Department of Child and Adolescent Psychiatry, Child Study Center, Hassenfeld Children's Hospital at NYU Langone, One Park Avenue, 7th Floor, New York, NY, 10016, USA.
Child and Adolescent Psychiatry, Bellevue Hospital Center, New York, NY, USA.
J Autism Dev Disord. 2021 Jan;51(1):158-168. doi: 10.1007/s10803-020-04509-0.
While youth with autism spectrum disorder (ASD) are psychiatrically hospitalized at high rates, general psychiatric settings are not designed to meet their unique needs. Previous evaluations of an ASD-Care Pathway (ASD-CP) on a general psychiatric unit revealed sustained reductions in crisis interventions (intramuscular medication use, holds/restraints; Cervantes et al. in J Autism Dev Disord 49(8):3173-3180, https://doi.org/10.1007/s10803-019-04029-6 , 2019; Kuriakose et al. in J Autism Dev Disord 48(12):4082-4089, https://doi.org/10.1007/s10803-018-3666-y , 2018). The current study investigated staff perceptions of the ASD-CP (N = 30), and examined rates of ASD-CP implementation fidelity in relation to patient outcomes (N = 28). Staff identified visual communication aids and reward strategies as most helpful. The number of days of reward identification early in the inpatient stay was associated with fewer crisis interventions later in a patient's stay.
虽然患有自闭症谱系障碍（ASD）的年轻人住院率很高，但一般的精神科病房并没有专门为满足他们的特殊需求而设计。之前在一个普通精神科病房中对 ASD 护理途径（ASD-CP）的评估显示，危机干预（肌肉注射药物使用、约束/限制）持续减少（Cervantes 等人，《自闭症研究杂志》，49(8):3173-3180，https://doi.org/10.1007/s10803-019-04029-6，2019；Kuriakose 等人，《自闭症研究杂志》，48(12):4082-4089，https://doi.org/10.1007/s10803-018-3666-y，2018）。本研究调查了工作人员对 ASD-CP 的看法（N=30），并考察了 ASD-CP 实施的一致性与患者结果之间的关系（N=28）。工作人员认为视觉沟通辅助工具和奖励策略最有帮助。在住院期间早期识别奖励的天数与患者住院后期的危机干预次数较少有关。
