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Wandering behavior in children with autism spectrum disorder and other developmental disabilities
Cassandra T-Pederson1, Hailey Reisert1, Andrew Adesman1,2
1Developmental & Behavioral Pediatrics, Steven and Alexandra Cohen Children's Medical Center of New York, New Hyde Park.
Insights
Wandering, or elopement, affects one in four children with autism spectrum disorder (ASD) annually. This review offers caregivers and pediatricians strategies to manage this common safety concern.
Area of Science:
- Child Psychology
- Developmental Disabilities
- Pediatric Medicine
Background:
- Autism spectrum disorder (ASD) affects approximately 25% of children annually, with wandering behavior being a significant concern.
- Caregivers often lack adequate information and strategies to manage elopement in children with ASD.
- Limited research exists on the prevalence, patterns, and interventions for wandering in this population.
Purpose of the Study:
- To review and summarize existing research on elopement frequency and patterns in children with ASD.
- To identify and present effective intervention strategies for managing wandering behavior.
- To equip pediatricians and childcare professionals with knowledge to support families affected by ASD-related elopement.
Main Methods:
- Systematic literature review of studies on elopement in children with ASD.
- Analysis of research identifying risk factors and frequency of wandering.
- Synthesis of intervention strategies reported in the literature.
Main Results:
- Wandering behavior, or elopement, is a frequent occurrence in children with ASD, impacting approximately one in four annually.
- Recent research has begun to identify specific patterns and risk factors associated with elopement.
- Various intervention strategies exist, though awareness and dissemination to caregivers are limited.
Conclusions:
- Pediatricians play a crucial role in counseling families about elopement risks and interventions.
- Increased caregiver awareness of wandering behaviors in ASD can improve child safety and well-being.
- Further research is needed to comprehensively address elopement in children with ASD.
Purpose Of Review:
Approximately one in four children with autism spectrum disorder (ASD) 'elope' or wander away from supervision each year; however, many caregivers do not receive adequate information on how to address wandering behavior. The purpose of this review is to summarize the available research on elopement frequency, wandering patterns, and interventions to provide pediatricians and other childcare professionals with appropriate strategies to address wandering behavior.
Recent Findings:
Despite the high prevalence of wandering by children with ASD or other developmental disabilities, there is relatively limited research in this area. Recent research has identified common patterns and factors associated with risk of elopement and elopement frequency.
Summary:
Pediatricians should counsel families on the common issues and intervention strategies related to elopement. By increasing awareness of wandering in children with ASD, caregivers can feel better prepared to make informed decisions regarding their child's wellbeing and safety.
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