Staff Perceptions and Implementation Fidelity of an Autism Spectrum Disorder Care Pathway on a Child/Adolescent General Psychiatric Inpatient Service.
J Autism Dev Disord
; 51(1): 158-168, 2021 Jan.
Article
in En
| MEDLINE
| ID: mdl-32394312
ABSTRACT
While youth with autism spectrum disorder (ASD) are psychiatrically hospitalized at high rates, general psychiatric settings are not designed to meet their unique needs. Previous evaluations of an ASD-Care Pathway (ASD-CP) on a general psychiatric unit revealed sustained reductions in crisis interventions (intramuscular medication use, holds/restraints; Cervantes et al. in J Autism Dev Disord 49(8)3173-3180, https//doi.org/10.1007/s10803-019-04029-6 , 2019; Kuriakose et al. in J Autism Dev Disord 48(12)4082-4089, https//doi.org/10.1007/s10803-018-3666-y , 2018). The current study investigated staff perceptions of the ASD-CP (N = 30), and examined rates of ASD-CP implementation fidelity in relation to patient outcomes (N = 28). Staff identified visual communication aids and reward strategies as most helpful. The number of days of reward identification early in the inpatient stay was associated with fewer crisis interventions later in a patient's stay.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Perception
/
Psychiatric Department, Hospital
/
Attitude of Health Personnel
/
Autism Spectrum Disorder
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Health Plan Implementation
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Inpatients
Type of study:
Guideline
/
Sysrev_observational_studies
Aspects:
Implementation_research
Limits:
Adolescent
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Child
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Child, preschool
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Humans
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Male
Language:
En
Journal:
J Autism Dev Disord
Year:
2021
Document type:
Article