Service Delivery

Brief Report: Meeting the Needs of Medically Hospitalized Adults with Autism: A Provider and Patient Toolkit.

Carter et al. (2017) · Journal of autism and developmental disorders 2017
★ The Verdict

A hospital built a plug-and-play kit that makes adult autism admissions smoother—steal it today.

✓ Read this if BCBAs who support adults with autism during medical or psychiatric hospital stays.
✗ Skip if Clinicians who only work in outpatient clinics with no inpatient contact.

01Research in Context

01

What this study did

A hospital team built a toolkit for adults with autism who need inpatient care.

They also trained staff and formed a working group across nursing, medicine, and therapy.

The paper walks through the tools and the team setup; no patient outcomes are given.

02

What they found

The toolkit exists and staff liked it, but the authors did not measure if care got better.

It gives checklists, sensory tips, and communication aids ready to print and use.

03

How this fits with other research

Warfield et al. (2015) interviewed doctors who said adult autism care fails at every level.

Carter et al. (2017) answered those doctors with a ready-to-use kit, so the two papers line up like question and answer.

DaWalt et al. (2025) also asked French staff how they spot constipation in autistic adults and, like the toolkit team, begged for one clear protocol.

Marrus et al. (2023) showed psychiatry residents still get almost zero autism class time, so the toolkit training module fills a gap they also found.

04

Why it matters

If you consult on a medical ward, take the toolkit pages and drop them in the chart.

You can hand the nurse a one-page sensory profile and cue the doctor to use plain language.

No need to wait for perfect data; the kit is free and you can pilot it next admission.

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Print the toolkit’s sensory checklist and slip it into the next admission packet.

02At a glance

Intervention
not applicable
Design
case study
Population
autism spectrum disorder
Finding
not reported

03Original abstract

In an effort to meet the needs of adults with autism spectrum disorder (ASD) while hospitalized, a team of experts and providers from Massachusetts General Hospital (MGH), MGH for Children as well as parents of individuals with ASD was sparked in 2013. This became a multidisciplinary collaborative, the MGH Autism Care Collaborative, to improve adult care for inpatients with ASD. The collaborative was created with three goals in mind: (1) to educate internal medicine adult inpatient providers and staff on the unique needs of adults with ASD when hospitalized; (2) to create ASD specific resources for internal medicine adult inpatient providers; (3) to optimize patient care from admission to discharge among adults with ASD admitted to internal medicine services.

Journal of autism and developmental disorders, 2017 · doi:10.1007/s10803-017-3040-5