학술논문
Staff Perceptions and Implementation Fidelity of an Autism Spectrum Disorder Care Pathway on a Child/Adolescent General Psychiatric Inpatient Service.
Document Type
Article
Author
Source
Subject
*ATTITUDE (Psychology)
*AUTISM
*HOSPITAL care of children
*COMMUNICATION devices for people with disabilities
*HOSPITAL patients
*MEDICAL personnel
*MEDICAL protocols
*REWARD (Psychology)
*CRISIS intervention (Mental health services)
*PSYCHIATRIC treatment
*HUMAN services programs
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Language
ISSN
0162-3257
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. [ABSTRACT FROM AUTHOR]