Bilan et perspectives de la prise en charge therapeutique des enfants et adolescents autistes au sein de l'hopital de jour d'Alger 1997-2003 ... de l'enfance et de l'adolescence]

This digital document is a journal article from Neuropsychiatrie de l'enfance et de l'adolescence, published by Elsevier in 2006. The article is delivered in HTML format and is available in your Amazon.com Media Library immediately after purchase. You can view it with any web browser.

Description:
The objective of this article is to relate the birth of children psychiatry department with all its difficulties. 284 autistic infants have been taken care of over a period of 8 years, 123 infants and teenagers were followed regularly, more than half of them residing outside of Algiers abandoned the consultation, for lack of means. There's been only two dozens of infants who had been hospitalised within 5 years made medical progress. Autism is a motive (reason) of consultation and hospitalisation that is frequent during daytime; but it remains a misunderstood psychical disorder thus aggravating the absence of prevention. Admitting an autistic child into a medical treatment system requires a multi-disciplinary team (like autism resources centres that exist elsewhere) involving paediatricians, ENT (Ear Nose and Throat), neurologists, psychologists, speechtherapits, general practitioners and nurses. Our medical approached is based on a combination of psychoanalytical theoretical references (containment, mothering and par-excitement) and educative (TEACCH) and active work methods TED. Finally, it has been observed that autistic disorder diagnoses happened much later (tardily) between 5 and 7 often as a result of a school failure, whereas the early detection must be done normally before the age of 2, for autistic disorder is unrecognised by the family as well as the medico-psychological staff. It is often mixed up with intellectual deficiencies with its depreciating evolution towards a mental handicap. The training of a medical psychological team with a professional training level, homogeneous and of quality remains a major and urgent line of inquiry problematical. Galvanizing, sensitising the families for their effective involvement and training in therapeutic responsibility assuming. Autism remains a mental public health problem in Algeria that requires urgent investments.