Changes in Attitudes and Knowledge after Trainings in a Clinical Care Pathway for Autism Spectrum Disorder / Paige E. CERVANTES ; Fei GUO ; Cheryl R. STEIN ; Eugene OKPARAEKE ; Sarah KURIAKOSE ; Beryl FILTON ; Jennifer HAVENS ; Sarah M. HORWITZ in Journal of Autism and Developmental Disorders, 53-2 (February 2023)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 53-2 (February 2023) . - p.606-614 Titre : Changes in Attitudes and Knowledge after Trainings in a Clinical Care Pathway for Autism Spectrum Disorder Type de document : texte imprimé Auteurs : Paige E. CERVANTES, Auteur ; Fei GUO, Auteur ; Cheryl R. STEIN, Auteur ; Eugene OKPARAEKE, Auteur ; Sarah KURIAKOSE, Auteur ; Beryl FILTON, Auteur ; Jennifer HAVENS, Auteur ; Sarah M. HORWITZ, Auteur Article en page(s) : p.606-614 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : Caring for individuals with autism spectrum disorder (ASD) can be complicated, especially when challenging behaviors are present. Providers may feel unprepared to work with these individuals because specialized training for medical and social service providers is limited. To increase access to specialized training, we modified an effective half-day ASD-Care Pathway training (Kuriakose et al. 2018) and disseminated it within five different settings. This short, focused training on strategies for preventing and reducing challenging behaviors of patients with ASD resulted in significant improvements in staff perceptions of challenging behaviors, increased comfort in working with the ASD population, and increased staff knowledge for evidence-informed practices. Implications, including the impact of sociodemographic characteristics on pre/post changes, and future directions are discussed. En ligne : https://doi.org/10.1007/s10803-020-04775-y Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=495 [article] Changes in Attitudes and Knowledge after Trainings in a Clinical Care Pathway for Autism Spectrum Disorder [texte imprimé] / Paige E. CERVANTES, Auteur ; Fei GUO, Auteur ; Cheryl R. STEIN, Auteur ; Eugene OKPARAEKE, Auteur ; Sarah KURIAKOSE, Auteur ; Beryl FILTON, Auteur ; Jennifer HAVENS, Auteur ; Sarah M. HORWITZ, Auteur . - p.606-614. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 53-2 (February 2023) . - p.606-614 Index. décimale : PER Périodiques Résumé : Caring for individuals with autism spectrum disorder (ASD) can be complicated, especially when challenging behaviors are present. Providers may feel unprepared to work with these individuals because specialized training for medical and social service providers is limited. To increase access to specialized training, we modified an effective half-day ASD-Care Pathway training (Kuriakose et al. 2018) and disseminated it within five different settings. This short, focused training on strategies for preventing and reducing challenging behaviors of patients with ASD resulted in significant improvements in staff perceptions of challenging behaviors, increased comfort in working with the ASD population, and increased staff knowledge for evidence-informed practices. Implications, including the impact of sociodemographic characteristics on pre/post changes, and future directions are discussed. En ligne : https://doi.org/10.1007/s10803-020-04775-y Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=495

Does an Autism Spectrum Disorder Care Pathway Improve Care for Children and Adolescents with ASD in Inpatient Psychiatric Units? / Sarah 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 : Sarah KURIAKOSE, Auteur ; Beryl FILTON, Auteur ; Mollie MARR, Auteur ; Eugene OKPARAEKE, Auteur ; Paige E. CERVANTES, Auteur ; Matthew SIEGEL, Auteur ; Sarah M. HORWITZ, Auteur ; Jennifer 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] / Sarah KURIAKOSE, Auteur ; Beryl FILTON, Auteur ; Mollie MARR, Auteur ; Eugene OKPARAEKE, Auteur ; Paige E. CERVANTES, Auteur ; Matthew SIEGEL, Auteur ; Sarah M. HORWITZ, Auteur ; Jennifer 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

Staff Perceptions and Implementation Fidelity of an Autism Spectrum Disorder Care Pathway on a Child/Adolescent General Psychiatric Inpatient Service / Lauren J. DONNELLY in Journal of Autism and Developmental Disorders, 51-1 (January 2021)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 51-1 (January 2021) . - p.158-168 Titre : Staff Perceptions and Implementation Fidelity of an Autism Spectrum Disorder Care Pathway on a Child/Adolescent General Psychiatric Inpatient Service Type de document : texte imprimé Auteurs : Lauren J. DONNELLY, Auteur ; Paige E. CERVANTES, Auteur ; Eugene OKPARAEKE, Auteur ; Cheryl R. STEIN, Auteur ; Beryl FILTON, Auteur ; Sarah KURIAKOSE, Auteur ; Jennifer HAVENS, Auteur ; Sarah M. HORWITZ, Auteur Article en page(s) : p.158-168 Langues : Anglais (eng) Mots-clés : Autism spectrum disorder  Care pathway  Inpatient hospitalization  Psychiatric  Staff training Index. décimale : PER Périodiques Résumé : While youth with autism spectrum disorder (ASD) are psychiatrically hospitalized at high rates, general psychiatric settings are not designed to meet their unique needs. Previous evaluations of an ASD-Care Pathway (ASD-CP) on a general psychiatric unit revealed sustained reductions in crisis interventions (intramuscular medication use, holds/restraints; Cervantes et al. in J Autism Dev Disord 49(8):3173-3180, https://doi.org/10.1007/s10803-019-04029-6 , 2019; Kuriakose et al. in J Autism Dev Disord 48(12):4082-4089, https://doi.org/10.1007/s10803-018-3666-y , 2018). The current study investigated staff perceptions of the ASD-CP (N = 30), and examined rates of ASD-CP implementation fidelity in relation to patient outcomes (N = 28). Staff identified visual communication aids and reward strategies as most helpful. The number of days of reward identification early in the inpatient stay was associated with fewer crisis interventions later in a patient's stay. En ligne : http://dx.doi.org/10.1007/s10803-020-04509-0 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=437 [article] Staff Perceptions and Implementation Fidelity of an Autism Spectrum Disorder Care Pathway on a Child/Adolescent General Psychiatric Inpatient Service [texte imprimé] / Lauren J. DONNELLY, Auteur ; Paige E. CERVANTES, Auteur ; Eugene OKPARAEKE, Auteur ; Cheryl R. STEIN, Auteur ; Beryl FILTON, Auteur ; Sarah KURIAKOSE, Auteur ; Jennifer HAVENS, Auteur ; Sarah M. HORWITZ, Auteur . - p.158-168. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 51-1 (January 2021) . - p.158-168 Mots-clés : Autism spectrum disorder  Care pathway  Inpatient hospitalization  Psychiatric  Staff training Index. décimale : PER Périodiques Résumé : While youth with autism spectrum disorder (ASD) are psychiatrically hospitalized at high rates, general psychiatric settings are not designed to meet their unique needs. Previous evaluations of an ASD-Care Pathway (ASD-CP) on a general psychiatric unit revealed sustained reductions in crisis interventions (intramuscular medication use, holds/restraints; Cervantes et al. in J Autism Dev Disord 49(8):3173-3180, https://doi.org/10.1007/s10803-019-04029-6 , 2019; Kuriakose et al. in J Autism Dev Disord 48(12):4082-4089, https://doi.org/10.1007/s10803-018-3666-y , 2018). The current study investigated staff perceptions of the ASD-CP (N = 30), and examined rates of ASD-CP implementation fidelity in relation to patient outcomes (N = 28). Staff identified visual communication aids and reward strategies as most helpful. The number of days of reward identification early in the inpatient stay was associated with fewer crisis interventions later in a patient's stay. En ligne : http://dx.doi.org/10.1007/s10803-020-04509-0 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=437

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 ; Sarah KURIAKOSE, Auteur ; Lauren DONNELLY, Auteur ; Beryl FILTON, Auteur ; Mollie MARR, Auteur ; Eugene OKPARAEKE, Auteur ; Katherine VOORHEIS, Auteur ; Jennifer HAVENS, Auteur ; Sarah M. 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 ; Sarah KURIAKOSE, Auteur ; Lauren DONNELLY, Auteur ; Beryl FILTON, Auteur ; Mollie MARR, Auteur ; Eugene OKPARAEKE, Auteur ; Katherine VOORHEIS, Auteur ; Jennifer HAVENS, Auteur ; Sarah M. 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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