The Interplay of Outpatient Services and Psychiatric Hospitalization Among Medicaid-Enrolled Children With Autism Spectrum Disorders

Mandell, David S.; Xie, Ming; Morales, Knashawn H.; Lawer, Lindsay; McCarthy, Megan; Marcus, Steven C.

doi:10.1001/archpediatrics.2011.714

Cited by 61 publications

(45 citation statements)

References 50 publications

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“…A second, more alarming interpretation is that needed services are no longer available to children of school age through Medicaid. While the increase in medication services and more restrictive types of care may indicate greater need among these children and the manifestation of new symptoms, it may also signal the effects of reducing access to more therapeutic services (Mandell et al 2012). …”

Section: Discussionmentioning

confidence: 99%

Age-Related Variation in Health Service Use and Associated Expenditures Among Children with Autism

Cidav

Lawer

Marcus

et al. 2012

J Autism Dev Disord

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110

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This study examined differences by age in service use and associated expenditures during 2005 for Medicaid-enrolled children with autism spectrum disorders. Aging was associated with significantly higher use and costs for restrictive, institution-based care and lower use and costs for community-based therapeutic services. Total expenditures increased by 5 % with each year of age; by 23 % between 3–5 and 6–11 year olds, 23 % between 6–11 and 12–16, and 14 % between 12–16 and 17–20 year olds. Use of and expenditures for long-term care, psychiatric medications, case management, medication management, day treatment/partial hospitalization, and respite services increased with age; use of and expenditures for occupational/physical therapy, speech therapy, mental health services, diagnostic/assessment services, and family therapy declined.

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Section: Discussionmentioning

confidence: 99%

Age-Related Variation in Health Service Use and Associated Expenditures Among Children with Autism

Cidav

Lawer

Marcus

et al. 2012

J Autism Dev Disord

Self Cite

110

View full text Add to dashboard Cite

show abstract

“…Psychotropic medication is used by 56-64% of children and youth with ASD (Esbensen, Greenberg, Mailick Seltzer, & Aman, 2009;Mandell et al, 2008). In their study of over 60,000 children with ASD enrolled in Medicaid, Mandell et al (2012) found that 20% of the children were prescribed more than three psychotropic medications.…”

Section: Children With Asd Underserved In the Mental Health Systemmentioning

confidence: 99%

Preparation of Mental Health Clinicians to Work With Children With Co-Occurring Autism Spectrum Disorders and Mental Health Needs

Williams

Haranin

2016

Journal of Mental Health Research in Intellectual Disabilities

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“…There appears to be a transactional relationship among the well-being of families and the overall functioning of children with ASD (e.g., Mandell et al 2011;Osborne et al 2008a, b;Siller and Sigman 2002). However, comprehensive evaluation of parent and family outcomes is limited in ASD intervention research, and practically non-existent in research of social skills programs.…”

Section: Summary and Objectivesmentioning

confidence: 99%

Parent and Family Outcomes of PEERS: A Social Skills Intervention for Adolescents with Autism Spectrum Disorder

Karst

Hecke

Carson

et al. 2014

J Autism Dev Disord

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Raising a child with an Autism Spectrum Disorder (ASD) is associated with increased family chaos and parent distress. Successful longterm treatment outcomes are dependent on healthy systemic functioning, but the family impact of treatment is rarely evaluated. The Program for the Education and Enrichment of Relational Skills (PEERS) is a social skills intervention designed for adolescents with high-functioning ASD. This study assessed the impact of PEERS on family chaos, parenting stress, and parenting self-efficacy via a randomized, controlled trial. Results suggested beneficial effects for the experimental group in the domain of family chaos compared to the waitlist control, while parents in the PEERS experimental group also demonstrated increased parenting self-efficacy. These findings highlight adjunctive family system benefits of PEERS intervention and suggest the need for overall better understanding of parent and family outcomes of ASD interventions.

show abstract

The Interplay of Outpatient Services and Psychiatric Hospitalization Among Medicaid-Enrolled Children With Autism Spectrum Disorders

Cited by 61 publications

References 50 publications

Age-Related Variation in Health Service Use and Associated Expenditures Among Children with Autism

Age-Related Variation in Health Service Use and Associated Expenditures Among Children with Autism

Preparation of Mental Health Clinicians to Work With Children With Co-Occurring Autism Spectrum Disorders and Mental Health Needs

Parent and Family Outcomes of PEERS: A Social Skills Intervention for Adolescents with Autism Spectrum Disorder

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