Clipping of news on Brazilian Culture, Law and Citizenship
02/04/2013
This article was translated by an automatic translation system, and was therefore not reviewed by people.
Text, which also includes basic health units of Rio, still awaiting sanction of the mayor Eduardo Paes
Teachers may apply questionnaire to identify risk of disorder
Matheus da Silva, 13 years old, studying in public since childhood, but still not literate Leo Martins / O Globo
RIO - A bill already approved by the City Council of Rio, but still awaiting sanction of the mayor Eduardo Paes, establishing surveillance actions early autism in children attending day care centers and units in the basic health of the city, especially in the age aged six months to two years.
The measure, if implemented, will be celebrated on two walks scheduled for next Sunday (7), in Leblon and Sulacap, in allusion to World Day Autism Awareness, celebrated on Tuesday (2). Also in honor of the date, today the City Hall will illuminate blue facades of Christ the Redeemer, the Metropolitan Cathedral and the Town Hall.
According to experts, the detection of the disorder - which causes impairment in social interaction and language acquisition - in the early years brings considerable gains for development for the child, provided that the discovery is followed by appropriate monitoring, therapeutic treatment associated with schooling. In a report published yesterday in GLOBE, relatives of autistic children complained of difficulty in getting job in mainstream schools both public and private. Mother of Matthew, aged 13, Celia da Silva, also noted that the enrollment in general, does not determine a fact of inclusion, by lack of infrastructure and appropriate care in teaching institutions.
The discussion of the draft law 1090/2011, authored by Councilman Paul Messina (PV), resulted in the creation of a pilot. Started in August last year, the partnership between the City Department of Education and PUC-Rio - by Carolina teacher Lamprey, PhD in Clinical Psychology - enabled the application of a questionnaire in children treated in day care centers. The instrument shows risks of atypical development, a common feature in autism. Once diagnosed, children must be registered in a single census City Hall. There are no national data on the incidence of the disorder in the country. It is known that the prevalence international average is 1% of the population.
Drafted in the Netherlands, the questionnaire consists of 14 questions that can be answered simply with "yes" or "no." The data collected were sent to the researcher at PUC-Rio in November and are in the process of tabulation. Preliminary figures relating to daycare the first through sixth Regional Education Coordinator (Believe), reveal that the 1579 questionnaires by teachers in 114 kindergartens were detected risks of atypical development in 152 children. Considering only children 12 to 24 months, 45 cases were tracked suspects. The remaining 107 were of children above this age.
- The test was used to train teachers so that they can identify signs of autism risk. During the training course, teachers said they had children older than 24 months could be autistic, by the features presented. And asked to administer the questionnaire in them too - detailing Carolina, noting that 107 children had suspected risks of atypical development.
According to her, 300 teachers coordinating the municipal kindergartens participated in a training to the questionnaire. They made an eight-hour course in which they received guidance on the concept of autism, early identification and the questionnaire itself. Then they returned to their units and lessons passed on to other teachers, and support using a manual and a DVD.
- There are few people qualified for early identification. One hears much talk of parents who realize something strange in the child, leading to the pediatrician and they say it is nothing. Thus, precious time passes intervention ... It's not their fault, it is the curriculum, which simply does not have autism.
Integrated Monitoring
Professor of Special Education at UFF, a doctorate in psychology Dayse Serra agrees that the difficulty of diagnosis is associated with generalist pediatricians. She also warns of the importance of screening for siblings, when a case is diagnosed in the family, because of the genetic component of the disorder, and emphasizes the need for an integrated monitoring, after detection of autism.
- When we talk about public policy, we are not just talking about education, but integration. No use pediatricians detect nine months a year and not have to absorb this child daycare and interact with healthcare.
Author of the bill, Messina evaluates the work of early diagnosis will guide the municipality in inclusive education:
- This action is essential for parents to be informed, and the city can get jobs with education and guidance already in day care centers and health posts, either by the hand of the pediatrician, or by the hand of the educator. We have a good chance to get all children because we surround the two sides. In a second step, these two parties have to talk, work together. The successful experiences are still very shy, and there are tens of thousands of children with autism. So are prototypes, which should have already turned project indeed.
Secretary of Education, Helena Pomeny evaluates the trace in the early years is critical because it improves the chances of a better development of the child. About the difficulties reported by parents of autistic children regarding inclusion in the regular highlights:
- We have included students. And we want everyone to be included, but with quality. This action early detection has to be a warning for us to be aware of what is hurrying inside the network. Any treatment tends to have greater success thereafter.
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This article was translated by an automatic translation system, and was therefore not reviewed by people.