La valutazione diagnostica è finalizzata ad individuare la presenza o l’assenza delle caratteristiche cliniche del disturbo attraverso un protocollo altamente strutturato, che prevede sia l’osservazione clinica che l’utilizzo di strumenti standardizzati.
Come si svolge la valutazione: al momento del primo accesso presso il centro, viene effettuata la visita medica neuropsichiatrica, che prevede un primo colloquio approfondito con i genitori ed un’attenta osservazione clinica del bambino, allo scopo d’identificare eventuali alterazioni nelle traiettorie di sviluppo e/o atipie comportamentali meritevoli di approfondimento. Una volta verificata da parte del medico la necessità di proseguire nell’iter valutativo, seguono gli incontri di valutazione tramite somministrazione di test, interviste e questionari standardizzati per individuare il livello di sviluppo e gli aspetti comportamentali; infine viene svolto un incontro finale con i genitori, dove viene comunicata la diagnosi, illustrato il quadro clinico e fornite le indicazioni sul piano d’intervento personalizzato da avviare alla luce dei risultati ottenuti.
Chi svolge la valutazione: La somministrazione dei test viene svolta da psicologi specializzati nel campo del Disturbo dello spettro autistico, abilitati all’utilizzo dei reattivi sintomatologici e con esperienza sia nel campo della valutazione che del trattamento dei bambini con autismo.
Prima Fase Visita medica neuropsichiatrica con apertura della cartella clinica (definizione della richiesta, raccolta delle principali notizie anamnestiche e della storia medica ed evolutiva, osservazione clinica del bambino)
Seconda Fase Valutazione diagnostica: 1. Valutazione sintomatologica (Test ADOS-2, ADI-R)
2. Valutazione di sviluppo/adattiva (scala GRIFFHITS, scale Weschler/LEITER-3, intervista VABS-II)
3. Questionari per la valutazione comportamentale: CBCL, CRS, TFR, PSI
Terza Fase Restituzione: Comunicazione della diagnosi alla famiglia e definizione del quadro clinico; indicazioni circa il piano d’intervento personalizzato da avviare alla luce dei risultati ottenuti.
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