A Comparison of Health Care Utilization and Costs of Children With and Without Autism Spectrum Disorders in a Large Group-Model Health Plan

Croen, Lisa; Najjar, Daniel V.; Ray, G. Thomas; Lotspeich, Linda; Bernal, Pilar

doi:10.1542/peds.2006-0127

Cited by 290 publications

(232 citation statements)

References 23 publications

Supporting

Mentioning

213

Contrasting

Unclassified

Order By: Relevance

“…Of greater concern is that even in regions within the United States, in which BACB-approved programs flourish, questions concerning who implements and coordinates behavior-based services may persist [27]. Furthermore, for children and adolescents with ASD who do not receive comprehensive and individualized ABA, education generally occurs in inclusive classrooms which often lack skill coverage for the effective teaching of students with the disorder, and this is the case even in special education classrooms [27]. And of course, cost is always an issue.…”

Section: Acta Psychopathologica Issn 2469-6676mentioning

confidence: 99%

Applied Behavior Analysis in Autism Spectrum Disorders in China and Hong Kong

Chang¹

2017

Acta Psychopathol

View full text Add to dashboard Cite

Section: Acta Psychopathologica Issn 2469-6676mentioning

confidence: 99%

Applied Behavior Analysis in Autism Spectrum Disorders in China and Hong Kong

Chang¹

2017

Acta Psychopathol

View full text Add to dashboard Cite

“…For certain complex medical conditions, such as cystic fibrosis, diabetes, and sickle cell disease, children with physical illness and a comorbid mental health condition have higher hospital utilization than children with no mental health condition. 8 -11 In addition, children with attention-deficit/hyperactivity disorder (ADHD) 12 -15 depression 16 or autism 17,18 have higher rates of hospitalizations and health care costs compared with children without these mental health conditions. Nevertheless, little is known about the epidemiology of co-occurring mental health conditions in pediatric medical and surgical hospitalizations and how comorbid mental health conditions may affect hospital resource utilization.…”

Section: What This Study Addsmentioning

confidence: 99%

Mental Health Conditions and Medical and Surgical Hospital Utilization

et al. 2016

View full text Add to dashboard Cite

OBJECTIVE: Mental health conditions are prevalent among children hospitalized for medical conditions and surgical procedures, but little is known about their influence on hospital resource use. The objectives of this study were to examine how hospitalization characteristics vary by presence of a comorbid mental health condition and estimate the association of a comorbid mental health condition with hospital length of stay (LOS) and costs. METHODS:Using the 2012 Kids' Inpatient Database, we conducted a retrospective, nationally representative, cross-sectional study of 670 161 hospitalizations for 10 common medical and 10 common surgical conditions among 3-to 20-year-old patients. Associations between mental health conditions and hospital LOS were examined using adjusted generalized linear models. Costs of additional hospital days associated with mental health conditions were estimated using hospital cost-to-charge ratios. RESULTS:A comorbid mental health condition was present in 13.2% of hospitalizations. A comorbid mental health condition was associated with a LOS increase of 8.8% (from 2.5 to 2.7 days, P < .001) for medical hospitalizations and a 16.9% increase (from 3.6 to 4.2 days, P < .001) for surgical hospitalizations. For hospitalizations in this sample, comorbid mental health conditions were associated with an additional 31 729 (95% confidence interval: 29 085 to 33 492) hospital days and $90 million (95% confidence interval: $81 to $101 million) in hospital costs. CONCLUSIONS:Medical and surgical hospitalizations with comorbid mental health conditions were associated with longer hospital stay and higher hospital costs. Knowledge about the influence of mental health conditions on pediatric hospital utilization can inform clinical innovation and case-mix adjustment.

show abstract

“…Children with ASD or other developmental disabilities may be at greater risk for psychiatric hospitalization than children with other disorders (Gallaher et al 2002;Romansky et al 2003;Saeed et al 2003;Walsh et al 1997). Studies have found that a quarter of children with ASD served in community mental health settings have been psychiatrically hospitalized and that children with ASD have five times the Medicaid-reimbursed expenditures for inpatient psychiatric care of children with mental retardation and 20 times that of children with other psychiatric diagnoses (Croen et al 2006;Mandell et al 2006). …”

Section: Introductionmentioning

confidence: 99%

Psychiatric Hospitalization Among Children with Autism Spectrum Disorders

Mandell

2007

J Autism Dev Disord

150

View full text Add to dashboard Cite

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 selfinjurious behaviors may reduce hospitalizations.

show abstract

A Comparison of Health Care Utilization and Costs of Children With and Without Autism Spectrum Disorders in a Large Group-Model Health Plan

Cited by 290 publications

References 23 publications

Applied Behavior Analysis in Autism Spectrum Disorders in China and Hong Kong

Applied Behavior Analysis in Autism Spectrum Disorders in China and Hong Kong

Mental Health Conditions and Medical and Surgical Hospital Utilization

Psychiatric Hospitalization Among Children with Autism Spectrum Disorders

Contact Info

Product

Resources

About