Assessing the Wellbeing of Individuals With Autism Using the interRAI Child and Youth Mental Health (ChYMH) and the interRAI Child and Youth Mental Health – Developmental Disabilities (ChYMH-DD) Tools

Brianne K. Redquest, PhD; Shannon L. Stewart, PhD, C. Psych; Pamela J. Bryden, PhD; Paula C. Fletcher, PhD

Disclosures

Pediatr Nurs. 2020;46(2):83-91. 

In This Article

Results

Results for those with ID and without ID will be discussed separately.

Without ID

The total number of CAPs triggered by the sample revealed a mere seven individuals did not trigger any CAPs. Fifty percent of individuals without ID triggered as many as seven CAPs. For results pertaining to the total number of CAPs triggered by those without ID, see Table 2.

Further analysis of the ChYMH found several domains that were triggered by more than 50% of individuals without ID, such as Social and Peer Relationships (75% triggered), Education (74% triggered), Sleep Disturbances (64% triggered), and Interpersonal Conflict (52% triggered). More than 30% of those without ID triggered several other CAPs. Table 3 describes the number and percentage of participants without ID triggering specific CAPs.

Crosstabulations among specific CAPs were analyzed with results as follows: 64% of individuals who triggered the Social and Peer Relationships CAP also triggered the Education CAP, 52% of individuals who triggered the Social and Peer Relationships CAP also triggered the Sleep Disturbance CAP, and 32% of individuals who triggered the Sleep Disturbance CAP triggered the Caregiver Distress CAP (see Table 4).

With ID

The total number of CAPs triggered by individuals with ID indicated that all individuals triggered at least one CAP, and 81% of individuals with ID triggered up to 10 CAPs. For results pertaining to the total number of CAPs triggered by those with ID, see Table 5.

Further analysis of the ChYMH-DD indicated several domains triggered by more than 50% of those with ID: Play and Leisure (94% triggered), Injurious Behavior (91% triggered), Communication (74% triggered), Sleep Management (72%), Transition (67% triggered), Strengths (64% triggered), Social Relations (61% triggered), Education Support (59% triggered), and Problematic Eating Disorders (53% triggered). More than 30% of those with ID triggered several other CAPs. Table 6 reports the number and percentage of participants with ID triggering specific CAPs.

Crosstabulations among specific CAPs were analyzed. Sixty-nine percent of individuals who triggered the Injurious Behavior CAP also triggered the Communication CAP. Additionally, 58% of individuals who triggered the Injurious Behavior CAP also triggered the Education Support CAP, while 47% of individuals who triggered the Injurious Behavior CAP also triggered the Caregiver Distress CAP. Further, 44% of individuals who triggered the Social Relations CAP triggered the Sleep Management CAP, and 40% of individuals who triggered the Caregiver Distress CAP also triggered the Sleep Management CAP. It was also revealed that 39% of individuals who triggered the Social Relations CAP also triggered the Education Support CAP (see Table 7).

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