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Browsing by Author "Darsanapu, Archana"
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Item Implementation of the HANDS in Autism® coordinated care continuum: Changes in caregiver-reported patient problem behavior presence and intensity secondary to the implementation of HANDS in Autism® Model across home and school settings following acute inpatient hospitalization(2023-11) Deodhar, Aditi; Neal, Tiffany; Darsanapu, Archana; Swiezy, NaomiThe HANDS in Autism® model focuses on providing follow-up services for adolescents aged 12-18 with autism spectrum disorder (ASD) or developmental disorders (DD), aiding their transition back to community life after acute inpatient hospitalization. This model emphasizes training and community team facilitation for sustainable coordinated care outcomes, targeting primarily families in the home environment while also supporting school and community teams. The study explored changes in patient problem behaviors in both home and school settings, using the Home Situation Questionnaire (HSQ) and School Situation Questionnaire (SSQ) completed by caregivers and school teams. These questionnaires assessed the presence and intensity of problem behaviors before hospital admission and throughout the year after discharge. Preliminary findings show a decrease in problem behaviors’ presence and intensity in both settings post-discharge, with a notable continuous decrease in the home setting over 12 months, underscoring the model's effectiveness in its primary intervention target. However, an increase in problem behavior intensity was observed in the school setting after 12 months, hinting at the potential influence of school personnel/district engagement levels on the intervention's effectiveness in educational environments.Item Unveiling Connections: Exploring Patient Behaviors and Traumatic Brain InjuryMadhuhasa Battula in Autistic Youth at the Indiana NDI Exploratory Project(2023-09) Battula, Madhuhasa; Neal , Tiffany; Deodhar , Aditi; Darsanapu, Archana; Swiezy, NaomiThe Indiana NDI (Neurodevelopmental Institute) Exploratory Project is an initiative that embodies a cooperative effort involving multidisciplinary experts under the auspices of the Indiana Family and Social Services Administration (FSSA), specifically the Division of Mental Health and Addiction (DMHA). In our study, a total of 58 NDI clients were examined. Data was extracted from the RedCap database (Patridge & Bardyn, 2018). This enabled us to assess the potential of various patient behaviors to indicate the presence of Traumatic Brain Injury (TBI) using predictive models, establishing a statistically significant correlation between certain behaviors and the occurrence of TBI. A Heat map exhibiting a positive correlation between patient behaviors and TBI was shown. The data analysis indicates a statistically significant positive correlation between multiple patient behaviors and the presence of traumatic brain injury (TBI), as supported by high model accuracies. This suggests that these patient behaviors may serve as indicators of the presence of TBI and warrant further investigation. Examining the long-term consequences of TBI on behavior is essential to gain a comprehensive understanding of the dynamics involved.