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

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...

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Autores principales: Borgi, Marta, Chiarotti, Flavia, Aresu, Gianfranco, Gitti, Filippo, Fazzi, Elisa, Pierini, Angiolo, Sebastiani, Teresa, Marcelli, Marco, Scifo, Renato, Stagi, Paolo, Venerosi, Aldina
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8870086/
https://www.ncbi.nlm.nih.gov/pubmed/35204027
http://dx.doi.org/10.3390/brainsci12020263
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author Borgi, Marta
Chiarotti, Flavia
Aresu, Gianfranco
Gitti, Filippo
Fazzi, Elisa
Pierini, Angiolo
Sebastiani, Teresa
Marcelli, Marco
Scifo, Renato
Stagi, Paolo
Venerosi, Aldina
author_facet Borgi, Marta
Chiarotti, Flavia
Aresu, Gianfranco
Gitti, Filippo
Fazzi, Elisa
Pierini, Angiolo
Sebastiani, Teresa
Marcelli, Marco
Scifo, Renato
Stagi, Paolo
Venerosi, Aldina
author_sort Borgi, Marta
collection PubMed
description 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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spelling pubmed-88700862022-02-25 Management of Autism Spectrum Disorder in Italian Units of Child and Adolescent Mental Health: Diagnostic and Referral Pathways Borgi, Marta Chiarotti, Flavia Aresu, Gianfranco Gitti, Filippo Fazzi, Elisa Pierini, Angiolo Sebastiani, Teresa Marcelli, Marco Scifo, Renato Stagi, Paolo Venerosi, Aldina Brain Sci Article 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. MDPI 2022-02-14 /pmc/articles/PMC8870086/ /pubmed/35204027 http://dx.doi.org/10.3390/brainsci12020263 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Borgi, Marta
Chiarotti, Flavia
Aresu, Gianfranco
Gitti, Filippo
Fazzi, Elisa
Pierini, Angiolo
Sebastiani, Teresa
Marcelli, Marco
Scifo, Renato
Stagi, Paolo
Venerosi, Aldina
Management of Autism Spectrum Disorder in Italian Units of Child and Adolescent Mental Health: Diagnostic and Referral Pathways
title Management of Autism Spectrum Disorder in Italian Units of Child and Adolescent Mental Health: Diagnostic and Referral Pathways
title_full Management of Autism Spectrum Disorder in Italian Units of Child and Adolescent Mental Health: Diagnostic and Referral Pathways
title_fullStr Management of Autism Spectrum Disorder in Italian Units of Child and Adolescent Mental Health: Diagnostic and Referral Pathways
title_full_unstemmed Management of Autism Spectrum Disorder in Italian Units of Child and Adolescent Mental Health: Diagnostic and Referral Pathways
title_short Management of Autism Spectrum Disorder in Italian Units of Child and Adolescent Mental Health: Diagnostic and Referral Pathways
title_sort management of autism spectrum disorder in italian units of child and adolescent mental health: diagnostic and referral pathways
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8870086/
https://www.ncbi.nlm.nih.gov/pubmed/35204027
http://dx.doi.org/10.3390/brainsci12020263
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