<div dir="ltr"><p style="font-family:"times new roman","new york",times,serif;font-size:16px;margin:0cm;background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial"><span style="font-family:Arial,sans-serif;color:rgb(29,34,40)">Una criticità che viene spesso sottolineata è la transizione dall’età minorile all’età adulta delle persone con autismo. In un messaggio del novembre 2021 abbiamo parlato della differente gestione dei farmaci: da parte di un unico specialista in neuropsichiatria infantile, neurologo e insieme psichiatra, nell’età minorile e da parte di due specialisti nell’età adulta con i rischi connessi a questa divisione.</span><span style="color:rgb(29,34,40);font-family:Arial,sans-serif"> </span></p><p style="font-family:"times new roman","new york",times,serif;font-size:16px;margin:0cm;background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial;outline:none"><span style="font-size:11pt;font-family:Calibri,sans-serif;color:rgb(29,34,40)"></span></p><p style="font-family:"times new roman","new york",times,serif;font-size:16px;margin:0cm;background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial;outline:none"><span style="font-size:11pt;font-family:Calibri,sans-serif;color:rgb(29,34,40)"><a href="http://autismo33.it/pipermail/autismo-biologia/2021-November/004371.html" shape="rect" rel="nofollow" target="_blank" style="outline:none"><span style="font-size:12pt;font-family:Arial,sans-serif"><span style="outline:none">http://autismo33.it/pipermail/autismo-biologia/2021-November/004371.html</span></span></a></span></p><p style="font-family:"times new roman","new york",times,serif;font-size:16px;margin:0cm;background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial;outline:none"><span style="outline:none"><span style="font-family:Arial,sans-serif;color:rgb(29,34,40)"> </span></span><span style="font-size:11pt;font-family:Calibri,sans-serif;color:rgb(29,34,40)"></span></p><p style="font-family:"times new roman","new york",times,serif;font-size:16px;margin:0cm;background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial;outline:none"><span style="outline:none"><span style="font-family:Arial,sans-serif;color:rgb(29,34,40)">Questa non è la sola criticità. Rimanendo nell’ambito dei farmaci c’è la diversa risposta agli psicofarmaci da parte delle persone con autismo rispetto a coloro che presentano disturbi mentali in età adulta dopo uno sviluppo neurologico tipico.</span></span></p><p style="font-family:"times new roman","new york",times,serif;font-size:16px;margin:0cm;background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial"><span style="font-family:Arial,sans-serif;color:rgb(29,34,40)">E il problema dei farmaci non è né il solo né il più importante. Il programma di vita, che dovrebbe iniziare al momento della diagnosi, e proseguire, con gli opportuni aggiornamenti, per tutta la vita, dovrebbe essere l’aspetto principale della presa in carico e, quando esiste, trova un momento di grave crisi nel passaggio dai servizi per i minori ai servizi per gli adulti.</span><span style="font-size:11pt;font-family:Calibri,sans-serif;color:rgb(29,34,40)"></span></p><p style="font-family:"times new roman","new york",times,serif;font-size:16px;margin:0cm;background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial;outline:none"><span style="outline:none"><span style="font-family:Arial,sans-serif;color:rgb(29,34,40)">Ma q</span>uesta suddivisione non è una calamità naturale come un terremoto o un uragano. E’ una suddivisione organizzativa fatta dall’uomo, adottata dal nostro Paese.</span><span style="font-size:11pt;font-family:Calibri,sans-serif;color:rgb(29,34,40)"></span></p><p style="font-family:"times new roman","new york",times,serif;font-size:16px;margin:0cm;background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial;outline:none"><span style="outline:none"><span style="font-family:Arial,sans-serif;color:rgb(29,34,40)">Dal momento che ormai è assodato che l’autismo, seppure con modificazioni più o meno legate ai diversi trattamenti, persiste nel corso della vita, perché non costituire dei centri di presa in carico delle persone autistiche nel corso di tutta la vita?</span></span><span style="font-size:11pt;font-family:Calibri,sans-serif;color:rgb(29,34,40)"></span></p><p style="font-family:"times new roman","new york",times,serif;font-size:16px;margin:0cm;background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial;outline:none"><span style="outline:none"><span style="font-family:Arial,sans-serif;color:rgb(29,34,40)">Questo è stato fatto, ad esempio, nella Carolina del Nord con il TEACCH</span></span><span style="font-size:11pt;font-family:Calibri,sans-serif;color:rgb(29,34,40)"></span></p><p style="font-family:"times new roman","new york",times,serif;font-size:16px;margin:0cm;background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial;outline:none"><span style="outline:none"><span style="font-family:Arial,sans-serif;color:rgb(29,34,40)"> </span></span><span style="font-size:11pt;font-family:Calibri,sans-serif;color:rgb(29,34,40)"></span></p><p style="font-family:"times new roman","new york",times,serif;font-size:16px;margin:0cm;background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial;outline:none"><span style="font-size:11pt;font-family:Calibri,sans-serif;color:rgb(29,34,40)"><a href="https://teacch.com/" shape="rect" rel="nofollow" target="_blank" style="outline:none"><b style="outline:none"><span style="background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;outline:none"><span style="font-size:12pt;font-family:Arial,sans-serif;color:rgb(80,89,98);letter-spacing:0.75pt">Services Across the Lifespan for Individuals with Autism Spectrum Disorder</span></span></b></a></span></p><p style="font-family:"times new roman","new york",times,serif;font-size:16px;margin:0cm;background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial;outline:none"><span style="outline:none"><span style="font-size:11pt;font-family:Calibri,sans-serif;color:black"><a href="https://teacch.com/" shape="rect" rel="nofollow" target="_blank" style="outline:none"><b style="outline:none"><span style="outline:none"><span style="font-size:12pt;font-family:Arial,sans-serif;color:rgb(0,127,174);letter-spacing:0.75pt">TEACCH® Autism Program</span></span></b></a></span></span><span style="font-size:11pt;font-family:Calibri,sans-serif;color:rgb(29,34,40)"></span></p><p style="font-family:"times new roman","new york",times,serif;font-size:16px;margin:0cm 0cm 8pt;line-height:11.75pt;background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial;outline:none"><span style="font-size:11pt;font-family:Calibri,sans-serif;color:rgb(29,34,40)"><a href="https://teacch.com/" shape="rect" rel="nofollow" target="_blank" style="outline:none"><span style="font-size:12pt;font-family:Arial,sans-serif"><span style="outline:none">https://teacch.com/</span></span></a></span></p><p style="font-family:"times new roman","new york",times,serif;font-size:16px;margin:0cm 0cm 8pt;background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial;outline:none"><span style="outline:none"><span style="font-family:Arial,sans-serif;color:rgb(29,34,40)">Da sempre l’Olanda e i Paesi scandinavi hanno realizzato strutture di presa in carico globale e continuativa sul modello della Carolina del Nord.</span></span></p><p style="font-family:"times new roman","new york",times,serif;font-size:16px;margin:0cm 0cm 8pt;background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial"><span style="font-family:Arial,sans-serif;color:rgb(29,34,40)">In Italia, per quanto mi risulta, una cosa simile si sta facendo all’ASL di Rimini, dove si sta </span><span style="font-family:Arial,sans-serif;color:black">sperimentando da novembre 2022 una Struttura Semplice Interdipartimentale ( che fa riferimento al DSM-DO e al dipartimento Salute Donna Infanzia e Adolescenza) che si chiama "Disturbi dello spettro autistico nell'arco della vita”.</span></p><p style="font-family:"times new roman","new york",times,serif;font-size:16px;margin:0cm 0cm 8pt;background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial"><span style="font-family:Arial,sans-serif;color:black">Mi complimento con Rimini e con la Dottoressa Serenella Grittani, responsabile della Struttura, e auspico che questa prassi diventi la regola e non l’eccezione in Italia.</span></p><p style="font-family:"times new roman","new york",times,serif;font-size:16px;margin:0cm 0cm 8pt;background-image:initial;background-position:initial;background-size:initial;background-repeat:initial;background-origin:initial;background-clip:initial"><span style="font-family:Arial,sans-serif;color:black">Cordiali saluti</span></p><div>Carlo Hanau</div><span class="gmail_signature_prefix">-- </span><br><div dir="ltr" class="gmail_signature" data-smartmail="gmail_signature"><div dir="ltr"><div dir="ltr"><b>invito a firmare la petizione al Ministro contro le raccomandazioni di prescrivere antipsicotici e altri psicofarmaci ai bambini con autismo</b></div><div><b><a href="http://chng.it/4PCKz4n6ct" target="_blank">http://chng.it/4PCKz4n6ct</a></b></div><div dir="ltr">Prof. Carlo Hanau<br>già docente di Programmazione e organizzazione dei servizi sociali e sanitari nelle Università di Modena e Reggio Emilia e di Bologna. </div><div dir="ltr">Presidente di A.P.R.I. Odv ETS pagina Facebook al link      <a href="https://www.facebook.com/APRI.ONLUS/" style="color:rgb(17,85,204)" target="_blank">https://www.facebook.com/APRI.ONLUS/</a></div><div><br><br style="color:rgb(34,34,34)"></div></div></div></div>