Abstract
Psychiatric hospitalization of children with autism spectrum disorder and/or intellectual disability is common, however, the effectiveness of this intervention is largely unknown. Thirty-eight clinically-referred children 8–19 years old admitted to a specialized inpatient psychiatry unit were assessed by a consistent caregiver on the Aberrant Behavior Checklist-Irritability (ABC-I) subscale at admission, discharge and 2 months post discharge. There was a decrease in the mean ABC-I score from admission (27.3, SD 7.4) to discharge (11.9, SD 8.8), which was sustained at 2 months post discharge (14.8, SD 9.3) (p < 0.001). Seventy-eight percent of the subjects were rated as “Improved” on the clinician Clinical Global Impressions Improvement scale at discharge. The study is limited by lack of a control group, but offers preliminary evidence for specialized inpatient psychiatry as an intervention for serious behavioral disturbance in this population.
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Acknowledgments
This study was supported by Grant funding from the Maine Medical Center Research Institute and the Pond Family Foundation. The authors wish to thank Melissa Bowker-Kinley, M.D., Ph.D. for her contributions to this work and Jeremy Veenstra-Vander Weele, M.D. for his editorial input.
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The authors declare they have no conflict of interest.
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Siegel, M., Milligan, B., Chemelski, B. et al. Specialized Inpatient Psychiatry for Serious Behavioral Disturbance in Autism and Intellectual Disability. J Autism Dev Disord 44, 3026–3032 (2014). https://doi.org/10.1007/s10803-014-2157-z
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DOI: https://doi.org/10.1007/s10803-014-2157-z