Staff Perceptions and Implementation Fidelity of an Autism Spectrum Disorder Care Pathway on a Child/Adolescent General Psychiatric Inpatient Service

Donnelly, Lauren; Cervantes, Paige E.; Okparaeke, Eugene; Stein, Cheryl R.; Filton, Beryl; Kuriakose, Sarah; Havens, Jennifer; Horwitz, Sarah M.

doi:10.1007/s10803-020-04509-0

Cited by 4 publications

(10 citation statements)

References 27 publications

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“…Others focused on describing staff training programmes, and the care pathway for children and adolescents with autism. 66 , 67 , 95 …”

Section: Resultsmentioning

confidence: 99%

“…There were 20 different studies that investigated aspects of effectiveness associated with admission to a psychiatric in-patient service for children and adolescents. 25,28,30,31,33,[61][62][63][64][65][66][67][90][91][92][93][94][95]138,139 Length of stay Mean length of stay was available from 13 papers for children and adolescents (minimum 13.4 days, maximum 263 days). 28,33,[61][62][63]66,67,[90][91][92][93][94][95] Length-of-stay data indicated that a shorter length of stay was associated with admission to specialist higher-dependency intellectual disability in-patient services compared with secure open in-patient services 93 and GMH in-patient services.…”

Section: Measures Of Effectivenessmentioning

confidence: 99%

“…25,28,30,31,33,[61][62][63][64][65][66][67][90][91][92][93][94][95]138,139 Length of stay Mean length of stay was available from 13 papers for children and adolescents (minimum 13.4 days, maximum 263 days). 28,33,[61][62][63]66,67,[90][91][92][93][94][95] Length-of-stay data indicated that a shorter length of stay was associated with admission to specialist higher-dependency intellectual disability in-patient services compared with secure open in-patient services 93 and GMH in-patient services. 90 Further still, one group of authors reported that there were no differences in length of stay for children and adolescents with or without autism who also had intellectual disabilities.…”

Section: Measures Of Effectivenessmentioning

confidence: 99%

“…61 The findings from three further studies indicated that the implementation of an autism-specific care pathway shortened length of stay for children with autism, but not significantly. 66,67,95 Two papers focused specifically on adolescent GMH in-patient services during the COVID-19 pandemic, 33,62 noting a shorter inpatient length of stay after the COVID-19 outbreak, and although based on small numbers, a shorter length of stay was noted for adolescents with autism compared with those with both autism and intellectual disabilities. 33…”

Section: Measures Of Effectivenessmentioning

confidence: 99%

“…Others focused on describing staff training programmes, and the care pathway for children and adolescents with autism. 66,67,95 In-patient service models for children and young people, both GMH and specialist, attempted to integrate collaboration with community teams or 'outreach programmes' as part of treatment (more so than that seen in the adult literature). In-patient and community services were part of the same 'team' or 'hub', to directly reduce/ avoid in-patient admission or readmission.…”

Section: Service Models Of In-patient Treatment For Children and Adol...mentioning

confidence: 99%

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A systematic review of in-patient psychiatric care for people with intellectual disabilities and/or autism: effectiveness, patient safety and experience

et al. 2022

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Background An increasing number of children, adolescents and adults with intellectual disabilities and/or autism are being admitted to general psychiatric wards and cared for by general psychiatrists. Aims The aim of this systematic review was to consider the likely effectiveness of in-patient treatment for this population, and compare and contrast differing models of in-patient care. Method A systematic search was completed to identify papers where authors had reported data about the effectiveness of in-patient admissions with reference to one of three domains: treatment effect (e.g. length of stay, clinical outcome, readmission), patient safety (e.g. restrictive practices) and patient experience (e.g. patient or family satisfaction). Where possible, outcomes associated with admission were considered further within the context of differing models of in-patient care (e.g. specialist in-patient services versus general mental health in-patient services). Results A total of 106 studies were included and there was evidence that improvements in mental health, social functioning, behaviour and forensic risk were associated with in-patient admission. There were two main models of in-patient psychiatric care described within the literature: admission to a specialist intellectual disability or general mental health in-patient service. Patients admitted to specialist intellectual disability in-patient services had greater complexity, but there were additional benefits, including fewer out-of-area discharges and lower seclusion rates. Conclusions There was evidence that admission to in-patient services was associated with improvements in mental health for this population. There was some evidence indicating better outcomes for those admitted to specialist services.

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“…Others focused on describing staff training programmes, and the care pathway for children and adolescents with autism. 66 , 67 , 95 …”

Section: Resultsmentioning

confidence: 99%