Améliorer les environnements sensoriels des établissements de santé mentale accueillant des enfants et des jeunes autistes en hospitalisation

Titre original en anglais : Improving the Sensory Environments of Mental Health in-patient Facilities for Autistic Children and Young People

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Williams, G., Corbyn, J., & Hart, A. (2023). Improving the Sensory Environments of Mental Health in-patient Facilities for Autistic Children and Young People. Child Care in Practice, 29(1), 35-53. https://doi.org/10.1080/13575279.2022.2126437

Date de publication: 02/01/2023 Ajout dans AutiHub: 07/07/2026 Type: Article Langue de l’article: Anglais
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Auteurs

Auteur·ices des publications
3
Auteur·ices de la publication identifié·es comme autistes
1 / 3 (33,3 %)
  1. Gemma Williams *
  2. Jill Corbyn
  3. Angie Hart

Résumé

La mauvaise santé mentale, comparativement à celle de la population d'enfants neurotypiques, constitue une préoccupation grave pour de nombreux enfants et jeunes autistes dans le monde. Au Royaume-Uni, le nombre de jeunes autistes recevant des soins dans des établissements de santé mentale en hospitalisation financés par le NHS augmente. Alors que les différences de traitement sensoriel ont désormais été ajoutées aux critères diagnostiques internationaux de l'autisme, de récentes recherches fondées sur la pratique, menées par des autistes et coproduites, commandées par le Children and Young People’s Mental Health Taskforce et réalisées par le National Development Team for Inclusion, ont mis en évidence que les connaissances relatives aux différences et aux besoins sensoriels des personnes autistes sont institutionnellement absentes. En particulier, il a été constaté que les environnements sensoriels des établissements d'hospitalisation financés par NHS England présentent parfois des difficultés extrêmes pour les jeunes autistes qui, au mieux, entravent le bien-être et, au pire, exacerbent les problèmes de santé mentale existants, déclenchant pour certains un cycle de progression vers des cadres de plus en plus restrictifs. Cet article présente certains de ces enseignements, tirés de la consultation de jeunes personnes autistes ayant l'expérience des services d'hospitalisation et d'Experts by Experience autistes travaillant sur de nouvelles évaluations des environnements sensoriels des unités. Nous présentons d'abord la conception de l'autisme comme étant principalement façonné par des différences de traitement sensoriel et social, et exposons l'importance de cette perspective pour les soins hospitaliers des jeunes et des enfants autistes. Nous donnons ensuite un aperçu des difficultés sensorielles actuelles qui existent dans les établissements de santé mentale en hospitalisation pour les enfants et les jeunes autistes. Enfin, nous concluons par quelques suggestions de domaines de recherche futurs concernant l'impact de l'adaptation des environnements des unités, qui sont prometteurs pour des contextes plus larges et internationaux.

Poor mental health—compared to that of the neurotypical child population—is a serious concern for many autistic children and young people around the world. In the UK, we have an increasing number of autistic young people receiving care in NHS funded in-patient mental health facilities. While sensory processing differences have now been added to international diagnostic criteria for autism, recent autistic-led and co-produced, practice-based research commissioned by the Children and Young People’s Mental Health Taskforce and delivered by National Development Team for Inclusion has identified that knowledge of autistic sensory differences and needs is institutionally absent. In particular, the sensory environments of NHS England-funded in-patient facilities were found to present sometimes extreme challenges for autistic young people that at best hinder wellbeing and at worst exacerbate existing mental health problems: instigating a cycle of progressing upwards through increasingly restrictive settings for some. This paper shares some of this learning, gained from the consultation with young autistic people who have experience of inpatient services and autistic Experts by Experience working on novel sensory ward environment reviews. We first introduce the framing of autism as primarily shaped by sensory and social processing differences and outline the significance of this perspective for the in-patient care of autistic young people and children. We then provide an overview of the current sensory challenges that exist in inpatient mental health facilities for autistic children and young people. Finally, we conclude with some suggestions for areas of future research around the impact of adapting ward environments, that have promise for broader and international settings.

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Ces indicateurs décrivent la bibliographie citée importée pour cette publication. Les métriques de références citées utilisent le total des références citées comme dénominateur. Les métriques d’auteurices cité·es indiquent si elles utilisent toutes les occurrences d’auteurices cité·es ou seulement les occurrences rattachées à des auteurices déjà intégré·es à la base de données AutiHub. Ils utilisent les rattachements mis en cache entre les auteurices cité·es et les auteurices intégré·es à la base de données AutiHub. Dernier calcul : 16/08/2026 11:31.

Références citées
71
Nombre total de références citées intégrées pour cette publication.
Références citées avec un·e auteur·ice identifié·e comme autiste
10 / 71 (14,1 %)
Occurrences d’auteur·ices cité·es identifié·es comme autistes
18 / 204 (8,8 %)
Parmi les occurrences rattachées à des auteurices intégré·es à la base de données AutiHub : 18 / 89 (20,2 %). Auteurices cité·es distinct·es identifié·es comme autistes : 16 / 192 (8,3 %).
Occurrences citées rattachées à la base AutiHub
89 / 204 (43,6 %)
Auteurices cité·es distinct·es rattaché·es : 77 / 192 (40,1 %)
Occurrences rattachées, non identifiées comme autistes
71 / 89 (79,8 %)
Parmi les seules occurrences rattachées. Sur l’ensemble des occurrences d’auteurices cité·es : 71 / 204 (34,8 %). Auteurices cité·es distinct·es rattaché·es, non identifié·es comme autistes : 61 / 77 (79,2 %).
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