Processos para fechar o diagnóstico de AUTISMO - com Dra. Lisiane Motta - EP#144

Summary

The transcript discusses the importance of early intervention and public policy in addressing developmental disorders like autism. It highlights the effectiveness of comprehensive evaluations by multidisciplinary teams, including psychologists and pediatricians, in Canada's healthcare system. The speaker emphasizes the need for investment in screening to identify risk signs early, as timely intervention can prevent costly hospital visits later in life. They also touch on the cultural impact of diagnosis, the importance of listening to parents' concerns, and the challenges faced by families in accessing appropriate treatment and support.

Takeaways

• 😷 Public Health Policy: The script emphasizes the importance of not centralizing resources only in prevention but also in the evaluation of the public health system, such as the SUS (Unified Health System) in Canada.
• 🧐 Cognitive Assessment: In Canada, a comprehensive cognitive assessment for children is conducted by psychologists, which includes a lengthy evaluation process involving various scales and reports.
• 🏥 Healthcare Efficiency: The speaker mentions the efficiency of a clinic in evaluating five children within a week, highlighting the effectiveness of a system that includes a team of ten professionals assessing 5-10 children per week.
• 💰 Cost Implications: There is a discussion on the cost-effectiveness of early intervention versus the long-term costs of not treating conditions like autism, which can lead to frequent emergency hospital visits.
• 🔍 Screening for Risk Signs: The script points out the importance of public policy investing in tracking and identifying risk signs, with a historical success rate of 94% in diagnosing autism within a year.
• 🚫 Not Waiting for Diagnosis: The speaker argues against waiting for a definitive diagnosis to begin intervention, especially in cases like autism where early intervention is crucial.
• 👨‍⚕️ Medical Consultation Limitations: It is mentioned that the medical consultation model, with doctors having only 15 minutes to provide a diagnosis, can be flawed and may lead to misdiagnosis.
• 👥 Multidisciplinary Approach: The script suggests a more collaborative approach involving various professionals in child development, not just doctors, to improve the diagnostic process.
• 📝 Report and Perception: The importance of reports from other professionals and the perception they create for doctors is highlighted, which can help in more accurate and quicker diagnoses.
• 👶 Early Intervention: There is a strong case made for early intervention even in cases where a definitive diagnosis cannot be made, citing the benefits of neuroplasticity in young children.
• 🌐 Cultural Perception: The script touches on cultural perceptions and the challenges faced by mothers who are often labeled as anxious when they seek treatment for their children without a formal diagnosis.

Q & A

What is the main issue discussed in the script regarding public policy?

The script discusses the issue of not centralizing resources in prevention and the importance of early and effective evaluation within the public health system, specifically mentioning the challenges in the Brazilian Unified Health System (SUS).

What is the significance of evaluating children's cognitive development in the context mentioned?

Evaluating children's cognitive development is crucial for early identification of developmental disorders such as autism. Early detection allows for timely interventions, which can significantly improve outcomes for the children.

What does the script imply about the evaluation process in Canada compared to the SUS in Brazil?

The script implies that the evaluation process in Canada is more comprehensive and time-consuming, involving psychologists and various assessment scales, compared to the SUS in Brazil, which seems to be less efficient and more centralized.

Why is the efficiency of the evaluation process important according to the script?

The efficiency of the evaluation process is important because it allows for the assessment of multiple children within a week, leading to complete evaluations and written reports in a timely manner, which is crucial for early intervention.

What is the significance of the 94% figure mentioned in the script?

The 94% figure signifies the high accuracy rate of risk identification for autism within a year. It highlights the effectiveness of early screening and the importance of investing in tracking to identify risk signs early.

What is the script's stance on the importance of early intervention for children with developmental disorders?

The script strongly advocates for early intervention, emphasizing that waiting for a definitive diagnosis before starting treatment can be detrimental, as it may lead to more hospital visits and higher costs in the long run.

What challenges does the script identify in the current model of medical diagnosis within the public health system?

The script identifies several challenges, including the centralization of diagnosis on physicians, the short consultation time which may lead to misdiagnosis, and the lack of involvement of other professionals in the developmental process.

How does the script describe the role of other professionals in the developmental assessment of children?

The script suggests that other professionals, such as psychologists and physiotherapists, play a crucial role in preparing and contributing to the assessment of a child's development, which can help physicians make more accurate and timely diagnoses.

What is the script's view on the importance of not waiting for a definitive diagnosis to start intervention?

The script argues that it is essential to start intervention as soon as developmental delays are identified, regardless of whether a definitive diagnosis has been made, to take advantage of the brain's neuroplasticity and promote better outcomes.

What cultural aspects does the script touch upon regarding the perception of developmental disorders?

The script touches upon the cultural aspect of how mothers who perceive issues in their children are often labeled as anxious or overreacting, both by family and professionals, which can lead to a lack of appropriate support and intervention.

What is the script's perspective on the importance of listening to parents' concerns regarding their children's development?

The script emphasizes the importance of listening to parents, especially mothers, when they express concerns about their children's development. It suggests that their insights are valuable and should be taken into account in the diagnostic process.