Psychotropic Medication Monitoring in a Human Services Organization for Children with Autism Spectrum Disorder:

Frank Bird1, Jill M Harper2, James K Luiselli2

  • 1Melmark, Berwyn, PA USA.

Insights

This study introduces an interdisciplinary review team (IRT) model to standardize psychotropic medication monitoring for children with autism spectrum disorder (ASD), improving treatment effectiveness through data-driven decisions and collaboration.

Area of Science:

  • Neurodevelopmental Disorders
  • Child Psychiatry
  • Behavioral Science

Background:

  • Psychotropic medication is common for children with autism spectrum disorder (ASD).
  • Current pharmacotherapy lacks objective measures for treatment effectiveness and combined pharmacological-behavioral interventions.
  • Clinical judgment often guides medication management without standardized evaluation.

Purpose of the Study:

  • To describe an interdisciplinary review team (IRT) model for standardized psychotropic medication monitoring in children with ASD.
  • To enhance the efficacy of pharmacological and behavioral interventions through a structured review process.
  • To promote data-driven decision-making in medication management for pediatric ASD.

Main Methods:

  • Implementation of an interdisciplinary review team (IRT) involving medical, nursing, behavior analyst, and special education professionals.
  • Inclusion of parent-guardian participation in the review process.
  • Utilization of data-driven decision-making and social validity assessments.
  • Case illustrations of medication reduction-elimination trials for five students.

Main Results:

  • The IRT model facilitated coordinated professional involvement and parent-guardian engagement.
  • Data-driven decision-making was central to the medication monitoring process.
  • Social validity assessments indicated positive perceptions of the IRT among clinicians, nurses, and parent-guardians.
  • Case studies demonstrated successful medication reduction-elimination trials.

Conclusions:

  • The IRT model offers a standardized, collaborative approach to psychotropic medication management for children with ASD.
  • Integrating objective measures and interdisciplinary input enhances treatment effectiveness.
  • The model supports evidence-based practice and provides a framework for future research and clinical recommendations.

Related Concept Videos

Modeling in Therapy01:26

Modeling in Therapy

Modeling, a key technique in therapy, uses observational learning to help clients acquire and practice new skills by watching therapists demonstrate desired behaviors. This approach, rooted in Albert Bandura's concept of vicarious learning, plays a significant role in therapeutic interventions for various psychological conditions, including social anxiety, ADHD, and depression.
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
164
Autism Spectrum Disorder01:19

Autism Spectrum Disorder

Autism spectrum disorder (ASD) is a neurodevelopmental condition marked by persistent deficits in social communication and interaction alongside restrictive and repetitive behaviors or interests. ASD is sometimes accompanied by intellectual impairment.
These core symptoms manifest differently among individuals, ranging from mild to severe. The disorder's complexity extends beyond its clinical presentation, encompassing a diverse range of biological, cognitive, and sociocultural influences.
459
Drug Therapy01:28

Drug Therapy

The advent of drug therapy has profoundly shaped modern mental health care, providing targeted treatments for a range of psychological disorders. Psychotherapeutic drugs, classified into antianxiety, antidepressant, and antipsychotic medications, address symptoms across anxiety disorders, mood disorders, and schizophrenia. While these medications have transformed patient outcomes, they require careful management due to their potential side effects and limitations.
Antianxiety Medications
108
Psychosis: Goals of Pharmacotherapy01:26

Psychosis: Goals of Pharmacotherapy

Antipsychotic drugs are a crucial treatment method for acute and chronic psychoses, bipolar illness, and behavioral disorders. The selection of these drugs depends on several factors, including the state of the disease, clinical judgment, possible drug interactions, and the patient's sensitivity to adverse effects. In immediate scenarios, such as delirium and dementia, short-term treatment with low doses of high-potency typical or atypical agents can effectively manage symptom exacerbation.
225
Psychosis and Antipsychotic Drugs: Overview01:28

Psychosis and Antipsychotic Drugs: Overview

The term "psychosis" refers to a spectrum of mental disorders characterized by abnormal thoughts, perceptions, and behaviors. It can manifest as mood disorders, dementia, delirium with psychotic features, substance-induced psychosis with psychotic features, brief psychotic disorder, delusional disorder, schizoaffective disorder, and schizophrenia. Among all these disorders, schizophrenia is the most common psychotic disorder, affecting 1% of the worldwide population. Psychotic...
493
Community Based Intervention01:30

Community Based Intervention

Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
101