TabMenu

Poverty and InequalitySexual and Reproductive HealthFamily, Maternal & Child HealthComputational Population & Health SciencesMethodology

Management of Mental Health Crises Among Youths With and Without ASD: A National Survey of Child Psychiatrists

TitleManagement of Mental Health Crises Among Youths With and Without ASD: A National Survey of Child Psychiatrists
Publication TypeJournal Article
Year of Publication2017
AuthorsKalb, LG, Stuart, EA, Mandell, DS, Olfson, M, Vasa, RA
JournalPsychiatr Serv
Paginationappips201600332
Date PublishedJun 01
ISBN Number1075-2730
Accession Number28566025
KeywordsAutism, Child psychiatry/developmental, Community Mental Health Services, Crisis intervention, Epidemiology
Abstract

OBJECTIVE: This study compared management by child psychiatrists of mental health crises among youths with and without autism spectrum disorder (ASD). METHODS: A custom online mental health crisis services survey was administered to members of the American Academy of Child and Adolescent Psychiatry. The survey probed three domains of crisis management: willingness to work with youths with a history of mental health crisis, comfort level in managing a mental health crisis, and availability of external resources during a crisis. Child psychiatrists reporting on management of youths with ASD (N=492) and without ASD (N=374) completed the survey. RESULTS: About 75% of psychiatrists in both groups were willing to accept a child with a history of a mental health crisis in their practice. During a crisis, psychiatrists caring for youths with ASD had less access to external consultation resources, such as a crisis evaluation center or other mental health professionals, compared with those caring for youths without ASD. Psychiatrists also expressed concerns about the ability of emergency department professionals and emergency responders to manage mental health crises among youths in a safe and developmentally appropriate manner, particularly among those with ASD. CONCLUSIONS: Child psychiatrists are in need of more external resources to manage youths with ASD who are experiencing a mental health crisis. There is also a need to develop best practice procedures for emergency responders who are working with youths experiencing a mental health crisis.