Psychiatric hospitalisation among individuals with intellectual disability referred to the START crisis intervention and prevention program

Abstract

Among this high-risk referred group, more than 1 in 4 individuals were hospitalised in the year prior to referral. While results from the analyses will help profile those at risk for hospitalisation, the findings suggest that interventions at the policy level may play an important role in reducing psychiatric hospitalisation.

Characteristics of psychiatric emergency department use among privately insured adolescents with autism spectrum disorder

“…Increased psychiatric ED use may therefore reflect the high level of psychiatric needs and/or the lack of psychiatric services available to immediately address a crisis. Such services include walk-in psychiatric evaluation clinics that can facilitate an inpatient admission, mobilize in home behavioral supports, or access crisis intervention programs such as the START (Systematic, Therapeutic, Assessment, Resources, Treatment) program (Kalb et al, 2016, 2017a, 2017b).…”

“…On the other hand, there appears to be room for intervention such as increasing access to respite care (Mandell et al, 2012), structured daytime activities (Lunsky et al, 2012), and reducing parental and family stress (Lunsky et al, 2012). Further research into programs such as the START (Kalb et al, 2016) and ATC (Assertive Community Treatment) (Bond et al, 1991) programs is also warranted since these coordinated, multidisciplinary approaches may be more fruitful in addressing the numerous risk factors for psychiatric ED use than routine outpatient care. Until diversion programs can be put in place, supporting ED providers, who feel under-trained and under-resourced when managing adolescents with ASD in the ED, is warranted (McGonigle et al, 2013; Nicholas et al, 2016).…”

Specialist psychiatric health care utilization among older people with intellectual disability – predictors and comparisons with the general population: a national register study

“…Identifying such predictors is of importance for service development and for preventive actions. Previous research regarding people with ID suggests that age [17,22], sex [23] and psychiatric diagnosis [22,24,25] are factors of importance, with the addition of somatic diagnoses [19]. However, to the best of our knowledge, no previous studies have investigated psychiatric and somatic co-morbidities simultaneously.…”

JIDR: 60 years of diversity

“…Between 1966 and 1975, the most cited papers focussed on the development in children with Down syndrome (Carr ) and dermatoglyphics (Penrose & Loesch ). For those fortunate enough to attend the IASSIDD meeting in Melbourne this year, the remarkable Janet Carr (OBE) presented 50‐year follow‐up data for this cohort (Carr ). Between 1976 and 1985, the two most frequently cited papers once again focussed on mortality.…”

“…Her judgement and knowledge will be missed. Kalb et al () description of a programme focussed on early intervention and prevention of mental health problems published in this edition is a very good illustration of a contemporary approach to service delivery that Anna's work and perspective have helped to cultivate.…”