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Updated: Oct 5, 2025

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Matching Level of Clinical Support to Patient Risk When Caring for Children With Behavioral Challenges

Kerri Birkett1, Melissa Liddle1, Emily Jones1

  • 1Kerri Birkett, Cincinnati Children's Hospital Medical Center; Melissa Liddle, Psychological Wellness Center; Emily Jones, Cincinnati Children's Hospital Medical Center; and Andrea Paulson, Gillette Children's Specialty Healthcare.

Intellectual and Developmental Disabilities
|February 1, 2022
PubMed

Insights

Adaptive care plans (ACPs) improve healthcare for children with developmental disabilities and challenging behaviors. This family-centered approach enhances communication and collaboration for safe, appropriate medical interventions.

Area of Science:

  • Pediatric healthcare
  • Developmental disabilities
  • Behavioral health

Background:

  • Children with developmental disabilities often exhibit challenging behaviors during healthcare encounters.
  • These behaviors can impede access to necessary medical interventions.
  • Existing care models may not adequately address these specific patient needs.

Purpose of the Study:

  • To introduce and evaluate Adaptive Care Plans (ACPs) as a novel approach for managing healthcare encounters in children with developmental disabilities.
  • To demonstrate how ACPs facilitate family-centered care and interprofessional collaboration.
  • To illustrate the application of ACPs through case examples in pediatric physical medicine and rehabilitation.

Main Methods:

  • Review of two case examples from a pediatric physical medicine and rehabilitation setting.
  • Description of tailored accommodations and support strategies based on behavioral risk.
  • Emphasis on the family-centered approach and healthcare team collaboration.

Main Results:

  • ACPs enable customized support, matching interventions to individual patient needs.
  • Enhanced communication and collaboration between caregivers and healthcare professionals were observed.
  • Challenging behaviors were managed effectively, allowing for appropriate health interventions.

Conclusions:

  • Adaptive Care Plans offer an effective, family-centered strategy for pediatric healthcare.
  • ACPs improve the safety and appropriateness of healthcare for children with developmental disabilities and behavioral challenges.
  • This model promotes better healthcare access and outcomes by addressing behavioral complexities.

Keywords:
adaptive care planbehavior riskfamily-centered care

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