Continuation of Pediatric Care after Transfer to Adult Care Among Autistic Youth Overlap of Pediatric and Adult Care / Joseph SIRRIANNI in Journal of Autism and Developmental Disorders, 55-4 (April 2024)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 55-4 (April 2024) . - p.1203-1214 Titre : Continuation of Pediatric Care after Transfer to Adult Care Among Autistic Youth Overlap of Pediatric and Adult Care Type de document : Texte imprimé et/ou numérique Auteurs : Joseph SIRRIANNI, Auteur ; Christopher HANKS, Auteur ; Steve RUST, Auteur ; Laura C. HART, Auteur Article en page(s) : p.1203-1214 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : The transition from pediatric to adult health care is a vulnerable time period for autistic adolescents and young adults (AYA) and for some autistic AYA may include a period of receiving care in both the pediatric and adult health systems. We sought to assess the proportion of autistic AYA who continued to use pediatric health services after their first adult primary care appointment and to identify factors associated with continued pediatric contact. We analyzed electronic medical record (EMR) data from a cohort of autistic AYA seen in a primary-care-based program for autistic people. Using logistic and linear regression, we assessed the relationship between eight patient characteristics and (1) the odds of a patient having ANY pediatric visits after their first adult appointment and (2) the number of pediatric visits among those with at least one pediatric visit. The cohort included 230 autistic AYA, who were mostly white (68%), mostly male (82%), with a mean age of 19.4 years at the time of their last pediatric visit before entering adult care. The majority (n = 149; 65%) had pediatric contact after the first adult visit. Younger age at the time of the first adult visit and more pediatric visits prior to the first adult visit were associated with continued pediatric contact. In this cohort of autistic AYA, most patients had contact with the pediatric system after their first adult primary care appointment. En ligne : https://doi.org/10.1007/s10803-024-06314-5 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=550 [article] Continuation of Pediatric Care after Transfer to Adult Care Among Autistic Youth Overlap of Pediatric and Adult Care [Texte imprimé et/ou numérique] / Joseph SIRRIANNI, Auteur ; Christopher HANKS, Auteur ; Steve RUST, Auteur ; Laura C. HART, Auteur . - p.1203-1214. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 55-4 (April 2024) . - p.1203-1214 Index. décimale : PER Périodiques Résumé : The transition from pediatric to adult health care is a vulnerable time period for autistic adolescents and young adults (AYA) and for some autistic AYA may include a period of receiving care in both the pediatric and adult health systems. We sought to assess the proportion of autistic AYA who continued to use pediatric health services after their first adult primary care appointment and to identify factors associated with continued pediatric contact. We analyzed electronic medical record (EMR) data from a cohort of autistic AYA seen in a primary-care-based program for autistic people. Using logistic and linear regression, we assessed the relationship between eight patient characteristics and (1) the odds of a patient having ANY pediatric visits after their first adult appointment and (2) the number of pediatric visits among those with at least one pediatric visit. The cohort included 230 autistic AYA, who were mostly white (68%), mostly male (82%), with a mean age of 19.4 years at the time of their last pediatric visit before entering adult care. The majority (n = 149; 65%) had pediatric contact after the first adult visit. Younger age at the time of the first adult visit and more pediatric visits prior to the first adult visit were associated with continued pediatric contact. In this cohort of autistic AYA, most patients had contact with the pediatric system after their first adult primary care appointment. En ligne : https://doi.org/10.1007/s10803-024-06314-5 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=550

Correction: Continuation of Pediatric Care after Transfer to Adult Care Among Autistic Youth Overlap of Pediatric and Adult Care / Joseph SIRRIANNI in Journal of Autism and Developmental Disorders, 54-11 (November)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 54-11 (November) . - p.4354-4354 Titre : Correction: Continuation of Pediatric Care after Transfer to Adult Care Among Autistic Youth Overlap of Pediatric and Adult Care Type de document : Texte imprimé et/ou numérique Auteurs : Joseph SIRRIANNI, Auteur ; Christopher HANKS, Auteur ; Steve RUST, Auteur ; Laura C. HART, Auteur Article en page(s) : p.4354-4354 Langues : Anglais (eng) Index. décimale : PER Périodiques En ligne : https://doi.org/10.1007/s10803-024-06393-4 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=537 [article] Correction: Continuation of Pediatric Care after Transfer to Adult Care Among Autistic Youth Overlap of Pediatric and Adult Care [Texte imprimé et/ou numérique] / Joseph SIRRIANNI, Auteur ; Christopher HANKS, Auteur ; Steve RUST, Auteur ; Laura C. HART, Auteur . - p.4354-4354. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 54-11 (November) . - p.4354-4354 Index. décimale : PER Périodiques En ligne : https://doi.org/10.1007/s10803-024-06393-4 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=537

Implementation and Evolution of a Primary Care-Based Program for Adolescents and Young Adults on the Autism Spectrum / Laura C. HART in Journal of Autism and Developmental Disorders, 52-7 (July 2022)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 52-7 (July 2022) . - p.2924-2933 Titre : Implementation and Evolution of a Primary Care-Based Program for Adolescents and Young Adults on the Autism Spectrum Type de document : Texte imprimé et/ou numérique Auteurs : Laura C. HART, Auteur ; Heather SAHA, Auteur ; Stephanie LAWRENCE, Auteur ; Susan FRIEDMAN, Auteur ; Polly IRWIN, Auteur ; Christopher HANKS, Auteur Article en page(s) : p.2924-2933 Langues : Anglais (eng) Mots-clés : Adolescent  Autism Spectrum Disorder/therapy  Autistic Disorder  Child  Child Development Disorders, Pervasive  Humans  Parents  Patient-Centered Care  Young Adult  Autism  Primary care  Transition to adult care Index. décimale : PER Périodiques Résumé : Current primary care models are inadequate for adults on the autism spectrum. The Center for Autism Services and Transition (CAST) clinic was developed in 2014 using feedback from parents of adults on the autism spectrum and patient-centered medical home principles. We evaluated the reach of CAST's services. As of January 2021, 858 patients were seen in CAST. Many continue to receive primary care from the CAST clinic. The program has undergone staffing changes but continues to accept new patients. We have added services such as "happy visits," pre-procedure videos, and telehealth visits. CAST provides one example of how to improve primary care for adults on the autism spectrum. More research is needed to assess the effectiveness of the CAST model. En ligne : http://dx.doi.org/10.1007/s10803-021-05171-w Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=477 [article] Implementation and Evolution of a Primary Care-Based Program for Adolescents and Young Adults on the Autism Spectrum [Texte imprimé et/ou numérique] / Laura C. HART, Auteur ; Heather SAHA, Auteur ; Stephanie LAWRENCE, Auteur ; Susan FRIEDMAN, Auteur ; Polly IRWIN, Auteur ; Christopher HANKS, Auteur . - p.2924-2933. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 52-7 (July 2022) . - p.2924-2933 Mots-clés : Adolescent  Autism Spectrum Disorder/therapy  Autistic Disorder  Child  Child Development Disorders, Pervasive  Humans  Parents  Patient-Centered Care  Young Adult  Autism  Primary care  Transition to adult care Index. décimale : PER Périodiques Résumé : Current primary care models are inadequate for adults on the autism spectrum. The Center for Autism Services and Transition (CAST) clinic was developed in 2014 using feedback from parents of adults on the autism spectrum and patient-centered medical home principles. We evaluated the reach of CAST's services. As of January 2021, 858 patients were seen in CAST. Many continue to receive primary care from the CAST clinic. The program has undergone staffing changes but continues to accept new patients. We have added services such as "happy visits," pre-procedure videos, and telehealth visits. CAST provides one example of how to improve primary care for adults on the autism spectrum. More research is needed to assess the effectiveness of the CAST model. En ligne : http://dx.doi.org/10.1007/s10803-021-05171-w Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=477

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