Autism & Developmental

School Discipline, Hospitalization, and Police Contact Overlap Among Individuals with Autism Spectrum Disorder.

Turcotte et al. (2018) · Journal of autism and developmental disorders 2018
★ The Verdict

One adverse event at school, with police, or in the hospital triples the risk of the others for autistic students.

✓ Read this if BCBAs who write behavior plans for school-age autistic clients.
✗ Skip if Clinicians who serve only infants or medically fragile adults.

01Research in Context

01

What this study did

Paul’s team asked 2,525 U.S. caregivers of autistic students about three bad events.

They counted how many kids had school discipline, police contact, or psychiatric hospital stays.

Then they looked for overlap: did one event raise the odds of the others?

02

What they found

One in seven kids (15 %) had been disciplined at school.

About one in thirteen (7.9 %) had met police; the same share had been hospitalized.

If a child hit any one of these events, the chance of hitting a second or third jumped sharply.

03

How this fits with other research

Richards et al. (2020) show that police interviews already break down when officers lack autism know-how. Paul’s numbers say those breakdowns are not rare—families feel the fallout.

Ben-Yehudah et al. (2019) find that parents who forgive themselves report less stress. Paul’s data hint why self-kindness matters: families juggle discipline letters, squad cars, and hospital trips all at once.

Wakimizu et al. (2011) link low service use to weak caregiver empowerment. Paul adds the flip side: when services fail, adverse contacts cluster, further draining power.

04

Why it matters

If you see one red flag—suspension, police call, or hospital admit—screen for the other two. Build a safety net early: share autism-specific tip sheets with schools and officers, and add caregiver self-compassion tools to your behavior plan. Stopping the first domino can spare families the whole cascade.

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Add a quick checklist to your intake: ask if the child has faced discipline, police, or hospitalization—then loop in the right team before the next shoe drops.

02At a glance

Intervention
not applicable
Design
survey
Sample size
2525
Population
autism spectrum disorder
Finding
not reported

03Original abstract

The objective was to examine the frequency, correlates, and overlap of school disciplinary actions, psychiatric hospitalizations, and police contact among children and adolescents with autism. Survey results from 2525 caregivers of individuals with autism in elementary through high school were examined. Logistic regression was used to examine predictors of each outcome. Youth with autism most frequently experienced school disciplinary action (15.0%), followed by police contact (7.9%) and hospitalization (7.8%). Experiencing any one of the three events increased risk of experiencing either of the other events. Strong associations between traumatic experiences such as police contact and hospitalizations (OR 9.2), need to be explored to determine risk factors for potential intervention. Further research is needed to determine the temporal ordering of these outcomes.

Journal of autism and developmental disorders, 2018 · doi:10.1007/s10803-017-3359-y