Browsing by Subject "Home Situation Questionnaire (HSQ)"

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    Assessing patient progress and caregiver strain: Insights from the Coordinated Care project
    (2024-12) Yama, Jhansi Laxmi; Neal, Tiffany; Devarapalli, Baby Amulya; Swiezy, Naomi
    This project focused on evaluating behavioral and caregiver-related outcomes for children and adolescents with autism who received services through the HANDS in Autism® Coordinated Care model. Multiple standardized measures were analyzed, including the Clinical Global Impressions scales (CGI-S and CGI-I), Home Situation Questionnaire (HSQ), School Situation Questionnaire (SSQ), Caregiver Strain Questionnaire (CSQ), and Aberrant Behavior Checklist-Second Edition (ABC2). While HSQ, SSQ, and ABC2 scores showed a clear reduction in severity post-discharge, indicating behavioral improvement at home and in school settings, CSQ scores reflected only slight reductions in caregiver strain. The analysis of CGI data for two individual cases revealed minimal change in illness severity and slight improvements in functional outcomes. Limitations included decreasing client participation in follow-up phases, which affects data consistency and generalizability. Recommendations include domain-specific analysis, investigating contributing family factors, and conducting correlational studies to inform personalized intervention strategies.
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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.