Browsing by Author "Darsanapu, Archana"

Now showing 1 - 4 of 4
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    Assessing Outcomes of Evidence-Based Practices Through Violence Risk Assessment and Clinical Global Impression (CGI) Analysis in Children with Autism Spectrum Disorder
    (2023-04-28) Darsanapu, Archana; Neal, Tiffany; Deodhar, Aditi; Swiezy, Naomi
    This practicum at HANDS in Autism®, in collaboration with the Indiana NeuroDiagnostic Institute (NDI), aimed to evaluate the effectiveness of an evidence-based coordinated care approach for youth with Autism Spectrum Disorder (ASD) receiving inpatient psychiatric services. The study compared pre-admission data collected via Cerner and post-discharge data collected through REDCap for 42 individuals. Using the Clinical Global Impression (CGI) scale and Violence Risk Assessment (VRA), the project measured behavioral outcomes following treatment. Data were coded, analyzed using Python and Excel, and visualized to assess changes in severity and improvement scores. Results showed that 31 of 42 patients demonstrated measurable improvement. The findings support the use of integrated data systems and standardized behavioral tools to monitor treatment impact and reduce risks associated with behavioral health crises. This project contributes to ongoing evaluation of treatment interventions and development of comprehensive, individualized care plans for youth with ASD.
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    Assessing Patient Characteristics and Improving Data Accessibility in Autism Spectrum Disorder Inpatient Programs.
    (2023-12) Darsanapu, Archana; Neal, Tiffany; Deodhar, Aditi; Swiezy, Naomi
    This project focused on enhancing healthcare data visualization and accessibility for individuals with Autism Spectrum Disorder (ASD) receiving inpatient psychiatric services. Data review and quality assurance were conducted using REDCap, with a focus on accuracy and completeness of patient demographic and service data. An interactive Power BI dashboard was developed using REDCap-exported datasets to visualize trends in service characteristics, patient profiles, and healthcare utilization. Although dynamic integration through API was not available, the dashboard was built with scalable design features to support future real-time functionality. Additional responsibilities included coordinating evaluations, supporting subgroup communication, and organizing timelines to ensure consistent data workflows across projects. The effort demonstrates the practical value of integrating informatics tools in ASD clinical settings to support data-driven care, team collaboration, and strategic decision-making.
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    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, Naomi
    The 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.
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    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, Naomi
    The 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.