Adaptive Care in the Perioperative Setting

Inclusion Criteria: * Patients who meet the following criteria for the ACT Program: * Patient is diagnosed with a developmental disability and/or behavioral condition * Patient has demonstrated inability to cope and cooperate during a healthcare encounter without additional preparation and support * Patient scores greater than 7 on the PRAP scale * Patient has 1 or more of the commonly seen ACT patient diagnoses listed in the diagnoses list below (additional diagnoses may be added the discretion of the principal investigator) * Patients accompanied to the appointment by parents or legal guardian * Patients of any gender, race, and ethnicity are potentially eligible for inclusion * Patients who are scheduled as outpatients or for 23 hour observation * Patient is ambulatory (able to walk and can use all 4 extremities for activities of daily living) Diagnoses list: * Autism Spectrum Disorder, Autism, Autistic * Delay in Development, Unspecified delay in development, Developmental Delay, Unspecified intellectual disability * Down's Syndrome, Trisomy 21 * Other developmental speech or language disorder * Other specific developmental learning difficulties * Problems in communication * Mental and behavioral problems * ADD/ADHD * Impulse control disorder * Anxiety disorder * Disruptive behavior disorder * Intermittent explosive disorder * Obsessive Compulsive Disorder * Oppositional defiant disorder * Sensory Integration Disorder * Pervasive Development Disorder * Receptive Expres…