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Auteur Henry J. CARRETTA |
Documents disponibles écrits par cet auteur (2)
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Emergency department use among young adult Medicare beneficiaries with autism and intellectual disabilities / Teal W. BENEVIDES in Research in Autism Spectrum Disorders, 70 (February 2020)
[article]
Titre : Emergency department use among young adult Medicare beneficiaries with autism and intellectual disabilities Type de document : Texte imprimé et/ou numérique Auteurs : Teal W. BENEVIDES, Auteur ; Henry J. CARRETTA, Auteur ; Katelyn Y. GRAVES, Auteur ; Veronica SIKKA, Auteur Article en page(s) : p.101470 Langues : Anglais (eng) Mots-clés : Emergency department Utilization Autism spectrum disorder Medicare Young adult Intellectual disability Health services Index. décimale : PER Périodiques Résumé : Background Individuals on the autism spectrum are at greater risk for a variety of co-occurring psychiatric and medical conditions, which could result in greater emergency department (ED) use. We aimed to identify rates of ED utilization among transition-age young adults with autism and examine predictors of utilization in a U.S. national data source. Methods We conducted a retrospective analysis of Centers for Medicare and Medicaid 2010 Limited Data Set claims from Inpatient and Outpatient files. Medicare beneficiaries aged 18–25 years from three groups were included: autism spectrum disorder (ASD) and no intellectual disability (ID), ASD and ID, and ID-only. Primary outcomes were annual ED visit counts and dichotomous presence of ED visit in claim year. Results Between 43–54% of adults with ASD had an ED visit in the past claim year. Significant predictors of greater ED utilization among adults with ASD included: intellectual disability (IRR=1.19, 95%CI:1.09–1.30), psychiatric utilization in the claim year (IRR=1.42, 95%CI:1.28–1.57), and greater comorbidities as assessed with ACG® risk score (IRR=1.18, 95%CI:1.15–1.20). Minority status was associated with less ED utilization among adults with ASD (IRR=0.86, 95%CI:0.78–0.94). Adults with ASD had significantly fewer annual ED visits than adults with ID-only after controlling for other variables. Conclusions Prevention efforts to reduce ED utilization, especially for those with ID and ASD with co-occurring psychiatric conditions, is warranted. Primary care providers and case managers should develop care plans to reduce the likelihood for emergency psychiatric utilization and ensure alternative care pathways. ED clinicians may require additional training to address the needs of this population when they present to the ED in crisis. En ligne : https://doi.org/10.1016/j.rasd.2019.101470 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=414
in Research in Autism Spectrum Disorders > 70 (February 2020) . - p.101470[article] Emergency department use among young adult Medicare beneficiaries with autism and intellectual disabilities [Texte imprimé et/ou numérique] / Teal W. BENEVIDES, Auteur ; Henry J. CARRETTA, Auteur ; Katelyn Y. GRAVES, Auteur ; Veronica SIKKA, Auteur . - p.101470.
Langues : Anglais (eng)
in Research in Autism Spectrum Disorders > 70 (February 2020) . - p.101470
Mots-clés : Emergency department Utilization Autism spectrum disorder Medicare Young adult Intellectual disability Health services Index. décimale : PER Périodiques Résumé : Background Individuals on the autism spectrum are at greater risk for a variety of co-occurring psychiatric and medical conditions, which could result in greater emergency department (ED) use. We aimed to identify rates of ED utilization among transition-age young adults with autism and examine predictors of utilization in a U.S. national data source. Methods We conducted a retrospective analysis of Centers for Medicare and Medicaid 2010 Limited Data Set claims from Inpatient and Outpatient files. Medicare beneficiaries aged 18–25 years from three groups were included: autism spectrum disorder (ASD) and no intellectual disability (ID), ASD and ID, and ID-only. Primary outcomes were annual ED visit counts and dichotomous presence of ED visit in claim year. Results Between 43–54% of adults with ASD had an ED visit in the past claim year. Significant predictors of greater ED utilization among adults with ASD included: intellectual disability (IRR=1.19, 95%CI:1.09–1.30), psychiatric utilization in the claim year (IRR=1.42, 95%CI:1.28–1.57), and greater comorbidities as assessed with ACG® risk score (IRR=1.18, 95%CI:1.15–1.20). Minority status was associated with less ED utilization among adults with ASD (IRR=0.86, 95%CI:0.78–0.94). Adults with ASD had significantly fewer annual ED visits than adults with ID-only after controlling for other variables. Conclusions Prevention efforts to reduce ED utilization, especially for those with ID and ASD with co-occurring psychiatric conditions, is warranted. Primary care providers and case managers should develop care plans to reduce the likelihood for emergency psychiatric utilization and ensure alternative care pathways. ED clinicians may require additional training to address the needs of this population when they present to the ED in crisis. En ligne : https://doi.org/10.1016/j.rasd.2019.101470 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=414 Suicidal Ideation and Self-inflicted Injury in Medicare Enrolled Autistic Adults With and Without Co-occurring Intellectual Disability / Brittany N. HAND in Journal of Autism and Developmental Disorders, 50-10 (October 2020)
[article]
Titre : Suicidal Ideation and Self-inflicted Injury in Medicare Enrolled Autistic Adults With and Without Co-occurring Intellectual Disability Type de document : Texte imprimé et/ou numérique Auteurs : Brittany N. HAND, Auteur ; Teal W. BENEVIDES, Auteur ; Henry J. CARRETTA, Auteur Article en page(s) : p.3489-3495 Langues : Anglais (eng) Mots-clés : Adults Aging/ASD in adults Intellectual disability Suicidal ideation Suicidality Suicide Suicide attempts Index. décimale : PER Périodiques Résumé : Suicidality is significantly more common in autistic adults than the general population, yet the factors that increase risk for suicidality among autistic adults remain largely unknown. We identified characteristics associated with suicidal ideation and suicide attempts/self-inflicted injury in a U.S. national sample of Medicare-enrolled autistic adults. We conducted a case-control study of autistic adults aged 18-59 years (n?=?21,792). Younger age, white race, depression disorders, and psychiatric healthcare utilization were associated with increased odds of suicidal ideation and suicide attempts. Co-occurring intellectual disability was associated with significantly greater odds of a suicide attempt, but lower odds of suicidal ideation. Findings underscore the need for improved methods to identify ideation prior to attempt among adults with autism and intellectual disability. En ligne : http://dx.doi.org/10.1007/s10803-019-04345-x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=432
in Journal of Autism and Developmental Disorders > 50-10 (October 2020) . - p.3489-3495[article] Suicidal Ideation and Self-inflicted Injury in Medicare Enrolled Autistic Adults With and Without Co-occurring Intellectual Disability [Texte imprimé et/ou numérique] / Brittany N. HAND, Auteur ; Teal W. BENEVIDES, Auteur ; Henry J. CARRETTA, Auteur . - p.3489-3495.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 50-10 (October 2020) . - p.3489-3495
Mots-clés : Adults Aging/ASD in adults Intellectual disability Suicidal ideation Suicidality Suicide Suicide attempts Index. décimale : PER Périodiques Résumé : Suicidality is significantly more common in autistic adults than the general population, yet the factors that increase risk for suicidality among autistic adults remain largely unknown. We identified characteristics associated with suicidal ideation and suicide attempts/self-inflicted injury in a U.S. national sample of Medicare-enrolled autistic adults. We conducted a case-control study of autistic adults aged 18-59 years (n?=?21,792). Younger age, white race, depression disorders, and psychiatric healthcare utilization were associated with increased odds of suicidal ideation and suicide attempts. Co-occurring intellectual disability was associated with significantly greater odds of a suicide attempt, but lower odds of suicidal ideation. Findings underscore the need for improved methods to identify ideation prior to attempt among adults with autism and intellectual disability. En ligne : http://dx.doi.org/10.1007/s10803-019-04345-x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=432