ASD who have high rates of RBs and abnormal sensory responses may lead to a more comprehensive understanding of their clinical picture and improve interventions. Additionally, research with this subgroup may have significance for identifying a specific phenotype in ASD. En ligne : http://dx.doi.org/10.1016/j.rasd.2008.02.002 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=608 [article] Is there a relationship between restricted, repetitive, stereotyped behaviors and interests and abnormal sensory response in children with autism spectrum disorders? [Texte imprimé et/ou numérique] / Robin GABRIELS, Auteur ; John A. AGNEW, Auteur ; Lucy Jane MILLER, Auteur ; Edward GOLDSON, Auteur ; Jane GRALLA, Auteur ; Zhaoxing PAN, Auteur ; James C. LEDBETTER, Auteur ; Juliet P. DINKINS, Auteur ; Elizabeth HOOKS, Auteur . - 2008 . - p.660-670. Langues : Anglais (eng) in Research in Autism Spectrum Disorders > 2-4 (October 2008) . - p.660-670 Mots-clés : Repetitive-behaviors Sensory-response Autism-spectrum-disorders Children Adolescents Index. décimale : PER Périodiques Résumé : This study examined the relation between restricted, repetitive, and stereotyped behaviors and interests (RBs) and sensory responses in a group of 70 children and adolescents diagnosed with an autism spectrum disorder (ASD). Caregivers completed the Repetitive Behavior Scale-Revised (RBS-R) and the Sensory Profile. Controlling for IQ and age, total RBS-R and Sensory Profile scores revealed significant correlations both prior to and after removing overlapping items. Examination of the co-occurrence of RBs and atypical sensory responses in this population suggests a subgroup has consistently high rates of problems in both RBs and sensory processing. In addition, this subgroup has high rates of prescribed psychoactive medications and co-morbid psychiatric diagnoses. The IQ and age of this subgroup did not differ significantly from the rest of the participants. Results are consistent with previous research describing the co-occurrence of RBs and sensory response abnormalities in the ASD population. Further investigation of the subset of individuals with ASD who have high rates of RBs and abnormal sensory responses may lead to a more comprehensive understanding of their clinical picture and improve interventions. Additionally, research with this subgroup may have significance for identifying a specific phenotype in ASD. En ligne : http://dx.doi.org/10.1016/j.rasd.2008.02.002 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=608

Pilot study measuring the effects of therapeutic horseback riding on school-age children and adolescents with autism spectrum disorders / Robin GABRIELS in Research in Autism Spectrum Disorders, 6-2 (April-June 2012)  

Public ISBD [article]  inResearch in Autism Spectrum Disorders > 6-2 (April-June 2012) . - p.578-588 Titre : Pilot study measuring the effects of therapeutic horseback riding on school-age children and adolescents with autism spectrum disorders Type de document : Texte imprimé et/ou numérique Auteurs : Robin GABRIELS, Auteur ; John A. AGNEW, Auteur ; Katherine D. HOLT, Auteur ; Amy SHOFFNER, Auteur ; Zhaoxing PAN, Auteur ; Selga RUZZANO, Auteur ; Gerald H. CLAYTON, Auteur ; Gary MESIBOV, Auteur Année de publication : 2012 Article en page(s) : p.578-588 Langues : Anglais (eng) Mots-clés : Children  Autism  Therapeutic horseback riding  Irritability  Communication skills  Motor skills Index. décimale : PER Périodiques Résumé : This preliminary study examined the effects of 10 weekly lessons of therapeutic horseback riding (THR) on 42 participants diagnosed with an autism spectrum disorder (ages 6–16 years) compared to a subset (n = 16) of the total study population who were first evaluated before and after a 10-week waitlist control condition. All participants received baseline and post-condition assessments in the areas of self-regulation (Irritability, Lethargy, Stereotypic Behavior, and Hyperactivity), adaptive living skills, and motor skills. Participants who completed 10 weeks of THR demonstrated significant improvements on measures of Irritability, Lethargy, Stereotypic Behavior, Hyperactivity, expressive language skills, motor skills, and verbal praxis/motor planning skills. When compared to the pre- and post-assessments of participants from the waitlist control condition, the THR group still showed significant improvements in self-regulation behaviors. The THR-specific change from the baseline to post-assessments suggests that the improvements are related to the THR treatment. En ligne : http://dx.doi.org/10.1016/j.rasd.2011.09.007 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=150 [article] Pilot study measuring the effects of therapeutic horseback riding on school-age children and adolescents with autism spectrum disorders [Texte imprimé et/ou numérique] / Robin GABRIELS, Auteur ; John A. AGNEW, Auteur ; Katherine D. HOLT, Auteur ; Amy SHOFFNER, Auteur ; Zhaoxing PAN, Auteur ; Selga RUZZANO, Auteur ; Gerald H. CLAYTON, Auteur ; Gary MESIBOV, Auteur . - 2012 . - p.578-588. Langues : Anglais (eng) in Research in Autism Spectrum Disorders > 6-2 (April-June 2012) . - p.578-588 Mots-clés : Children  Autism  Therapeutic horseback riding  Irritability  Communication skills  Motor skills Index. décimale : PER Périodiques Résumé : This preliminary study examined the effects of 10 weekly lessons of therapeutic horseback riding (THR) on 42 participants diagnosed with an autism spectrum disorder (ages 6–16 years) compared to a subset (n = 16) of the total study population who were first evaluated before and after a 10-week waitlist control condition. All participants received baseline and post-condition assessments in the areas of self-regulation (Irritability, Lethargy, Stereotypic Behavior, and Hyperactivity), adaptive living skills, and motor skills. Participants who completed 10 weeks of THR demonstrated significant improvements on measures of Irritability, Lethargy, Stereotypic Behavior, Hyperactivity, expressive language skills, motor skills, and verbal praxis/motor planning skills. When compared to the pre- and post-assessments of participants from the waitlist control condition, the THR group still showed significant improvements in self-regulation behaviors. The THR-specific change from the baseline to post-assessments suggests that the improvements are related to the THR treatment. En ligne : http://dx.doi.org/10.1016/j.rasd.2011.09.007 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=150

Stability of adaptive behaviors in middle-school children with autism spectrum disorders / Robin GABRIELS in Research in Autism Spectrum Disorders, 1-4 (October/December 2007)  

Public ISBD [article]  inResearch in Autism Spectrum Disorders > 1-4 (October/December 2007) . - p.291-303 Titre : Stability of adaptive behaviors in middle-school children with autism spectrum disorders Type de document : Texte imprimé et/ou numérique Auteurs : Robin GABRIELS, Auteur ; John MCNEILL, Auteur ; John A. AGNEW, Auteur ; Dina E. HILL, Auteur ; Bonnie Jean IVERS, Auteur Année de publication : 2007 Article en page(s) : p.291-303 Langues : Anglais (eng) Mots-clés : Adaptive-functioning Autism-spectrum-disorders Nonverbal-intelligence Caregiver-stress Intervention Index. décimale : PER Périodiques Résumé : This 5-year follow-up study examined the stability of adaptive functioning in two cognitive ability groups of children with an autism spectrum disorder (ASD). Nonverbal intelligence (NVIQ) was assessed at the time of this study and no participant changed cognitive group membership from the previous study (High NVIQ ≥ 97; Low NVIQ ≤ 56). In each group, adaptive skills, as measured by the Vineland Adaptive Behavior Scales (VABS) composite standard score, were significantly below NVIQ. Both groups exhibited a significant decrease in the VABS composite standard scores over time, but analysis of VABS total raw scores showed a significant increase in adaptive functioning over time in the High NVIQ group with no change in the Low NVIQ group. Examining the profile of VABS age equivalent scores in each NVIQ group revealed potential suggestions for interventionists. Caregivers of the Low NVIQ group endorsed having significantly higher stress levels related to their child's level of adaptive functioning. Groups did not differ significantly in the quantity of treatment received within the 9 months preceding this study or caregiver satisfaction with intervention services. Caregivers from both groups identified a variety of school-based service needs to address their child's adaptive skill deficits. En ligne : http://dx.doi.org/10.1016/j.rasd.2006.11.004 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=300 [article] Stability of adaptive behaviors in middle-school children with autism spectrum disorders [Texte imprimé et/ou numérique] / Robin GABRIELS, Auteur ; John MCNEILL, Auteur ; John A. AGNEW, Auteur ; Dina E. HILL, Auteur ; Bonnie Jean IVERS, Auteur . - 2007 . - p.291-303. Langues : Anglais (eng) in Research in Autism Spectrum Disorders > 1-4 (October/December 2007) . - p.291-303 Mots-clés : Adaptive-functioning Autism-spectrum-disorders Nonverbal-intelligence Caregiver-stress Intervention Index. décimale : PER Périodiques Résumé : This 5-year follow-up study examined the stability of adaptive functioning in two cognitive ability groups of children with an autism spectrum disorder (ASD). Nonverbal intelligence (NVIQ) was assessed at the time of this study and no participant changed cognitive group membership from the previous study (High NVIQ ≥ 97; Low NVIQ ≤ 56). In each group, adaptive skills, as measured by the Vineland Adaptive Behavior Scales (VABS) composite standard score, were significantly below NVIQ. Both groups exhibited a significant decrease in the VABS composite standard scores over time, but analysis of VABS total raw scores showed a significant increase in adaptive functioning over time in the High NVIQ group with no change in the Low NVIQ group. Examining the profile of VABS age equivalent scores in each NVIQ group revealed potential suggestions for interventionists. Caregivers of the Low NVIQ group endorsed having significantly higher stress levels related to their child's level of adaptive functioning. Groups did not differ significantly in the quantity of treatment received within the 9 months preceding this study or caregiver satisfaction with intervention services. Caregivers from both groups identified a variety of school-based service needs to address their child's adaptive skill deficits. En ligne : http://dx.doi.org/10.1016/j.rasd.2006.11.004 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=300

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