Stark Kate H, Barnes Julia C, Young Nicholas D, Gabriels Robin L
Pediatric Mental Health Institute, Children's Hospital Colorado, Aurora, CO, USA.
Intercept Center of Aurora Mental Health Center, Aurora, CO, USA.
J Autism Dev Disord. 2015 Nov;45(11):3468-74. doi: 10.1007/s10803-015-2552-0.
Children and adolescents with autism spectrum disorder (ASD) are at risk for emotional dysregulation and behavior problems that can escalate to levels requiring psychiatric hospitalization. Evaluating the etiology of such behaviors can be challenging for health care providers, as individuals with ASD can have difficulty self-reporting concerns. This brief report introduces the Iceberg Assessment Interview (IAI), a tool to organize and elucidate the assessment of issues potentially underlying problem behaviors. A summary of IAIs from a chart review of patients ages 5-18 with ASD (n = 23) admitted to a specialized psychiatric hospital unit illustrates the clinical utility of this tool. Summarized IAI data includes presenting crisis behaviors, caregiver-perceived environmental conditions, and underlying psychosocial and medical problems.
患有自闭症谱系障碍（ASD）的儿童和青少年存在情绪调节障碍和行为问题的风险，这些问题可能升级到需要精神科住院治疗的程度。对于医疗保健提供者来说，评估此类行为的病因可能具有挑战性，因为患有ASD的个体在自我报告问题方面可能存在困难。本简要报告介绍了冰山评估访谈（IAI），这是一种用于组织和阐明对可能导致问题行为的潜在问题进行评估的工具。对一家专门的精神病医院科室收治的23名5至18岁ASD患者的病历回顾中的IAI总结，说明了该工具的临床实用性。IAI数据总结包括呈现的危机行为、照顾者感知的环境状况以及潜在的心理社会和医疗问题。
