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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.
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Birkmann, J. C., Sperduto, J. S., Smith, R. C., & Gill, K. J. (2006). A collaborative rehabilitation approach to the improvement of inpatient treatment for persons with a psychiatric disability. Psychiatric Rehabilitation Journal, 29(3), 157. https://doi.org/10.2975/29.2006.157.165. CrossRefPubMed
Croen, L. A., Najjar, D. V., Ray, G. 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. https://doi.org/10.1542/peds.2006-0127. CrossRefPubMed
Field, A. (2009). Discovering statistics using SPSS. Thousand Oaks: SAGE Publications.
Kalb, L. G., Stuart, E. A., Freedman, B., Zablotsky, B., & Vasa, R. (2012). Psychiatric-related emergency department visits among children with an autism spectrum disorder. Pediatric Emergency Care, 28(12), 1269–1276. https://doi.org/10.1097/PEC.0b013e3182767d96. CrossRefPubMed
Kuriakose, S., Filton, B., Marr, M., Okparaeke, E., Cervantes, P., Siegel, M., et al. (2018). Does an autism spectrum disorder care pathway improve care for children and adolescents with ASD in Inpatient psychiatric units? Journal of Autism and Developmental Disorders., 48, 4082–4089. https://doi.org/10.1007/s10803-018-3666-y. CrossRefPubMed
Lean, M., Leavey, G., Killaspy, H., Green, N., Harrison, I., Cook, S., et al. (2015). Barriers to the sustainability of an intervention designed to improve patient engagement within NHS mental health rehabilitation units: A qualitative study nested within a randomised controlled trial. BMC Psychiatry, 15(1), 209. https://doi.org/10.1186/s12888-015-0592-9. CrossRefPubMedPubMedCentral
Madan, A., Borckardt, J. J., Grubaugh, A. L., Danielson, C. K., McLeod-Bryant, S., Cooney, H., et al. (2014). Efforts to reduce seclusion and restraint use in a State Psychiatric Hospital: A ten-year perspective. Psychiatric Services, 65(10), 1273–1276. https://doi.org/10.1176/appi.ps.201300383. CrossRefPubMed
Matson, J. L., & Boisjoli, J. A. (2009). Restraint procedures and challenging behaviours in intellectual disability: An analysis of causative factors. Journal of Applied Research in Intellectual Disabilities, 22(2), 111–117. https://doi.org/10.1111/j.1468-3148.2008.00477.x. CrossRef
McGuire, K., Erickson, C., Gabriels, R. L., Kaplan, D., Mazefsky, C., McGonigle, J., et al. (2015). Psychiatric hospitalization of children with autism or intellectual disability: Consensus statements on best practices. Journal of the American Academy of Child and Adolescent Psychiatry, 54(12), 969–971. https://doi.org/10.1016/j.jaac.2015.08.017. CrossRefPubMedPubMedCentral
Novins, D. K., Green, A. E., Legha, R. K., & Aarons, G. A. (2013). Dissemination and implementation of evidence-based practices for child and adolescent mental health: A systematic review. Journal of the American Academy of Child & Adolescent Psychiatry, 52(10), 1009–1025.e18. https://doi.org/10.1016/j.jaac.2013.07.012. CrossRef
Ostertagova, E., Ostertag, O., & Kovac, J. (2014). Methodology and application of the Kruskal-Wallis test. Applied Mechanics and Materials Zurich, 611, 115–120. https://doi.org/10.4028/www.scientific.net/AMM.611.115. CrossRef
Siegel, M., & Gabriels, R. L. (2014). Psychiatric hospital treatment of children with autism and serious behavioral disturbance. Child and Adolescent Psychiatric Clinics of North America, 23(1), 125–142. https://doi.org/10.1016/j.chc.2013.07.004. CrossRefPubMed
Stange, K. C., Goodwin, M. A., Zyzanski, S. J., & Dietrich, A. J. (2003). Sustainability of a practice-individualized preventive service delivery intervention. American Journal of Preventive Medicine, 25(4), 296–300. https://doi.org/10.1016/S0749-3797(03)00219-8. CrossRefPubMed
Wiltsey Stirman, S., Kimberly, J., Cook, N., Calloway, A., Castro, F., & Charns, M. (2012). The sustainability of new programs and innovations: A review of the empirical literature and recommendations for future research. Implementation Science: IS, 7, 17. https://doi.org/10.1186/1748-5908-7-17. CrossRef
- Sustainability of a Care Pathway for Children and Adolescents with Autism Spectrum Disorder on an Inpatient Psychiatric Service
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