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Nouvelles normalités Nouvelles pathologies Nouvelles ... - Psynem

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6° 6éme Congresso Congrès Européen Europeo de di Psicopatologia Psychopathologie dell’Infanzia de l’Enfance e et dell’Adolescenza<br />

de l’Adolescence<br />

Nuove <strong>Nouvelles</strong> normalità <strong>normalités</strong> Nuove <strong>Nouvelles</strong> patologie <strong>pathologies</strong> Nuove pratiche <strong>Nouvelles</strong> pratiques<br />

THURSDAY, May 5 POSTER SESSIONS<br />

Poster session 3 Development - Development and language in<br />

migrant's families<br />

15 - MIGRANT CHILD OR CHILD WITH DISABILITY?<br />

A ONE YEAR STUDY IN A POPULATION OF ITALIAN AND FOREIGN CHILDREN: WHO IS<br />

REQUESTING CHILD NEUROPSYCHIATRIC INTERVENTIONS AND FOR WHICH PROBLEMS?<br />

P. Meucci, M. Leonardi, D. Pipari<br />

Fondazione IRCCS Istituto Neurologico C. Besta, Milano, Università Cattolica, Milano<br />

Based on several international studies migrants<br />

are considered an at-risk population requiring<br />

particular public health awareness.<br />

In Italy migrants are increasing, especially in<br />

Milan. What happens when these children have<br />

problems at school or in other contexts? Can<br />

we classify these problems as medical or social?<br />

Which is the Service and the network that<br />

can capture these problems?<br />

The aim of this article is to analyze the paths<br />

and the actors involved that suggest or require a<br />

Neuropsychological intervention for a migrant<br />

child or adolescent.<br />

To better understand what kind of problems<br />

foreign children have, it is important to consider<br />

who reports them to the Child Neuropsychiatry<br />

Service and the justification for the request.<br />

The study considered children and adolescents<br />

(aged 0 to17) coming to Milan’s Child<br />

Neuropsychiatry Service - Area 1, from August<br />

1st 2008 to the July 31st 2009. Data were collected<br />

through forms (Patient Signal Forms).<br />

160<br />

These forms were filled out by neuropsychiatrists<br />

in contact with the Services or the person<br />

who required a neuropsychological examination<br />

for the child.<br />

In total, 136 children’s Patients Signal Forms<br />

were analyzed (50 on foreigners children). Only<br />

8% of the foreign families addressed to the Child<br />

Neuropsychiatry Service autonomously.<br />

Others requests were suggested by school.,<br />

by health services or social services. This variety<br />

of actors complicates the case management<br />

for the Child Neuropsychiatry Service and the<br />

signals are often given for a neuropsycological<br />

assessment.<br />

This research shows how school is also an<br />

important actor who identifies discomfort of<br />

the foreign children. However not every problem<br />

is a neuropsychiatrist disorder, in particular<br />

when there is also a social or an educational<br />

problem due to a difficult inclusion process in a<br />

new socio-cultural context. For these reasons,<br />

we have to think a Case manager for migrants’<br />

health and/or social problems.

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