Emergency Department Utilization of Adolescents and Young Adults with Autism Spectrum Disorder

Iannuzzi, Dorothea; Hall, Matt; Oreskovic, Nicolas M.; Aryee, Emmanuel; Broder‐Fingert, Sarabeth; Perrin, James M.; Kuhlthau, Karen

doi:10.1007/s10803-021-04969-y

Cited by 8 publications

(7 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Children with ASDs aged 1-8 years can experience a higher proportion of comorbidities than their peers and have a higher likelihood of being admitted to hospital and a longer hospital LOS than children without ASD [35]. Young people with ASDs can also experience difficulties in accessing primary care and report negative experiences with healthcare providers [34,36].…”

Section: Discussionmentioning

confidence: 99%

Health service use for young males and females with a mental disorder is higher than their peers in a population-level matched cohort

Mitchell

McMaugh

Lystad

et al. 2022

BMC Health Serv Res

View full text Add to dashboard Cite

Background To inform healthcare planning and resourcing, population-level information is required on the use of health services among young people with a mental disorder. This study aims to identify the health service use associated with mental disorders among young people using a population-level matched cohort. Method A population-based matched case-comparison retrospective cohort study of young people aged ≤ 18 years hospitalised for a mental disorder during 2005–2018 in New South Wales, Australia was conducted using linked birth, health, and mortality records. The comparison cohort was matched on age, sex and residential postcode. Adjusted rate ratios (ARR) were calculated for key demographics and mental disorder type by sex. Results Emergency department visits, hospital admissions and ambulatory mental health service contacts were all higher for males and females with a mental disorder than matched peers. Further hospitalisation risk was over 10-fold higher for males with psychotic (ARR 13.69; 95%CI 8.95–20.94) and anxiety (ARR 11.44; 95%CI 8.70-15.04) disorders, and for both males and females with cognitive and behavioural delays (ARR 10.79; 95%CI 9.30-12.53 and ARR 14.62; 95%CI 11.20-19.08, respectively), intellectual disability (ARR 10.47; 95%CI 8.04–13.64 and ARR 11.35; 95%CI 7.83–16.45, respectively), and mood disorders (ARR 10.23; 95%CI 8.17–12.80 and ARR 10.12; 95%CI 8.58–11.93, respectively) compared to peers. Conclusion The high healthcare utilisation of young people with mental disorder supports the need for the development of community and hospital-based services that both prevent unnecessary hospital admissions in childhood and adolescence that can potentially reduce the burden and loss arising from mental disorders in adult life.

show abstract

Section: Discussionmentioning

confidence: 99%

Health service use for young males and females with a mental disorder is higher than their peers in a population-level matched cohort

Mitchell

McMaugh

Lystad

et al. 2022

BMC Health Serv Res

View full text Add to dashboard Cite

show abstract

“…Additionally, care and resources in communities may be so limited or ambiguous that it may be challenging to locate current care systems where early detection and early intervention for ASD might be included [20 ▪▪ ]. This lack of adequate outpatient care through community-based regular care leads to an excessive recourse to emergency health services and high risk of hospitalization after emergency visits [23 ▪ ].…”

Section: Critical Issuesmentioning

confidence: 99%

Updates in the care of youths with intellectual disability and autism spectrum disorder

Bertelli,

Forte,

Bianco

2023

Current Opinion in Psychiatry

View full text Add to dashboard Cite

Purpose of review Since the turn of the new millennium, care for people with intellectual disability/intellectual developmental disorders (IDD) and/or autism spectrum disorder (ASD) has drawn increasing attention because of the continuous prevalence increase of these two conditions, the high health vulnerability, especially mental vulnerability, and the crucial role of care provision in the setting of continued deinstitutionalization and the shift to community care. The present review addresses the main issues related to mental healthcare in youth with IDD and/or ASD with a specific focus on adolescence and transition to adulthood. Recent findings Despite the existence of specific recommendations, persons with IDD/ASD lack access to quality mental healthcare within communities, receive inadequate diagnosis and intervention, including medication overuse as well as ineffective residential, educational, employment, financial, and social support services. The lack of a unified care system that provides services across all domains and life ages may be the cause of users’ perceptions and experiences of inefficiencies. Summary The scientific community seems to converge on that care should be provided in accordance with principles of interdisciplinarity, life-span view, precision, personalization, and participation. Quality of life appears to be an ideal conceptual reference for care planning and outcome evaluation.

show abstract

“…Similarly, US-based samples of autistic adults received talk therapy for anxiety or depression more often than non-autistic adults [26], and were more than two times as likely as adults with attention-deficit-hyperactivity disorder (ADHD), and 12 times as likely as non-autistic adults, to have an outpatient mental health visit [27 •]. Autistic adults tend to use the emergency department for mental health-related conditions more than non-autistic adults [28] and are nearly five times as likely to have a psychiatric-related emergency department visit than adults without a developmental disability [25].…”

Section: Autistic Adults' Use Of Mental Healthcare Servicesmentioning

confidence: 99%

Five Ways Providers Can Improve Mental Healthcare for Autistic Adults: A Review of Mental Healthcare Use, Barriers to Care, and Evidence-Based Recommendations

Gilmore

Longo

Krantz

et al. 2022

Curr Psychiatry Rep

View full text Add to dashboard Cite

Purpose of Review We reviewed the literature from 2017 to 2022 on autistic adults’ use of mental healthcare and barriers to care. To encourage immediate improvement in mental healthcare, we provide five strategies mental health providers can use to better care for autistic adults. Recent Findings Most autistic adults use mental healthcare and use it more often than non-autistic adults. Autistic adults’ experiences with mental healthcare are characterized by (1) lack of providers knowledgeable about autism, (2) use of treatments that may not be accommodating to individual needs, and (3) difficulty navigating the complex healthcare system. These barriers contribute to prevalent unmet needs for mental healthcare. Summary Autistic adults use mental healthcare frequently but have unmet mental health needs. As necessary systemic changes develop, providers can begin immediately to better care for autistic adults by learning about their needs and taking personalized care approaches to meet those needs.

show abstract

Emergency Department Utilization of Adolescents and Young Adults with Autism Spectrum Disorder

Cited by 8 publications

References 18 publications

Health service use for young males and females with a mental disorder is higher than their peers in a population-level matched cohort

Health service use for young males and females with a mental disorder is higher than their peers in a population-level matched cohort

Updates in the care of youths with intellectual disability and autism spectrum disorder

Five Ways Providers Can Improve Mental Healthcare for Autistic Adults: A Review of Mental Healthcare Use, Barriers to Care, and Evidence-Based Recommendations

Contact Info

Product

Resources

About