Does an Autism Spectrum Disorder Care Pathway Improve Care for Children and Adolescents with ASD in Inpatient Psychiatric Units? / S. KURIAKOSE in Journal of Autism and Developmental Disorders, 48-12 (December 2018)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 48-12 (December 2018) . - p.4082-4089 Titre : Does an Autism Spectrum Disorder Care Pathway Improve Care for Children and Adolescents with ASD in Inpatient Psychiatric Units? Type de document : texte imprimé Auteurs : S. KURIAKOSE, Auteur ; B. FILTON, Auteur ; M. MARR, Auteur ; E. OKPARAEKE, Auteur ; Paige E. CERVANTES, Auteur ; M. SIEGEL, Auteur ; S. HORWITZ, Auteur ; J. HAVENS, Auteur Article en page(s) : p.4082-4089 Langues : Anglais (eng) Mots-clés : Autism spectrum disorder  Care pathway  Inpatient hospitalization  Psychiatric Index. décimale : PER Périodiques Résumé : 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. En ligne : http://dx.doi.org/10.1007/s10803-018-3666-y Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=371 [article] Does an Autism Spectrum Disorder Care Pathway Improve Care for Children and Adolescents with ASD in Inpatient Psychiatric Units? [texte imprimé] / S. KURIAKOSE, Auteur ; B. FILTON, Auteur ; M. MARR, Auteur ; E. OKPARAEKE, Auteur ; Paige E. CERVANTES, Auteur ; M. SIEGEL, Auteur ; S. HORWITZ, Auteur ; J. HAVENS, Auteur . - p.4082-4089. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 48-12 (December 2018) . - p.4082-4089 Mots-clés : Autism spectrum disorder  Care pathway  Inpatient hospitalization  Psychiatric Index. décimale : PER Périodiques Résumé : 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. En ligne : http://dx.doi.org/10.1007/s10803-018-3666-y Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=371

Sustainability of a Care Pathway for Children and Adolescents with Autism Spectrum Disorder on an Inpatient Psychiatric Service / Paige E. CERVANTES in Journal of Autism and Developmental Disorders, 49-8 (August 2019)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 49-8 (August 2019) . - p.3173-3180 Titre : Sustainability of a Care Pathway for Children and Adolescents with Autism Spectrum Disorder on an Inpatient Psychiatric Service Type de document : texte imprimé Auteurs : Paige E. CERVANTES, Auteur ; S. KURIAKOSE, Auteur ; L. DONNELLY, Auteur ; B. FILTON, Auteur ; M. MARR, Auteur ; E. OKPARAEKE, Auteur ; K. VOORHEIS, Auteur ; J. HAVENS, Auteur ; S. HORWITZ, Auteur Article en page(s) : p.3173-3180 Langues : Anglais (eng) Mots-clés : Autism spectrum disorder  Care pathway  Inpatient hospitalization  Psychiatric Index. décimale : PER Périodiques Résumé : 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. En ligne : http://dx.doi.org/10.1007/s10803-019-04029-6 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=403 [article] Sustainability of a Care Pathway for Children and Adolescents with Autism Spectrum Disorder on an Inpatient Psychiatric Service [texte imprimé] / Paige E. CERVANTES, Auteur ; S. KURIAKOSE, Auteur ; L. DONNELLY, Auteur ; B. FILTON, Auteur ; M. MARR, Auteur ; E. OKPARAEKE, Auteur ; K. VOORHEIS, Auteur ; J. HAVENS, Auteur ; S. HORWITZ, Auteur . - p.3173-3180. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 49-8 (August 2019) . - p.3173-3180 Mots-clés : Autism spectrum disorder  Care pathway  Inpatient hospitalization  Psychiatric Index. décimale : PER Périodiques Résumé : 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. En ligne : http://dx.doi.org/10.1007/s10803-019-04029-6 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=403

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