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Ethical Implications for Providers Regarding Cannabis Use in Children With Autism Spectrum Disorders
Susanne W Duvall1, Olivia Lindly2,3, Katharine Zuckerman2,4,5
1Department of Pediatrics and Psychiatry, duvall@ohsu.edu.
Pediatrics
|January 6, 2019
Summary
Cannabis use in children with autism spectrum disorder (ASD) presents potential benefits and risks for managing self-injurious behaviors. Pediatricians must navigate ethical considerations and provide informed guidance to parents regarding its use.
Area of Science:
- Pediatric neurology and developmental disorders.
- Pharmacology and substance use research.
- Bioethics and healthcare policy.
Background:
- Autism spectrum disorder (ASD) is associated with self-injurious behaviors, often exacerbated by co-occurring intellectual and adaptive skill deficits.
- Increasing cannabis legalization prompts parental inquiries regarding its use for behavioral management in children with ASD.
- Limited research exists on the efficacy and safety of cannabis for this population.
Observation:
- Children with ASD and severe self-harm behaviors are a vulnerable group.
- Pediatricians face increasing questions about cannabis for developmental and behavioral conditions.
- Ethical dilemmas arise concerning potential benefits versus risks.
Findings:
- The current understanding of cannabis benefits and risks in children with ASD, particularly those with severe self-harm, is insufficient.
- Clinical responses to parental interest in cannabis require careful consideration of evidence, harm reduction, and ethical principles.
- Ethical analysis is crucial for addressing cannabis use in this context.
Implications:
- Clinicians need evidence-based guidelines for discussing cannabis with parents of children with ASD.
- Further research is essential to evaluate the safety and efficacy of cannabis for behavioral issues in ASD.
- Ethical frameworks must guide decision-making regarding cannabis interventions for vulnerable pediatric populations.
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