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 et/ou numérique 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 et/ou numérique] / 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

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 et/ou numérique 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 et/ou numérique] / 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

Trauma diagnoses during emergency psychiatric evaluation among youth with and without autism spectrum disorder / Sakshi DHIR ; Fei GUO ; Yuxiao SONG ; Cheryl R. STEIN ; Argelinda BARONI in Autism, 28-12 (December 2024)  

Public ISBD [article]  inAutism > 28-12 (December 2024) . - p.3201-3207 Titre : Trauma diagnoses during emergency psychiatric evaluation among youth with and without autism spectrum disorder Type de document : Texte imprimé et/ou numérique Auteurs : Sakshi DHIR, Auteur ; Fei GUO, Auteur ; Yuxiao SONG, Auteur ; Cheryl R. STEIN, Auteur ; Argelinda BARONI, Auteur Article en page(s) : p.3201-3207 Langues : Anglais (eng) Mots-clés : autism  trauma  psychiatric co-morbidity Index. décimale : PER Périodiques Résumé : Autistic youth are more likely to experience traumatic events and may be more likely to develop trauma-related symptoms. However, accurately identifying trauma-related symptoms in autistic youth can be challenging. We examined post-traumatic stress disorder (PTSD) and other trauma-related diagnoses in youth with and without autism spectrum disorder (ASD) in a large, pediatric psychiatric emergency department (ED) in a diverse urban setting. Between March 2019 and November 2021, 2728 patients presented at our emergency psychiatric ED. Youth with ASD were 42% less likely to receive trauma-related diagnoses (prevalence ratio 0.58, 95% CI 0.41, 0.80) compared with youth without ASD. One possible explanation for this finding is that trauma-related symptoms are under-detected in youth with ASD during emergency psychiatric evaluations. There is a need for trauma screening and diagnostic instruments specifically tailored to the unique needs of youth with ASD to ensure optimal assessment and care. Lay abstract Autistic youth are more likely to experience maltreatment, victimization, and other traumatic events. However, it can be difficult to identify trauma-related symptoms in autistic youth, especially in those with limited verbal communication. In this study, we compared the prevalence of trauma-related diagnoses given to youth with autism spectrum disorder (ASD) to those given to youth without ASD who presented to a specialized pediatric psychiatric emergency department. We found that youth with ASD were 42% less likely to receive trauma-related diagnoses than youth without ASD. As there is evidence that youth with ASD are no less likely to experience traumatic events compared with youth without ASD, one possible explanation for this result is that trauma-related symptoms are missed during emergency psychiatric evaluations. Developing trauma screening instruments specifically designed for the needs of youth with ASD is an outstanding need. En ligne : https://dx.doi.org/10.1177/13623613241274832 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=543 [article] Trauma diagnoses during emergency psychiatric evaluation among youth with and without autism spectrum disorder [Texte imprimé et/ou numérique] / Sakshi DHIR, Auteur ; Fei GUO, Auteur ; Yuxiao SONG, Auteur ; Cheryl R. STEIN, Auteur ; Argelinda BARONI, Auteur . - p.3201-3207. Langues : Anglais (eng) in Autism > 28-12 (December 2024) . - p.3201-3207 Mots-clés : autism  trauma  psychiatric co-morbidity Index. décimale : PER Périodiques Résumé : Autistic youth are more likely to experience traumatic events and may be more likely to develop trauma-related symptoms. However, accurately identifying trauma-related symptoms in autistic youth can be challenging. We examined post-traumatic stress disorder (PTSD) and other trauma-related diagnoses in youth with and without autism spectrum disorder (ASD) in a large, pediatric psychiatric emergency department (ED) in a diverse urban setting. Between March 2019 and November 2021, 2728 patients presented at our emergency psychiatric ED. Youth with ASD were 42% less likely to receive trauma-related diagnoses (prevalence ratio 0.58, 95% CI 0.41, 0.80) compared with youth without ASD. One possible explanation for this finding is that trauma-related symptoms are under-detected in youth with ASD during emergency psychiatric evaluations. There is a need for trauma screening and diagnostic instruments specifically tailored to the unique needs of youth with ASD to ensure optimal assessment and care. Lay abstract Autistic youth are more likely to experience maltreatment, victimization, and other traumatic events. However, it can be difficult to identify trauma-related symptoms in autistic youth, especially in those with limited verbal communication. In this study, we compared the prevalence of trauma-related diagnoses given to youth with autism spectrum disorder (ASD) to those given to youth without ASD who presented to a specialized pediatric psychiatric emergency department. We found that youth with ASD were 42% less likely to receive trauma-related diagnoses than youth without ASD. As there is evidence that youth with ASD are no less likely to experience traumatic events compared with youth without ASD, one possible explanation for this result is that trauma-related symptoms are missed during emergency psychiatric evaluations. Developing trauma screening instruments specifically designed for the needs of youth with ASD is an outstanding need. En ligne : https://dx.doi.org/10.1177/13623613241274832 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=543

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