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Improve health care access is possible. A case report

Published online by Cambridge University Press:  13 August 2021

O. Gori ,
R. Raggini ,
R. Sant’Angelo ,
G. Tricomi ,
G. De Paoli ,
S. Grittani  and
G. Piraccini
O. Gori*
Affiliation:
Mental Health Department, AUSL ROMAGNA, Cesena, Italy
R. Raggini
Affiliation:
Mental Health Department, AUSL ROMAGNA, Cesena, Italy
R. Sant’Angelo
Affiliation:
Mental Health Department, AUSL ROMAGNA, Cesena, Italy
G. Tricomi
Affiliation:
Uo Npi Cesena, Ausl Romagna, Cesena, Italy
G. De Paoli
Affiliation:
Mental Health Department, AUSL ROMAGNA, Cesena, Italy
S. Grittani
Affiliation:
Uo Npi Rimini, Ausl Romagna, Rimini, Italy
G. Piraccini
Affiliation:
Mental Health Department, AUSL ROMAGNA, Cesena, Italy
*
*Corresponding author.

Abstract

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Introduction

Within the hub and spoke organizational model provided by the Emilia Romagna Region for assistance to people with autism spectrum disorder (ASD), Cesena ward of psychiatry represents the hospital Hub. Here, a dedicated team (doctors, psychologist, case manager) creates individualized pathways to ensure second-level specialist diagnostics and the management of comorbidities affecting subjects diagnosed with Autism Spectrum Disorder and Intellectual Disability (ID).

Objectives

We report the case of a 23-year-old man, who from the age of 6 was opposed to any instrumental diagnostic investigation.

Methods

In order to guarantee the patient’s full collaboration in carrying out essential diagnostic activities, short behavioural paths were created including video modelling. The Vi.Co app was used and a new app was created to target behaviors that could not be included in Vi.Co

Results

It was thus possible to make the patient compliant with the execution of blood samples, ECG, MRI of the brain in sedation and CT dental scan.

Conclusions

In our case, communication support systems and behavioral strategies have proved to be excellent allies in significantly improving the quality of care for our young patient. Considering the worst prognosis of pathologies and the reduced life expectancy of subjects suffering from ASD and ID, known in the literature, in our opinion, the first essential step becomes facilitating access to care for these patients.

Disclosure

No significant relationships.

Keywords

Video modelingautism spectrum disorderintellectual disabilityaccess to care
Type
Abstract
Information
European Psychiatry , Volume 64 , Special Issue S1: Abstracts of the 29th European Congress of Psychiatry , April 2021 , pp. S791
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
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