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[Applying a structured intervention to a high-functioning autistic adolescent].

Bi-Huang Chang1

  • 1Department of Nursing, Taipei City Psychiatric Center, Taipei, Taiwan, ROC. tree@mail.tcpc.gov.tw

Hu Li Za Zhi the Journal of Nursing
|May 13, 2004
PubMed
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This case study shows how structured nursing interventions, including routines and clear expectations, effectively reduced aggressive behavior in a high-functioning autistic adolescent. The approach also improved social skills and decreased maternal anxiety.

Area of Science:

  • Nursing
  • Child Psychology
  • Autism Spectrum Disorder Interventions

Background:

  • Autism Spectrum Disorder (ASD) presents challenges in social interaction and behavior regulation.
  • High-functioning autistic adolescents often exhibit aggressive and stereotypical behaviors requiring tailored interventions.
  • Nursing roles can extend beyond traditional settings to address complex behavioral needs in ASD.

Observation:

  • A nurse implemented a structured intervention for a high-functioning autistic adolescent experiencing aggression and stereotypical behaviors.
  • Methods included therapeutic routines, clear expectations, consistent consequences, collaboration with educators, curriculum adaptation, and family support.
  • The intervention spanned January to December 2002, involving the adolescent, his mother, and school personnel.

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Findings:

  • The adolescent demonstrated significant improvement, ceasing violent behavior and enhancing social interaction skills.
  • Regular class attendance was achieved, indicating successful reintegration into the school environment.
  • Maternal anxiety levels decreased concurrently with the adolescent's behavioral improvements.

Implications:

  • Structured nursing interventions can effectively manage challenging behaviors in high-functioning autistic adolescents.
  • Expanding nursing roles to include family and school settings is crucial for holistic client care.
  • Positive therapeutic environments and adapted educational plans contribute to improved outcomes for individuals with ASD.