Does an Autism Spectrum Disorder Care Pathway Improve Care for Children and Adolescents with ASD in Inpatient Psychiatric Units?

被引：32

作者：

Kuriakose, Sarah ^{[1
]}

Filton, Beryl ^{[1
,2
]}

Marr, Mollie ^{[1
,2
,3
]}

Okparaeke, Eugene ^{[1
,2
]}

Cervantes, Paige ^{[1
]}

Siegel, Matthew ^{[4
,5
,6
]}

Horwitz, Sarah ^{[1
]}

Havens, Jennifer ^{[1
,2
]}

机构：

[1] NYU Langone Hlth, Hassenfeld Childrens Hosp, Ctr Child Study, Dept Child & Adolescent Psychiat, 1 Pk Ave,7th Floor, New York, NY 10016 USA

[2] Bellevue Hosp Ctr, Child & Adolescent Psychiat, New York, NY 10016 USA

[3] Oregon Hlth & Sci Univ, Dept Behav Neurosci, Portland, OR 97201 USA

[4] Maine Behav Healthcare, Dev Disorders Program, Portland, ME USA

[5] Tufts Univ, Sch Med, Boston, MA 02111 USA

[6] Maine Med Ctr Res Inst, Scarborough, ME USA

来源：

JOURNAL OF AUTISM AND DEVELOPMENTAL DISORDERS | 2018年 / 48卷 / 12期

关键词：

Autism spectrum disorder; Care pathway; Inpatient hospitalization; Psychiatric; HOSPITALIZATION; MODEL;

D O I：

10.1007/s10803-018-3666-y

中图分类号：

B844 [发展心理学（人类心理学）];

学科分类号：

040202 ;

摘要：

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 18months (n=17) versus 18months (n=20) post implementation. Average length of hospital stay decreased 40% (22.4-13.4days) 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.

引用

页码：4082 / 4089

页数：8

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