Journal of Paediatrics and Child Health, Год журнала: 2025, Номер unknown
Опубликована: Фев. 10, 2025
In reply: We thank the authors for their thoughtful response to our article Emergency department mental health presentations in young children: a retrospective chart review [1]. Their efforts highlight potential interventions children with autism spectrum disorder (ASD) who present Department (ED) acute behavioural disturbance are commendable. agree that utilising strategies reduce or eliminate use of restrictive including mechanical and physical restraint is high priority when caring people presenting ED disturbance. This true regardless whether person neurotypical neurodiverse. There limited literature assessing experience used context management. Adults were physically restrained during an episode have reported feelings dehumanisation as well anxiety relating seeking healthcare future [2]. Due negative effects interventions, alternate manage vital. The suggestion from Chen et al. regarding non-pharmacological de-escalate person's behaviour logical. It worth noting though currently there been no studies which objectively assessed effectiveness these experiencing setting. A concerted focus on establishing evidence base most effective therefore research priority. support consider involvement caregivers guiding people. However, disturbance—and particular one has necessitated presentation—can be unique situation. Evidence suggests this circumstance often overwhelmed, exhausted tried every strategy would normally assist calming child down prior These parents may need take step back child's management provide them emotional break. also highlighting although using least presentations, needs balanced against risk psychological harm pose themselves, staff [3, 4]. care workers report highest rates occupational violence aggression across system, account large proportion incidents [5]. situation case-by-case basis considering both not achieve containment. Young disturbance, those diagnosis ASD represent considerable challenge all tools available optimise develop strategies. declare conflicts interest.
Язык: Английский