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12-11-2024 | Brief Report

Characterization and Outcomes of Profoundly and Non-profoundly Autistic Individuals Admitted to a Specialized Psychiatric Inpatient Unit

Auteurs: Patrick W. Romani, Mathew C. Luehring, Angelique M. Koerner, Shanna M. Baikie

Gepubliceerd in: Journal of Autism and Developmental Disorders

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Abstract

Purpose

The prevalence of autism spectrum disorder (ASD) is currently estimated to be 1 in 36 children. While much is known about the impact of ASD on family and community functioning as well as treatment outcomes, less is known about a relatively new categorization of ASD, called “profound autism.”

Methods

The current study evaluated 14 consecutively admitted patients meeting criteria for profound autism to a specialized psychiatric inpatient and partial hospitalization program. We then selected 15 non-profoundly autistic youth admitted immediately before or after each profoundly autistic youth to serve as a comparison. Patient caregivers completed measures about parental stress and the severity and frequency of patient problem behavior, and patients participated in functional analyses of problem behavior and function-based treatment programs during their admission.

Results

Results showed profoundly autistic youth spent an average of 14 more days admitted to the psychiatric unit, and they engaged in higher parent-reported severity and frequency of self-injurious and stereotypic behavior. Functional analysis results for profoundly autistic youth showed a higher occurrence of automatically reinforced problem behavior but otherwise similar results. As well, profoundly autistic youth showed a lower percentage reduction in problem behavior at the end of the psychiatric hospitalization than their non-profoundly autistic peers.

Conclusion

Profoundly autistic youth seem to require a high level of behavioral support, even after psychiatric hospitalization. Insurance companies and therapists need to recognize these challenges and invest sufficient resources to meet their treatment needs.
Literatuur
go back to reference Berry, J. O., & Jones, W. H. (1995). The parental stress scale: Initial psychometric evidence. Journal of Social and Personal Relationships, 12(3), 463–472.CrossRef Berry, J. O., & Jones, W. H. (1995). The parental stress scale: Initial psychometric evidence. Journal of Social and Personal Relationships, 12(3), 463–472.CrossRef
go back to reference Kaat, A. J., Gadow, K. D., & Lecavalier, L. (2013). Psychiatric symptom impairment in children with autism spectrum disorders. Journal of Abnormal Child Psychology, 41, 959–969.CrossRefPubMed Kaat, A. J., Gadow, K. D., & Lecavalier, L. (2013). Psychiatric symptom impairment in children with autism spectrum disorders. Journal of Abnormal Child Psychology, 41, 959–969.CrossRefPubMed
go back to reference Lord, C., Charman, T., Havdahl, A., Carbone, P., Anagnostou, E., Boyd, B., Carr, T., de Vries, P. J., Dissanayake, C., Divan, G., Freitag, C. M., Gotelli, M. M., Kasari, C., Knapp, M., Mundy, P., Plank, A., Scahill, L., Servili, C., Shattuck, P., … McCauley, J. B. (2022). The lancet commission on the future of care and clinical research in autism. Lancet (London, England), 399(10321), 271–334. https://doi.org/10.1016/S0140-6736(21)01541-5CrossRefPubMed Lord, C., Charman, T., Havdahl, A., Carbone, P., Anagnostou, E., Boyd, B., Carr, T., de Vries, P. J., Dissanayake, C., Divan, G., Freitag, C. M., Gotelli, M. M., Kasari, C., Knapp, M., Mundy, P., Plank, A., Scahill, L., Servili, C., Shattuck, P., … McCauley, J. B. (2022). The lancet commission on the future of care and clinical research in autism. Lancet (London, England), 399(10321), 271–334. https://​doi.​org/​10.​1016/​S0140-6736(21)01541-5CrossRefPubMed
go back to reference Morbidity and Mortality Weekly Report (MMWR). (2023). Prevalence and characteristics of autism spectrum disorder among children aged 8 years—Autism and developmental disabilities monitoring network, 11 sites, United States, 2020. Surveillance Summaries, 72(2), 1–14.CrossRef Morbidity and Mortality Weekly Report (MMWR). (2023). Prevalence and characteristics of autism spectrum disorder among children aged 8 years—Autism and developmental disabilities monitoring network, 11 sites, United States, 2020. Surveillance Summaries, 72(2), 1–14.CrossRef
go back to reference Rojahn, J., Matson, J. L., Lott, D., Esbensen, A. J., & Smalls, Y. (2001). The behavior problems inventory: An instrument for the assessment of self-injury, stereotyped behavior and aggression/destruction in individuals with developmental disabilities. Journal of Autism and Developmental Disorders, 31, 577–588.CrossRefPubMed Rojahn, J., Matson, J. L., Lott, D., Esbensen, A. J., & Smalls, Y. (2001). The behavior problems inventory: An instrument for the assessment of self-injury, stereotyped behavior and aggression/destruction in individuals with developmental disabilities. Journal of Autism and Developmental Disorders, 31, 577–588.CrossRefPubMed
go back to reference Romani, P. W., Banks, T., Barnes, J. C., Murphy, J., Sannar, E. M., & Anderson, T. (2021). Use of a short-term psychiatric inpatient model to address problem behavior exhibited by youth with intellectual or developmental disabilities. Evidence-Based Practice in Child and Adolescent Mental Health, 6(4), 447–458. https://doi.org/10.1080/23794925.2021.1975517CrossRef Romani, P. W., Banks, T., Barnes, J. C., Murphy, J., Sannar, E. M., & Anderson, T. (2021). Use of a short-term psychiatric inpatient model to address problem behavior exhibited by youth with intellectual or developmental disabilities. Evidence-Based Practice in Child and Adolescent Mental Health, 6(4), 447–458. https://​doi.​org/​10.​1080/​23794925.​2021.​1975517CrossRef
Metagegevens
Titel
Characterization and Outcomes of Profoundly and Non-profoundly Autistic Individuals Admitted to a Specialized Psychiatric Inpatient Unit
Auteurs
Patrick W. Romani
Mathew C. Luehring
Angelique M. Koerner
Shanna M. Baikie
Publicatiedatum
12-11-2024
Uitgeverij
Springer US
Gepubliceerd in
Journal of Autism and Developmental Disorders
Print ISSN: 0162-3257
Elektronisch ISSN: 1573-3432
DOI
https://doi.org/10.1007/s10803-024-06640-8