ArticleJournal of autism and developmental disorders2024
Decreasing Agitation in Neurodiverse Patients with Mental Health Concerns.
Article in Journal of autism and developmental disorders, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
What it found
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The trial behind it
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Who cites it
5 citing papers in PubMed.
- A Research Agenda for Acute Pediatric Mental and Behavioral Health Emergencies.Annals of emergency medicine · 2026Article
- Recent Advances in Optimizing Care for Autistic Patients in Health care Settings.Academic pediatrics · 2026Review
- Age-Dependent Restraint Patterns in Pediatric Emergency Department Patients With Autism Spectrum Disorder: A Brief Report.Journal of autism and developmental disorders · 2026Article
- Emergency Department Care for Patients With Prader-Willi Syndrome: A 2019-2021 National Emergency Department Sample Analysis.Journal of autism and developmental disorders · 2026Article
- Stigma and Misinformation About Autism Spectrum Disorder (ASD) on Tiktok and Instagram: Content Analysis Using #ASD, #Autism and #ASDinfo.Journal of autism and developmental disorders · 2025Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
purposeChildren and adolescents are experiencing a mental health crisis. Neurodiverse patients have high rates of mental health conditions and worse outcomes. To address this disparity, the Autism Spectrum Disorder Care Pathway was applied to a pediatric emergency department (PED) and Observation Unit (OU) in order to decrease agitation experienced by these patients.
methodsThis prospective cohort study was in a community-based PED and OU from June 2023 to February 2024. A medical education curriculum consisting of a multidisciplinary champion training and toolkit rollout was completed. Agitation was measured by the Behavioral Activity Rating Scale. The primary aim was to decrease frequency of agitation experienced by neurodiverse patients at any point in the PED/OU. The secondary outcome was to decrease pharmacologic intervention and physical restraint use.
resultsWe captured data from a total of 45 patients, with 19 baseline patients and 26 patients in the intervention group. At baseline, 9 out of 19 (47%) patients experienced agitation at some point in their PED/OU stay. After implementation of the curriculum, agitation levels decreased to 6 out of 26 (23%) patients (p = 0.04). Inter-rater reliability was 0.95. There were 3 incidences of pharmacologic intervention and no physical restraint use.
conclusionsThis pilot medical education curriculum for PED and OU staff members decreased agitation in neurodiverse patients who presented for mental health complaints. This study is the foundation for expansion of the curriculum for use in general emergency departments.
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Registered trials
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