Kotsopoulos Sotiris
Child psychiatrist in charge, Day Centre for Children with Developmental Disorders, Messolonghi, Greece, email
BJPsych Int. 2016 Aug 1;13(3):72-73. doi: 10.1192/s205647400000129x. eCollection 2016 Aug.
This paper describes the challenges in starting a service for the diagnosis of and intensive therapeutic intervention for children with autism in a provincial town in western Greece (Messolonghi). Personnel had to be trained, the community had to be educated to accept and use the new service, and stigma had to be dealt with. Currently, fully developed 10 years after the beginning of the effort, in any one week the Day Centre serves on average 35 children with autism and 20 children with specific language impairment. The treatment programme runs along behavioural lines and the results are presently encouraging. Of 32 children referred consecutively to the Centre, after 5 years eight (25%) were attending regular school classes without a diagnosis of autism and eight (25%) with milder symptoms were attending classes with academic assistance. The limited impact of the Centre on the wider community is discussed.
本文描述了在希腊西部一个省级城镇(迈索隆吉)启动一项针对自闭症儿童的诊断及强化治疗干预服务所面临的挑战。工作人员需要接受培训,社区需要接受教育以接受并使用这项新服务,同时还必须应对污名化问题。目前,在这项工作开展10年后服务已全面发展,在任何一周,日间中心平均为35名自闭症儿童和20名特定语言障碍儿童提供服务。治疗方案遵循行为疗法原则,目前的结果令人鼓舞。在连续转诊至该中心的32名儿童中,5年后有8名(25%)在未被诊断为自闭症的情况下进入正规学校上课,8名(25%)症状较轻的儿童在有学业辅导的情况下上课。本文还讨论了该中心对更广泛社区的有限影响。