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Civitavecchia – "L & # 39;autism it's an infantile neuropsychological disorder that can result serious problems in the ability to communicate, to relate to people and to adapt to the environment "is the definition that we find autism on the site of Ministry of Health.
In the brochure on guidelines for the treatment of spectrum disorders autistic we talk about the effectiveness of the intensive programs behaviors that aim to change the problematic behavior of autistic children, through programs involving them several hours a week.
Among these programs, the most studied are those based on Applied behavioral badysis (ABA, Applied behavior badysis), which it can improve IQ, language and coping behaviors are the skills needed for everyday life.
Just on sensitize the government of the Lazio region about the real therapeutic needs of all children affected by autism spectrum disorder is the purpose of the open letter Giovanni Ghirga, pediatrician and member of the Commission of Experts of the International Society of Physicians for the Environment (Italy), writes to the President of Lazio Region, Zingaretti.
The demand is that in Government Fund for the treatment of autistic, there may be one share intended to enable all children to District of Civitavecchia who need it, but also to those who live in other regions of the Lazio region, to take advantage of the applied badysis of behavior.
What is ABA?
The ABA method, acronym for Applied behavioral badysis, is a behavioral approach, born as a science that deals with the behavior modification and is able to develop skills adaptive and reduce problem behaviors in children with and without disabilities.
ABA treatment for autism has behind him 40 years of application and research and it is the intervention with the greatest scientific proof in the rehabilitation of autistic children.
The program must be highly individualized and aims to improve the quality of life of the child through a set of technical and of drill who teach to the child "like, how"Learn and make a motivating learning.
Because this method is effective the presence of f is necessaryspecialized professional igure in the art, what speech therapists, psychologists, physiotherapists, teachers, but also the family and who interacts with the child (friends, teachers, parents, etc.) must be able to work together to achieve good results.
The ABA method is mainly divided into 3 phases: the first is focused onNote the behavior of the child and his reactions to external stimuli, the second phase badyzes the reactions of the child and his entourage and, in the third phase, the exercises indicated by the professional for the practice are put into practice change behaviours.
the best results with ABA, they are obtained when children start therapy ad less than 4 years, when I parents play an active role in the design and implementation of intervention programs and whenenvironment it's the natural (home, school).
The text of the letter
President Zingaretti,
In the area of Civitavecchia, many children are affected by Autism Spectrum Disorder.
The prevalence of autistic disorder in recent years it is increased and continues to increase all over the world even while taking careful consideration and one more carefully better diagnostic skills autistic disorder itself.On a "Constitutional Constitutional Court", The substances and toxic elements of the environment play a fundamental role in the genesis of autistic disorder.exposure to air pollutionfor example, he has been badociated with an increased risk of autism in several case-control studies and recently also in prospective studies.
From a prevalence of 4-5 cases per 10,000 inhabitants in 1966we went to about 100 current cases per 10,000 population.
This estimate is however a average value and the prevalence varies significantly between different nations.
in United States, Autism Prevalence Data in the CDC Autism Spectrum Disorders Surveillance Network (ADDM), found evidence of increase the prevalence ranging from 1 case per 150 children in 2007 (reference years 2000 to 2002) to 1 case for 59 children in 2018 (reference year 2014).
in Italy, the latest ISTAT data for 2018 (reference years 2016 – 2017) highlight a constant increase handicap in primary and secondary schools of the first degree.
Among the causes of these disabilities, the problems of neurodevelopmental among which autism spectrum disorder.
Receiving a diagnosis of autism from a parent is one great suffering and an infinite concern.
For the moment, a very useful intervention for children with autistic disorder is theApplied Behavioral Analysis (ABA).
the Evidence-based medicine (EBM) states that early interventions and intensive with the ABA technique in children 12 and under, improves cognitive functions, adaptive behavior, the severity of symptoms, language / communication and the social competence.
Unfortunately, the considerable disproportion between the number of children who could benefit from this therapeutic intervention and the insufficient supply provided by the national health system, due to the high number of patients with autism, many children can not receive ABA.
Only those whose parents have one discrete economic possibilitythey can do it at their own expense; the costs for one year of treatment can even reach several thousand euros. This figure can only be supported by a few families.
President Zingaretti, this open letter is intended to sensitize the government of the Lazio region the real therapeutic needs of all children with autism spectrum disorders.
To this end, it is essential that, between the millions of euros of government funds for the treatment of autistic, there may be a share to enable all the children of the district of Civitavecchia who need it, but also those who live in other regions of the Lazio region, to take advantage of the ABA.
Thank you
Dr. Giovanni Ghirgapediatrician
Member of the Expert Commission of the International Society of Physicians for the Environment (Italy)
(The lighthouse online)
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