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9603 An Alternative to Repeated Emergency Room Admissions for Individuals with ASD & Severe Behavior [BCBA Session]


Thursday, July 13, 2017: 3:45 PM-5:00 PM
Room: 103B (Wisconsin Center )
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Individuals with ASD are often taken the emergency room after episodes of severe aggression, self-injury, or property destruction.  This session will review treatment models to help children in state psychiatric residential treatment facilities and care coordination to the child's caregivers in order to a support safe and successful transition home.
ABSTRACT:

Individuals with ASD are often taken the emergency room after episodes of severe aggression, self-injury, or property destruction. Unfortunately, community hospital emergency departments often do not have well equipped subacute care programs to refer these patients to following stabilization.

Currently, in the State of Connecticut, many children with autism end up in emergency rooms when challenging behaviors become too intense for caregivers to manage. Emergency room stays becomes lengthy, and psychiatric intervention alone often fails to establish a model that is sustainable, resulting in a return back to the ER.

To remedy this issue, the state of Connecticut, in partnership with The Center for Children with Special Needs, The Department of Developmental Disabilities, and The Department of Children and Families, developed a two-year grant, to establish treatment models for children with ASD in state psychiatric residential treatment facilities. The purpose of this initiative is to provide behavioral intervention to the child and care coordination to the child's caregivers, while establishing sustainable models within the facilities to service children with autism. This session will provide pilot data on the assessments and functional interventions for children receiving support as well as on parent/family outcomes regarding quality of life and use of treatments within the home. The session will also provide a detailed review of the program planning steps taken to develop and implement training models to expand the capacity of participating agencies to meet the needs of children with ASD.

Participants will:

  1. Understand the features of an integrated model of care for children with ASD and acute severe behavior who present in the emergency room.
  2. Learn about the role of system-level program planning in establishing expanded capacity for treatment families and treatment facilities to successfully support individuals with ASD.
  3. Understand processes for utilizing care coordination to ensure effective multidisciplinary, person-centered, planning in order to reduce the likelihood of recidivism.

Learning Objectives:

  • Discover features of an integrated model of care for children with ASD and acute severe behavior who present in the emergency room.
  • Explain the role of system-level program planning in establishing expanded capacity for treatment families and treatment facilities to successfully support individuals with ASD.
  • Formulate processes for utilizing care coordination to ensure effective multidisciplinary, person-centered, planning in order to reduce the likelihood of recidivism.

Track: Life Stage 2 - School Age

Content Area: Safety

Presenters:

Mark Palmieri, Psy.D., BCBA-D
Center for Children with Special Needs

Dr. Mark Palmieri is a licensed psychologist, Board Certified Behavior Analyst, and the Assistant Director of Center for Children with Special Needs (CCSN). He provides psychological evaluations, co-directs the Feeding Clinic and the Behavioral Sleep Clinic, and supports program development for clinical and school consultation services.

Amanda Laprime, Ph.D., BCBA-D
Center for Children with Special Needs

Dr. Amanda Laprime is a Program Coordinator for the Center for Children with Special Needs. She is overseeing a project to bring integrated evidence-based services for individuals with developmental disabilities into state psychiatric residential treatment facilities (PRTF), and is a member of the CCSN Consultation Team.

Adrianna Zambrzycka, LCSW, BCBA
Center for Children with Special Needs

Adrianna Zambrzycka is a Licensed Clinical Social Worker and a Board Certified Behavior Analyst at the Center for Children with Special Needs. She has worked with a wide range of individuals of varying ages across home and school settings, including children with emotional and behavioral issues residing in foster care.

Marikate Greene, MS.Ed., BCBA
Center for Children with Special Needs

Marikate is a Behavior Analyst at the Center for Children with Special Needs. As a consultant and educator Marikate teaches independent functional life skills and managed problem behavior using evidence-based practices for children and adolescents with ASD and related Developmental Disorders.

Michael Powers, PsyD
CCSN: The Center for Children with Special Needs

Dr. Michael D. Powers is the Director of CCSN and Assistant Clinical Professor of Psychology at the Yale Child Study Center. For over 35 years he has published widely, trained healthcare providers, educators, and parents, and designed educational programs for individuals with ASD throughout the United States and internationally.