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This cross-sectional study compared participation in home and community settings among hospitalized children (HC) with those with neurodevelopmental disorders (ND) and typically developing peers (TD). The study involved 141 parents using the Participation and Environment Measure for Children and Youth and the Family Routines Inventory. Occupational therapists completed the Short Child Occupational Profile following a visit to the HC homes. Results showed significantly lower participation patterns among HC compared to ND and TD groups, with more barriers and parental desire for change than the TD group. Family routines that were consistent led to increased participation, while environmental barriers correlated with reduced involvement. Social and occupational environments limited home participation the most. These findings highlight that participation restrictions among HC are influenced by health conditions, environment, and routines. Occupational therapy can enhance participation and community reintegration.<\/jats:p>","DOI":"10.1177\/15394492261476598","type":"journal-article","created":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T05:53:57Z","timestamp":1787723637000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Participation Patterns, Family Routines and Environmental Factors Prior to Pediatric Psychiatric Hospitalization"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-5156-2690","authenticated-orcid":false,"given":"Miranda","family":"Melamed Snir","sequence":"first","affiliation":[{"name":"Child Psychiatry Division, Edmond and Lily Safra Children\u2019s Hospital, Sheba Medical Center, Ramat Gan, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Doron","family":"Gothelf","sequence":"additional","affiliation":[{"name":"Child Psychiatry Division, Edmond and Lily Safra Children\u2019s Hospital, Sheba Medical Center, Ramat Gan, Israel"},{"name":"The Faculty of Medical &amp; Health Sciences, Tel Aviv University, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roni","family":"Simchon","sequence":"additional","affiliation":[{"name":"Child Psychiatry Division, Edmond and Lily Safra Children\u2019s Hospital, Sheba Medical Center, Ramat Gan, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shimona","family":"Lev On","sequence":"additional","affiliation":[{"name":"Child Psychiatry Division, Edmond and Lily Safra Children\u2019s Hospital, Sheba Medical Center, Ramat Gan, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tal","family":"Shilton","sequence":"additional","affiliation":[{"name":"Child Psychiatry Division, Edmond and Lily Safra Children\u2019s Hospital, Sheba Medical Center, Ramat Gan, Israel"},{"name":"The Faculty of Medical &amp; Health Sciences, Tel Aviv University, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mariela","family":"Mosheva","sequence":"additional","affiliation":[{"name":"Child Psychiatry Division, Edmond and Lily Safra Children\u2019s Hospital, Sheba Medical Center, Ramat Gan, Israel"},{"name":"The Faculty of Medical &amp; Health Sciences, Tel Aviv University, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tal","family":"Cohen","sequence":"additional","affiliation":[{"name":"Child Psychiatry Division, Edmond and Lily Safra Children\u2019s Hospital, Sheba Medical Center, Ramat Gan, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sofia","family":"Perez","sequence":"additional","affiliation":[{"name":"Child Psychiatry Division, Edmond and Lily Safra Children\u2019s Hospital, Sheba Medical Center, Ramat Gan, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3653-615X","authenticated-orcid":false,"given":"Anat","family":"Golos","sequence":"additional","affiliation":[{"name":"School of Occupational Therapy, The Faculty of Medicine, Hebrew University of Jerusalem, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,25]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"crossref","unstructured":"Alderton A. 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