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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