Management of Autism Spectrum Disorder in Italian Units of Child and Adolescent Mental Health: Diagnostic and Referral Pathways

被引:1
作者
Borgi, Marta [1 ]
Chiarotti, Flavia [1 ]
Aresu, Gianfranco [2 ]
Gitti, Filippo [3 ]
Fazzi, Elisa [3 ,4 ]
Pierini, Angiolo [5 ]
Sebastiani, Teresa [6 ]
Marcelli, Marco [6 ]
Scifo, Renato [7 ]
Stagi, Paolo [8 ]
Venerosi, Aldina [1 ]
机构
[1] Ist Super San, Ctr Behav Sci & Mental Hlth, Viale Regina Elena 299, I-00161 Rome, Italy
[2] Azienda Reg Tutela Salute, Child & Adolescent Neuropsychiat Unit, SS 200 Sassari Sorso Anglona, I-07100 Sassari, Italy
[3] ASST Spedali Civili Brescia, Child Neurol & Psychiat Unit, Piazzale Spedali Civili 1, I-25123 Brescia, Italy
[4] Univ Brescia, Dept Clin & Expt Sci, I-25121 Brescia, Italy
[5] USL Umbria 1, Dept Child Neuropsychiat, Via Pallotta 42, I-06126 Perugia, Italy
[6] Azienda Sanit Locale Viterbo, Child & Adolescent Neuropsychiat Unit, Via Enrico Fermi 15, I-01100 Viterbo, Italy
[7] Prov Hlth Serv Catania ASP CT, Ctr Autism Spectrum Disorders, Child Psychiat Unit, Via TM Manzella, I-95125 Catania, Italy
[8] Child & Adolescent Mental Hlth Serv AUSL, Via S Giovanni del Cantone 23, I-41121 Modena, Italy
关键词
autism spectrum disorder; child-adolescent mental health services; diagnosis; systems of care; Italy; individual health record; BIOMARKERS;
D O I
10.3390/brainsci12020263
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
Overall, the present pilot study provides detailed information on clinical management for Autism Spectrum Disorder (ASD) referral and diagnosis processes that are mandatory for child and adolescent mental health management. The analysis of ASD management, even if carried out on a selected sample of Child and Adolescent Mental Health (CAMH) units, represents a good approximation of how, in Italian outpatient settings, children and adolescents with ASD are recognised and eventually diagnosed. One of the aims of the study was to verify the adherence of Italian CAMH units to international recommendations for ASD referral and diagnosis and whether these processes can be traced using individual chart reports. Overall, the analysis evidenced that Italian CAMH units adopt an acceptable standard for ASD diagnosis, although the reporting of the ASD managing process in the individual chart is not always accurate. Furthermore, data collected suggest some improvements that CAMH units should implement to fill the gap with international recommendations, namely, establishing a multidisciplinary team for diagnosis, improving the assessment of physical and mental conditions by the use of standardised tools, implementing a specific assessment for challenging behaviours that could allow timely and specific planning of intervention.
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页数:16
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  • [1] [Anonymous], 2014, QS51 NICE
  • [2] Early Detection, Diagnosis and Intervention Services for Young Children with Autism Spectrum Disorder in the European Union (ASDEU): Family and Professional Perspectives
    Bejarano-Martin, Alvaro
    Canal-Bedia, Ricardo
    Magan-Maganto, Maria
    Fernandez-Alvarez, Clara
    Cilleros-Martin, Maria Victoria
    Sanchez-Gomez, Maria Cruz
    Garcia-Primo, Patricia
    Rose-Sweeney, Mary
    Boilson, Andrew
    Linertova, Renata
    Roeyers, Herbert
    Van der Paelt, Sara
    Schendel, Diana
    Warberg, Christine
    Cramer, Susanne
    Narzisi, Antonio
    Muratori, Filippo
    Scattoni, Maria Luisa
    Moilanen, Irma
    Yliherva, Anneli
    Saemundsen, Evald
    Loa Jonsdottir, Sigridur
    Efrim-Budisteanu, Magdalena
    Arghir, Aurora
    Papuc, Sorina Mihaela
    Vicente, Astrid
    Rasga, Celia
    Roge, Bernadette
    Guillon, Quentin
    Baduel, Sophie
    Kafka, Johanna Xenia
    Poustka, Luise
    Kothgassner, Oswald D.
    Kawa, Rafal
    Pisula, Ewa
    Sellers, Tracey
    Posada de la Paz, Manuel
    [J]. JOURNAL OF AUTISM AND DEVELOPMENTAL DISORDERS, 2020, 50 (09) : 3380 - 3394
  • [3] Nationwide Survey of Healthcare Services for Autism Spectrum Disorders (ASD) in Italy
    Borgi, Marta
    Ambrosio, Valentina
    Cordella, Daniele
    Chiarotti, Flavia
    Venerosi, Aldina
    [J]. ADVANCES IN NEURODEVELOPMENTAL DISORDERS, 2019, 3 (03) : 306 - 318
  • [4] Costs of Autism Spectrum Disorders in the United Kingdom and the United States
    Buescher, Ariane V. S.
    Cidav, Zuleyha
    Knapp, Martin
    Mandell, David S.
    [J]. JAMA PEDIATRICS, 2014, 168 (08) : 721 - 728
  • [5] Epidemiology of Autism Spectrum Disorders: A Review of Worldwide Prevalence Estimates Since 2014
    Chiarotti, Flavia
    Venerosi, Aldina
    [J]. BRAIN SCIENCES, 2020, 10 (05)
  • [6] Conferenza Unificata, 2012, LIN IND PROM IL MIGL
  • [7] Conferenza Unificata, 2018, INT TRA GOV REG PROV
  • [8] Timing of the Diagnosis of Autism in African American Children
    Constantino, John N.
    Abbacchi, Anna M.
    Saulnier, Celine
    Klaiman, Cheryl
    Mandell, David S.
    Zhang, Yi
    Hawks, Zoe
    Bates, Julianna
    Klin, Ami
    Shattuck, Paul
    Molholm, Sophie
    Fitzgerald, Robert
    Roux, Anne
    Lowe, Jennifer K.
    Geschwind, Daniel H.
    [J]. PEDIATRICS, 2020, 146 (03)
  • [9] Mortality in individuals with autism spectrum disorder: Predictors over a 20-year period
    DaWalt, Leann Smith
    Hong, Jinkuk
    Greenberg, Jan S.
    Mailick, Marsha R.
    [J]. AUTISM, 2019, 23 (07) : 1732 - 1739
  • [10] Prevalence of Autism Spectrum Disorder in 7-9-Year-Old Children in Denmark, Finland, France and Iceland: A Population-Based Registries Approach Within the ASDEU Project
    Delobel-Ayoub, M.
    Saemundsen, E.
    Gissler, M.
    Ego, A.
    Moilanen, I
    Ebeling, H.
    Rafnsson, V
    Klapouszczak, D.
    Thorsteinsson, E.
    Arnaldsdottir, K. M.
    Roge, B.
    Arnaud, C.
    Schendel, D.
    [J]. JOURNAL OF AUTISM AND DEVELOPMENTAL DISORDERS, 2020, 50 (03) : 949 - 959