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Gepubliceerd in: Journal of Autism and Developmental Disorders 6/2008

01-07-2008 | Original Paper

Psychiatric Hospitalization Among Children with Autism Spectrum Disorders

Auteur: David S. Mandell

Gepubliceerd in: Journal of Autism and Developmental Disorders | Uitgave 6/2008

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Abstract

This study examined predictors of psychiatric hospitalization among children with autism spectrum disorders (ASD). Data were collected from 760 caregivers of children with ASD. Cox regression was used to determine factors associated with hospitalization. Almost 11% were hospitalized. Youth in single parent homes were more likely to be hospitalized (OR = 2.54), as were youth diagnosed at a later age (OR = 1.10). Engaging in self-injurious behavior (OR = 2.14), aggressive behavior (OR = 4.83), and being diagnosed with depression (OR = 2.48) or obsessive compulsive disorder (OR = 2.35) increased the odds of hospitalization. Risk for hospitalization increased with age and over time. The results suggest early diagnosis and community-based interventions for aggressive and self-injurious behaviors may reduce hospitalizations.
Literatuur
go back to reference Birenbaum, A., Guyot, D., & Cohen, H. (1990). Health care financing for severe developmental disabilities. Monographs of the American Association on Mental Retardation, 14, 1–150. PubMed Birenbaum, A., Guyot, D., & Cohen, H. (1990). Health care financing for severe developmental disabilities. Monographs of the American Association on Mental Retardation, 14, 1–150. PubMed
go back to reference Bodfish, J. (2004). Treating the core features of autism: Are we there yet? Mental Retardation and Developmental Disabilities Research Reviews, 10(4), 318–324. PubMedCrossRef Bodfish, J. (2004). Treating the core features of autism: Are we there yet? Mental Retardation and Developmental Disabilities Research Reviews, 10(4), 318–324. PubMedCrossRef
go back to reference Botuck, S., & Winsberg, B. (1991). Effects of respite on mothers of school-age and adult children with severe disabilities. Mental Retardation, 29(1), 43–47. PubMed Botuck, S., & Winsberg, B. (1991). Effects of respite on mothers of school-age and adult children with severe disabilities. Mental Retardation, 29(1), 43–47. PubMed
go back to reference CMHS. (1999). Annual report to congress on the evaluation of the comprehensive community mental health services for children and their families program. Atlanta: ORC Macro. CMHS. (1999). Annual report to congress on the evaluation of the comprehensive community mental health services for children and their families program. Atlanta: ORC Macro.
go back to reference Cowen, P., & Reed, D. (2002). Effects of respite care for children with developmental disabilities: Evaluation of an intervention for at risk families. Public Health Nursing, 19(4), 272–283. PubMedCrossRef Cowen, P., & Reed, D. (2002). Effects of respite care for children with developmental disabilities: Evaluation of an intervention for at risk families. Public Health Nursing, 19(4), 272–283. PubMedCrossRef
go back to reference Cox, D., & Oakes, D. (1984). Analysis of survival data. London: Chapman & Hall. Cox, D., & Oakes, D. (1984). Analysis of survival data. London: Chapman & Hall.
go back to reference Croen, L., Najjar, D., Ray, T., Lotspeich, L., & Bernal, P. (2006). A comparison of health care utilization and costs of children with and without autism spectrum disorders in a large group-model health plan. Pediatrics, 118(4), e1203–e1211. PubMedCrossRef Croen, L., Najjar, D., Ray, T., Lotspeich, L., & Bernal, P. (2006). A comparison of health care utilization and costs of children with and without autism spectrum disorders in a large group-model health plan. Pediatrics, 118(4), e1203–e1211. PubMedCrossRef
go back to reference Dossetor, D., Nicol, A., & Stretch, D. (1993). Hostel-based respite care for adolescents with developmental retardation: The need for “normalized” respite resources. Journal of Child Psychology & Psychiatry & Allied Disciplines, 34(3), 391–412. CrossRef Dossetor, D., Nicol, A., & Stretch, D. (1993). Hostel-based respite care for adolescents with developmental retardation: The need for “normalized” respite resources. Journal of Child Psychology & Psychiatry & Allied Disciplines, 34(3), 391–412. CrossRef
go back to reference Fombonne, E., Heavey, L., Smeeth, L., Rodrigues, L., Cook, C., Smith, P., et al. (2004). Validation of the diagnosis of autism in general practitioner records. BMC Public Health, 4(Article 5). Fombonne, E., Heavey, L., Smeeth, L., Rodrigues, L., Cook, C., Smith, P., et al. (2004). Validation of the diagnosis of autism in general practitioner records. BMC Public Health, 4(Article 5).
go back to reference Gallaher, M., Christakis, D., & Connell, F. (2002). Health care use by children diagnosed as having developmental delay. Archives of Pediatrics & Adolescent Medicine, 156(3), 246–251. Gallaher, M., Christakis, D., & Connell, F. (2002). Health care use by children diagnosed as having developmental delay. Archives of Pediatrics & Adolescent Medicine, 156(3), 246–251.
go back to reference Green, J., Kroll, L., Imrie, D., Frances, F., Begum, K., Harrison, L., et al. (2001). Health gain and outcome predictors during inpatient and related day treatment in child and adolescent psychiatry. Journal of the American Academy of Child & Adolescent Psychiatry, 40(3), 325–332. CrossRef Green, J., Kroll, L., Imrie, D., Frances, F., Begum, K., Harrison, L., et al. (2001). Health gain and outcome predictors during inpatient and related day treatment in child and adolescent psychiatry. Journal of the American Academy of Child & Adolescent Psychiatry, 40(3), 325–332. CrossRef
go back to reference Harpaz-Rotem, I., Leslie, D., Martin, A., & Rosenheck, R. (2005). Changes in child and adolescent inpatient psychiatric admission diagnoses between 1995 and 2000. Social Psychiatry & Psychiatric Epidemiology, 40(8), 642–647. CrossRef Harpaz-Rotem, I., Leslie, D., Martin, A., & Rosenheck, R. (2005). Changes in child and adolescent inpatient psychiatric admission diagnoses between 1995 and 2000. Social Psychiatry & Psychiatric Epidemiology, 40(8), 642–647. CrossRef
go back to reference Heidgerken, A., Geffken, G., Modi, A., & Frakey, L. (2005). A survey of autism knowledge in a health care setting. Journal of Autism & Developmental Disorders, 3, 323–330. CrossRef Heidgerken, A., Geffken, G., Modi, A., & Frakey, L. (2005). A survey of autism knowledge in a health care setting. Journal of Autism & Developmental Disorders, 3, 323–330. CrossRef
go back to reference Henggeler, S., Rowland, M., Halliday-Boykins, C., Sheidow, A., Ward, D., Randall, J., et al. (2003). One-year follow-up of multisystemic therapy as an alternative to the hospitalization of youths in psychiatric crisis. Journal of the American Academy of Child & Adolescent Psychiatry, 42(5), 543–551. CrossRef Henggeler, S., Rowland, M., Halliday-Boykins, C., Sheidow, A., Ward, D., Randall, J., et al. (2003). One-year follow-up of multisystemic therapy as an alternative to the hospitalization of youths in psychiatric crisis. Journal of the American Academy of Child & Adolescent Psychiatry, 42(5), 543–551. CrossRef
go back to reference Hill, A., Bolte, S., Petrova, G., Beltcheva, D., Tacheva, S., & Poustka, F. (2001). Stability and interpersonal agreement of the interview-based diagnosis of autism. Psychopathology, 34(4), 187–191. PubMedCrossRef Hill, A., Bolte, S., Petrova, G., Beltcheva, D., Tacheva, S., & Poustka, F. (2001). Stability and interpersonal agreement of the interview-based diagnosis of autism. Psychopathology, 34(4), 187–191. PubMedCrossRef
go back to reference Holden, B., & Gitlesen, J. (2006). A total population study of challenging behaviour in the county of Hedmark, Norway: Prevalence, and risk markers. Research in Developmental Disabilities, 27(4), 456–465. PubMedCrossRef Holden, B., & Gitlesen, J. (2006). A total population study of challenging behaviour in the county of Hedmark, Norway: Prevalence, and risk markers. Research in Developmental Disabilities, 27(4), 456–465. PubMedCrossRef
go back to reference Hollander, E., Phillips, A., & Yeh, C. (2003). Targeted treatments for symptom domains in child and adolescent autism. Lancet, 362(9385), 732–734. PubMedCrossRef Hollander, E., Phillips, A., & Yeh, C. (2003). Targeted treatments for symptom domains in child and adolescent autism. Lancet, 362(9385), 732–734. PubMedCrossRef
go back to reference Hosmer, D., & Lemeshow, S. (2001). Applied logistic regression, textbook and solutions manual (2nd ed.). Hoboken: Wiley-Interscience. Hosmer, D., & Lemeshow, S. (2001). Applied logistic regression, textbook and solutions manual (2nd ed.). Hoboken: Wiley-Interscience.
go back to reference Jacobson, J., & Mulick, J. (2000). System and cost research issues in treatments for people with autistic disorders. Journal of Autism & Developmental Disorders, 30(6), 585–593. CrossRef Jacobson, J., & Mulick, J. (2000). System and cost research issues in treatments for people with autistic disorders. Journal of Autism & Developmental Disorders, 30(6), 585–593. CrossRef
go back to reference Jacobson, J., Mulick, J., & Green, G. (1998). Cost-benefit estimates for early intensive behavioral intervention for young children with autism-general model and single state case. Behavioral Interventions, 13, 201–226. CrossRef Jacobson, J., Mulick, J., & Green, G. (1998). Cost-benefit estimates for early intensive behavioral intervention for young children with autism-general model and single state case. Behavioral Interventions, 13, 201–226. CrossRef
go back to reference Knitzer, J., & Olson, L. (1982). Unclaimed children: The failure of public responsibility to children and adolescents in need of mental health services. Washington: Children’s Defense Fund. Knitzer, J., & Olson, L. (1982). Unclaimed children: The failure of public responsibility to children and adolescents in need of mental health services. Washington: Children’s Defense Fund.
go back to reference Krauss, M., Gulley, S., Sciegaj, M., & Wells, N. (2003). Access to specialty medical care for children with mental retardation, autism and other special health care needs. Mental Retardation, 41(5), 329–339. PubMedCrossRef Krauss, M., Gulley, S., Sciegaj, M., & Wells, N. (2003). Access to specialty medical care for children with mental retardation, autism and other special health care needs. Mental Retardation, 41(5), 329–339. PubMedCrossRef
go back to reference Leichtman, M., Leichtman, M., Barber, C., & Neese, D. (2001). Effectiveness of intensive short-term residential treatment with severely disturbed adolescents. American Journal of Orthopsychiatry, 71(2), 227–235. PubMedCrossRef Leichtman, M., Leichtman, M., Barber, C., & Neese, D. (2001). Effectiveness of intensive short-term residential treatment with severely disturbed adolescents. American Journal of Orthopsychiatry, 71(2), 227–235. PubMedCrossRef
go back to reference Levy, S. E., Mandell, D. S., Merhar, S., Ittenbach, R. F., & Pinto-Martin, J. A. (2003). Use of complementary and alternative medicine among children recently diagnosed with autistic spectrum disorder. Journal of Developmental and Behavioral Pediatrics, 24(6), 418–423. PubMedCrossRef Levy, S. E., Mandell, D. S., Merhar, S., Ittenbach, R. F., & Pinto-Martin, J. A. (2003). Use of complementary and alternative medicine among children recently diagnosed with autistic spectrum disorder. Journal of Developmental and Behavioral Pediatrics, 24(6), 418–423. PubMedCrossRef
go back to reference Lord C., & McGee J. (Eds.). (2001). Educating children with autism. Washington: National Academy Press. Lord C., & McGee J. (Eds.). (2001). Educating children with autism. Washington: National Academy Press.
go back to reference Lord, C., Wagner, A., Rogers, S., Szatmari, P., Aman, M., Charman, T., et al. (2005). Challenges in evaluating psychosocial interventions for Autistic Spectrum Disorders. Journal of Autism & Developmental Disorders, 35(6), 695–708. CrossRef Lord, C., Wagner, A., Rogers, S., Szatmari, P., Aman, M., Charman, T., et al. (2005). Challenges in evaluating psychosocial interventions for Autistic Spectrum Disorders. Journal of Autism & Developmental Disorders, 35(6), 695–708. CrossRef
go back to reference Mahoney, W., Szatmari, P., MacLean, J., Bryson, S., Bartolucci, G., Walter, S., et al. (1998). Reliability and accuracy of differentiating pervasive developmental disorder subtypes. Journal of the American Academy of Child & Adolescent Psychiatry, 37(3), 278–285. CrossRef Mahoney, W., Szatmari, P., MacLean, J., Bryson, S., Bartolucci, G., Walter, S., et al. (1998). Reliability and accuracy of differentiating pervasive developmental disorder subtypes. Journal of the American Academy of Child & Adolescent Psychiatry, 37(3), 278–285. CrossRef
go back to reference Mandell, D., Novak, M., & Zubritsky, C. (2005). Factors associated with the age of diagnosis among children with autism spectrum disorders. Pediatrics, 116(6), 1480–1486. PubMedCrossRef Mandell, D., Novak, M., & Zubritsky, C. (2005). Factors associated with the age of diagnosis among children with autism spectrum disorders. Pediatrics, 116(6), 1480–1486. PubMedCrossRef
go back to reference Mandell, D., & Palmer, R. (2005). Differences among states in the identification of autistic spectrum disorders. Archives of Pediatrics & Adolescent Medicine, 159(3), 266–269. CrossRef Mandell, D., & Palmer, R. (2005). Differences among states in the identification of autistic spectrum disorders. Archives of Pediatrics & Adolescent Medicine, 159(3), 266–269. CrossRef
go back to reference Mandell, D., Walrath, C., Manteuffel, B., Sgro, G., & Pinto-Martin, J. (2005). Characteristics of children with autistic spectrum disorders served in comprehensive community-based mental health settings. Journal of Autism and Developmental Disorders, 35(3), 113–121. CrossRef Mandell, D., Walrath, C., Manteuffel, B., Sgro, G., & Pinto-Martin, J. (2005). Characteristics of children with autistic spectrum disorders served in comprehensive community-based mental health settings. Journal of Autism and Developmental Disorders, 35(3), 113–121. CrossRef
go back to reference Mandell, D. S., Cao, J., Ittenbach, R., & Pinto-Martin, J. (2006). Medicaid expenditures for children with autistic spectrum disorders: 1994 to 1999. Journal Of Autism And Developmental Disorders, 36(4), 475–485. PubMedCrossRef Mandell, D. S., Cao, J., Ittenbach, R., & Pinto-Martin, J. (2006). Medicaid expenditures for children with autistic spectrum disorders: 1994 to 1999. Journal Of Autism And Developmental Disorders, 36(4), 475–485. PubMedCrossRef
go back to reference McConkey, R., & Adams, L. (2000). Matching short break services for children with learning disabilities to family needs and preferences. Child: Care, Health & Development, 26(5), 429–444. CrossRef McConkey, R., & Adams, L. (2000). Matching short break services for children with learning disabilities to family needs and preferences. Child: Care, Health & Development, 26(5), 429–444. CrossRef
go back to reference McCracken, J., McGough, J., Shah, B., Cronin, P., Hong, D., Aman, M., et al. (2004). Risperidone in children with autism and serious behavior problems. New England Journal of Medicine, 347(5), 314–321. CrossRef McCracken, J., McGough, J., Shah, B., Cronin, P., Hong, D., Aman, M., et al. (2004). Risperidone in children with autism and serious behavior problems. New England Journal of Medicine, 347(5), 314–321. CrossRef
go back to reference McGill, P., Papachristoforou, E., & Cooper, V. (2006). Support for family carers of children and young people with developmental disabilities and challenging behaviour. Child: Care, Health & Development, 32(2), 159–165. CrossRef McGill, P., Papachristoforou, E., & Cooper, V. (2006). Support for family carers of children and young people with developmental disabilities and challenging behaviour. Child: Care, Health & Development, 32(2), 159–165. CrossRef
go back to reference Romansky, J., Lyons, J., Lehner, R., & West, C. (2003). Factors related to psychiatric hospital readmission among children and adolescents in state custody. Psychiatric Services, 54(3), 356–362. PubMedCrossRef Romansky, J., Lyons, J., Lehner, R., & West, C. (2003). Factors related to psychiatric hospital readmission among children and adolescents in state custody. Psychiatric Services, 54(3), 356–362. PubMedCrossRef
go back to reference Saeed, H., Ouellette-Kuntz, H., Stuart, H., & Burge, P. (2003). Length of stay for psychiatric inpatient services: A comparison of admissions of people with and without developmental disabilities. Journal of Behavioral Health Services & Research, 30(4), 406–417. CrossRef Saeed, H., Ouellette-Kuntz, H., Stuart, H., & Burge, P. (2003). Length of stay for psychiatric inpatient services: A comparison of admissions of people with and without developmental disabilities. Journal of Behavioral Health Services & Research, 30(4), 406–417. CrossRef
go back to reference Sheidow, A., Bradford, W., Henggeler, S., Rowland, M., Halliday-Boykins, C., Schoenwald, S., et al. (2004). Treatment costs for youths receiving multisystemic therapy or hospitalization after a psychiatric crisis. Psychiatric Services, 55(5), 548–554. PubMedCrossRef Sheidow, A., Bradford, W., Henggeler, S., Rowland, M., Halliday-Boykins, C., Schoenwald, S., et al. (2004). Treatment costs for youths receiving multisystemic therapy or hospitalization after a psychiatric crisis. Psychiatric Services, 55(5), 548–554. PubMedCrossRef
go back to reference Stahmer, A. (2006). The Basic Structure of Community Early Intervention Programs for Children with Autism: Provider Descriptions. Journal of Autism & Developmental Disorders, epub ahead of print. Stahmer, A. (2006). The Basic Structure of Community Early Intervention Programs for Children with Autism: Provider Descriptions. Journal of Autism & Developmental Disorders, epub ahead of print.
go back to reference Stahmer, A., & Ingersoll, B. (2004). Inclusive programming for toddlers autism spectrum disorders: Outcomes from the Children’s Toddler School. Journal of Positive Behavior Interventions, 6(2), 67–82. CrossRef Stahmer, A., & Ingersoll, B. (2004). Inclusive programming for toddlers autism spectrum disorders: Outcomes from the Children’s Toddler School. Journal of Positive Behavior Interventions, 6(2), 67–82. CrossRef
go back to reference Stahmer, A., & Mandell, D. (2006). State infant/toddler program policies for eligibility and services provision for young children with autism. Mental Health Services Research, Epub ahead of print. Stahmer, A., & Mandell, D. (2006). State infant/toddler program policies for eligibility and services provision for young children with autism. Mental Health Services Research, Epub ahead of print.
go back to reference Volkmar, F. (2001). Pharmacological interventions in autism: Theoretical and practical issues. Journal of Clinical Child Psychology, 30(1), 80–87. PubMedCrossRef Volkmar, F. (2001). Pharmacological interventions in autism: Theoretical and practical issues. Journal of Clinical Child Psychology, 30(1), 80–87. PubMedCrossRef
go back to reference Volkmar, F., Cook, E., Pomeroy, J., Realmuto, G., & Tanguay, P. (1999). Practice parameters for the assessment and treatment of children, adolescents and adults with autism and other pervasive developmental disorders. Journal of the American Academy of Child & Adolescent Psychiatry, 38(12 Suppl), 32S–54S. Volkmar, F., Cook, E., Pomeroy, J., Realmuto, G., & Tanguay, P. (1999). Practice parameters for the assessment and treatment of children, adolescents and adults with autism and other pervasive developmental disorders. Journal of the American Academy of Child & Adolescent Psychiatry, 38(12 Suppl), 32S–54S.
go back to reference Volkmar, F., Lord, C., Bailey, A., Schultz, R., & Klin, A. (2004). Autism and pervasive developmental disorders. Journal of Child Psychology & Psychiatry & Allied Disciplines, 45(1), 135–155. CrossRef Volkmar, F., Lord, C., Bailey, A., Schultz, R., & Klin, A. (2004). Autism and pervasive developmental disorders. Journal of Child Psychology & Psychiatry & Allied Disciplines, 45(1), 135–155. CrossRef
go back to reference Walsh, K., Kastner, T., & Criscione, T. (1997). Characteristics of hospitalizations for people with developmental disabilities: utilization, costs, and impact of care coordination. American Journal of Mental Retardation, 101(5), 505–520. PubMed Walsh, K., Kastner, T., & Criscione, T. (1997). Characteristics of hospitalizations for people with developmental disabilities: utilization, costs, and impact of care coordination. American Journal of Mental Retardation, 101(5), 505–520. PubMed
Metagegevens
Titel
Psychiatric Hospitalization Among Children with Autism Spectrum Disorders
Auteur
David S. Mandell
Publicatiedatum
01-07-2008
Uitgeverij
Springer US
Gepubliceerd in
Journal of Autism and Developmental Disorders / Uitgave 6/2008
Print ISSN: 0162-3257
Elektronisch ISSN: 1573-3432
DOI
https://doi.org/10.1007/s10803-007-0481-2

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