National Health and Health Commission: Provide this service for children aged 0 to 6!
Author:Jiangsu News Time:2022.09.26
The prevalence of a loneliness spectrum dysfunction in Chinese children is about 7 ‰ (seven thousandths). The best treatment period is 6 years old. The sooner the intervention effect is better.
Last week, the official website of the National Health and Health Commission announced the "Specifications for the Screening and Intervention Service (Trial)" (hereinafter referred to as "specifications") of the "0 to 6 -year -old children's autism screening intervention service specifications (trial)". , Pay attention to the convenience of service, and guide the family to actively participate. At present, related work has been carried out in various places.
Grassroots medical and health institutions bear the preliminary screening service
If there are abnormalities, guide parents to refer to the screen
This specification will divide the screening intervention services of children aged 0 to 6 into 4 parts: health education, screening, diagnosis, and intervention in rehabilitation.
The screening part was undertaken the initial screening by grass -roots medical and health institutions such as township health centers and community health service centers, 11 times between 0 and 6 years old. Early warning signs of psychological behavior development in the screening table, including "no response to a big voice" when 3 months old, "will not reach out to grab things" when 6 months old. "Sentences with adjectives" and so on.
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In Beijing, grass -roots medical institutions have carried out children's autism screening and gradually refined screening projects in the past few years.
About 10 suspected autism children's suspected autism in Chaoyang District Maternal and Child Health Hospital, Luo Jia, chief of the Child Health Department of the hospital told reporters that the proportion of the estimated from this is lower than the prevalence of the internationally announced. In order to avoid missing diagnosis, the screening work is still being strengthened, including helping parents to update the concepts and overcoming the psychology of ignoring and taboo diseases. "Most parents heard it for the first time, and they were rejected. Some parents felt that they had not taught at home, and the children would not do it. In fact, to this extent, children should do some movements and some performance. "
The specifications are clear that the initial screening is abnormal, and the instructions to guide parents will be referred to the county -level maternal and child health care institutions as soon as possible. If the sieve is abnormal, it is necessary to refer it to a professional medical institution with the ability to diagnose the diagnosis of children's autism as soon as possible. Diagnosis methods include medical history inquiry, behavior observation, physical examination and nervous system examination, meter evaluation, and auxiliary examination.
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The main treatment pathway of children's autism is rehabilitation training
Family participation is an important measure for intervention and rehabilitation
In response to the difficulty of early discovery and identification of children's autism, some hospitals and scientific research institutions jointly developed the screening and auxiliary diagnostic systems of autism scores. Behavior helps medical professionals to conduct screening and diagnosis of children with autism.
Chen Xu, deputy director of the pediatric department of Beijing Anding Hospital: "The overall autism is the main diagnostic criteria for symptoms, but its symptoms are mainly external behavior. , Can have a higher recognition rate in early screening. "
He introduced that Beijing Staning Hospital also established an early screening intervention clinic this year to help children and parents who have not fully confirmed or have difficulty in confirming the diagnosis.
At present, children's autism still lacks effective treatment drugs. The main treatment path after diagnosis is rehabilitation training.
Lu Fuli, the nursing head nurse of the Pediatric Nurgence Rehabilitation Center of the First Affiliated Hospital of Anhui Medical University, introduced: "There are many development impairment and emotional behavior abnormalities in children's autism. Comprehensive intervention measures. When the child wants to speak, adults must listen to him patiently; when asking the same question repeatedly, adults should answer carefully. "
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It is specifically mentioned in the specification that the participation and support of parents and family members are important strategies and measures for children's intervention and rehabilitation.
Jiang Min, the general convener of the self -service mutual assistance station of Jiangxi Parents, believes that it is an effective approach to help children learn social communication with families as a unit. "It is necessary to treat the child with an equal and respectful attitude, and give the child guidance under possible circumstances, but it is not excessive care. It will deprive some of his learning opportunities."
According to the clear task division of mission in the specification, intervention in the rehabilitation institution shall propagate to the parents of autism children to interfere with the rehabilitation knowledge, methods and related medical security and social assistance policies, provide intervention rehabilitation consultation and guidance services, carry out the training of family intervention rehabilitation technical skills, conduct parents of parents Psychological guidance and support. The common tasks of relevant institutions at all levels are: promoting autism should be sieved, early diagnosis, and early intervention.
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