Psychiatric Hospitalization Among Children with Autism Spectrum Disorders

Mandell, David S.

doi:10.1007/s10803-007-0481-2

Cited by 154 publications

(112 citation statements)

References 38 publications

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“…Irritability and problem behavior (I/PB) are considered as a single topic here because they commonly, but not invariably, co-occur in ASD 5 and because many treatment research studies use measures that aggregate I/PB. 6 Importantly, I/PB can jeopardize educational and recreational placements and even lead to inpatient psychiatric hospitalization 7 or residential placement. 8 As presented by Fung and colleagues 9 in this issue, meta-analysis of controlled trials confirms the efficacy of 2 atypical neuroleptics, risperidone and aripiprazole, approved by the US Food and Drug Administration for the management of "severe irritability" based on clinical trials in children with ASD who have frequent I/PB that is interfering with development, functioning, or relationships.…”

Section: S137 Pediatrics Volume 137 Number S2 February 2016mentioning

confidence: 99%

Irritability and Problem Behavior in Autism Spectrum Disorder: A Practice Pathway for Pediatric Primary Care

McGuire

Fung

Hagopian³

et al. 2016

Pediatrics

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OBJECTIVE: Pediatric primary care providers (PCPs) caring for patients with autism spectrum disorder (ASD) often encounter irritability (vocal or motoric outbursts expressive of anger, frustration, or distress) and problem behavior (directed acts of aggression toward other people, self, or property). The Autism Intervention Research Network on Physical Health and Autism Speaks Autism Treatment Network charged a multidisciplinary workgroup with developing a practice pathway to assist PCPs in the evaluation and treatment of irritability and problem behavior (I/PB). METHODS:The workgroup reviewed the literature on the evaluation and treatment of contributory factors for I/PB in ASD. The workgroup then achieved consensus on the content and sequence of each step in the pathway. RESULTS:The practice pathway is designed to help the PCP generate individualized treatment plans based on contributing factors identified in each patient. These factors may include medical conditions, which the PCP is in a key position to address; functional communication challenges that can be addressed at school or at home; psychosocial stressors that may be ameliorated; inadvertent reinforcement of I/PB; and co-occurring psychiatric conditions that can be treated. The pathway provides guidance on psychotropic medication use, when indicated, within an individualized treatment plan. In addition to guidance on assessment, referral, and initial treatment, the pathway includes monitoring of treatment response and periodic reassessment. CONCLUSIONS:The pediatric PCP caring for the patient with ASD is in a unique position to help generate an individualized treatment plan that targets factors contributing to I/PB and to implement this plan in collaboration with parents, schools, and other providers. Dr McGuire contributed to the design of the practice pathway, played a leading role in drafting the initial manuscript, and revised the manuscript; Drs Fung, Hagopian, Vasa, Mahajan, Bernal, and Coury and Ms Silberman and Ms Wolfe contributed to the design of the practice pathway and reviewed and revised the manuscript; Drs Hardan and Veenstra-VanderWeele contributed to the conceptualization and design of the practice pathway and reviewed and revised the manuscript; Dr Whitaker played a leading role in conceptualizing and designing the practice pathway, drafted portions of the initial manuscript, and reviewed and revised the manuscript; and all authors approved the fi nal manuscript as submitted.

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Section: S137 Pediatrics Volume 137 Number S2 February 2016mentioning

confidence: 99%

Irritability and Problem Behavior in Autism Spectrum Disorder: A Practice Pathway for Pediatric Primary Care

McGuire

Fung

Hagopian³

et al. 2016

Pediatrics

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“…The likelihood of psychiatric hospitalization in children with ASD increases with SIB (Mandell 2008). These individuals are also more likely to be placed in a residential facility than those with ASD who do not engage in SIB (Crossland et al 2005;Lakin et al 1983).…”

Section: Introductionmentioning

confidence: 99%

Multidisciplinary Assessment and Treatment of Self-Injurious Behavior in Autism Spectrum Disorder and Intellectual Disability: Integration of Psychological and Biological Theory and Approach

Minshawi

Hurwitz

Morriss

et al. 2014

J Autism Dev Disord

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The objective of this review is to consider the psychological (largely behavioral) and biological [neurochemical, medical (including genetic), and pharmacological] theories and approaches that contribute to current thinking about the etiology and treatment of self-injurious behavior (SIB) in individuals with autism spectrum disorder and/or intellectual disability. Algorithms for the assessment and treatment of SIB in this context, respectively, from a multidisciplinary, integrative perspective are proposed and challenges and opportunities that exist in clinical and research settings are discussed.

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“…Indeed, approximately 11% of children and youth aged 5-21 years experienced at least one psychiatric hospital inpatient admission (Mandell 2008), and 48% used psychiatric hospital services by age 40 (Mouridsen et al 2008). Children with a diagnosis of Asperger's disorder and pervasive developmental disorder, compared to children with autism, were more likely to experience inpatient hospitalization (Bryson et al 2008).…”

Section: Mental Health Servicesmentioning

confidence: 99%

Life Course Health Development in Autism Spectrum Disorders

Drmic

Szatmári

Volkmar

2017

Handbook of Life Course Health Development

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Life course health development (LCHD) incorporates theories and empirical evidence from the biological, physical, and social sciences to formulate a framework that explains how health develops over the life course. The life course health development conceptual framework can be applied to autism spectrum disorders (ASD) to help prioritize a research agenda and improve health development across the lifespan for individuals with ASD, their families, and communities. The following chapter highlights some issues and findings that are pertinent to an understanding of ASD using the lens of the life course health development principles. The chapter begins with a description of the clinical phenotype, followed by epidemiology of the disorder, and reviews changes in classification and diagnosis over time. Pathogenesis of the disorder is discussed, including information pertaining to hereditability, genetic and nongenetic factors, epigenetics, biomarkers, and genotype-phenotype correlations. Long-term follow-up outcome studies of adult independence and quality of life are reviewed, including examination of predictors of outcome, as well as stability of the diagnosis, symptom presentation, and cognitive functioning over time. Areas of key transitions over the life course are discussed from childhood to later adulthood. In addition, the importance of mental health status and care are highlighted. Finally, a number of research, data/methods, and translational priorities are offered that may help lead to a better understanding of life course health development in ASD.

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Psychiatric Hospitalization Among Children with Autism Spectrum Disorders

Cited by 154 publications

References 38 publications

Irritability and Problem Behavior in Autism Spectrum Disorder: A Practice Pathway for Pediatric Primary Care

Irritability and Problem Behavior in Autism Spectrum Disorder: A Practice Pathway for Pediatric Primary Care

Multidisciplinary Assessment and Treatment of Self-Injurious Behavior in Autism Spectrum Disorder and Intellectual Disability: Integration of Psychological and Biological Theory and Approach

Life Course Health Development in Autism Spectrum Disorders

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