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Updated: Sep 25, 2025

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Crisis Presentations of Children and Adolescents with Neurodevelopmental Disorders

C S Orji1, L Sharkey2

  • 1Mental Health Intellectual Disability Team Linn Dara CAMHS services.

Irish Medical Journal
|April 27, 2022
PubMed

Insights

Children with neurodevelopmental disorders, including Autism Spectrum Disorder, frequently present to emergency departments due to limited community support. This highlights a critical need for improved care pathways and resources.

Area of Science:

  • Child and Adolescent Psychiatry
  • Neurodevelopmental Disorders
  • Healthcare Pathway Development

Background:

  • Limited community disability supports in Ireland contribute to increased carer stress.
  • This necessitates emergency department (ED) visits for psychosocial and disability-related crises.

Purpose of the Study:

  • To inform the development of a specialized care pathway.
  • To address the needs of children and adolescents with neurodevelopmental disorders presenting to the ED.

Main Methods:

  • Retrospective study of patients with neurodevelopmental disorder diagnoses.
  • Data collected over a six-year period (Jan 2014 - Dec 2019) from Child Psychiatry services.
  • Included Autism Spectrum Disorder and/or Intellectual Disability diagnoses.

Main Results:

  • 72 patients identified; Autism Spectrum Disorder was the most common diagnosis (93%).
  • Nearly half of cases presented with risk concerns (49%).
  • High rates of same-day discharge (74%) and inpatient admissions (29%) were observed.

Conclusions:

  • Significant limitations in community disability supports exacerbate carer stress and lead to ED crises.
  • Development of a tailored care pathway is crucial for this population.
  • Improved ED care pathways can better manage presentations and reduce unnecessary admissions.

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