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- Title
Sustainability of a Care Pathway for Children and Adolescents with Autism Spectrum Disorder on an Inpatient Psychiatric Service.
- Authors
Cervantes, Paige; Kuriakose, Sarah; Donnelly, Lauren; Filton, Beryl; Marr, Mollie; Okparaeke, Eugene; Voorheis, Katherine; Havens, Jennifer; Horwitz, Sarah
- Abstract
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.
- Subjects
TREATMENT of autism; AUTISM in children; MEDICAL protocols; MENTAL health services; PSYCHIATRIC hospitals; HUMAN services programs; ADOLESCENCE
- Publication
Journal of Autism & Developmental Disorders, 2019, Vol 49, Issue 8, p3173
- ISSN
0162-3257
- Publication type
Article
- DOI
10.1007/s10803-019-04029-6