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 de l’Adolescence Nuove Nouvelles normalità normalités Nuove Nouvelles patologie pathologies Nuove pratiche Nouvelles pratiques THURSDAY, May 5 POSTER SESSIONS Poster session 3 Development - Development and language in migrant's families 15 - MIGRANT CHILD OR CHILD WITH DISABILITY? A ONE YEAR STUDY IN A POPULATION OF ITALIAN AND FOREIGN CHILDREN: WHO IS REQUESTING CHILD NEUROPSYCHIATRIC INTERVENTIONS AND FOR WHICH PROBLEMS? P. Meucci, M. Leonardi, D. Pipari Fondazione IRCCS Istituto Neurologico C. Besta, Milano, Università Cattolica, Milano Based on several international studies migrants are considered an at-risk population requiring particular public health awareness. In Italy migrants are increasing, especially in Milan. What happens when these children have problems at school or in other contexts? Can we classify these problems as medical or social? Which is the Service and the network that can capture these problems? The aim of this article is to analyze the paths and the actors involved that suggest or require a Neuropsychological intervention for a migrant child or adolescent. To better understand what kind of problems foreign children have, it is important to consider who reports them to the Child Neuropsychiatry Service and the justification for the request. The study considered children and adolescents (aged 0 to17) coming to Milan’s Child Neuropsychiatry Service - Area 1, from August 1st 2008 to the July 31st 2009. Data were collected through forms (Patient Signal Forms). 160 These forms were filled out by neuropsychiatrists in contact with the Services or the person who required a neuropsychological examination for the child. In total, 136 children’s Patients Signal Forms were analyzed (50 on foreigners children). Only 8% of the foreign families addressed to the Child Neuropsychiatry Service autonomously. Others requests were suggested by school., by health services or social services. This variety of actors complicates the case management for the Child Neuropsychiatry Service and the signals are often given for a neuropsycological assessment. This research shows how school is also an important actor who identifies discomfort of the foreign children. However not every problem is a neuropsychiatrist disorder, in particular when there is also a social or an educational problem due to a difficult inclusion process in a new socio-cultural context. For these reasons, we have to think a Case manager for migrants’ health and/or social problems.
6° 6éme Congresso Congrès Européen Europeo de di Psicopatologia Psychopathologie dell’Infanzia de l’Enfance e et dell’Adolescenza de l’Adolescence Nuove Nouvelles normalità normalités Nuove Nouvelles patologie pathologies Nuove pratiche Nouvelles pratiques THURSDAY, May 5 POSTER SESSIONS Poster session 3 Development - Development and language in migrant's families 16 - NUOVE PROSPETTIVE NELLA VALUTAZIONE DEL PLURILINGUISMO IN UNA POPOLAZIONE DI MIGRANTI Luisa Strik Lievers, Anna Vandoni, Elena Poggio, Martina Piemontese, Carlo Lenti, Alessandro Albizzati. Azienda Ospedaliera San Paolo, Milano (Milano - IT) Obiettivo di questa presentazione è una riflessione sul ruolo e la peculiarità dei disturbi di linguaggio nella popolazione migrante. Il linguaggio si pone infatti al confine fra la neuropsicologia e lo sviluppo psicoaffettivo, carico com’è di valenze sia relazionali che culturali, per il bambino e per la famiglia. L’evento migratorio si inserisce come fattore aggiuntivo, ricco di potenzialità e stimoli così come anche di vulnerabilità. Per offrire una risposta mirata all’utenza migrante, sia di prima che di seconda generazione, dal 2005, nella sede territoriale della UONPIA dell’Ospedale San Paolo di Milano di Via Barabino, si è pensata una riorganizzazione dell’accoglienza e dei protocolli diagnostici. Il progetto, tuttora in corso e realizzato in collaborazione con la Cooperativa Culturale Crinali, si basa sull’approccio etnopsicoanalitico della scuola francese (Marie Rose Moro). Verranno presentati i dati di accesso al servizio (ad oggi sono giunti a consultazione 299 minori plurilingui: di questi il 39 % in età prescolare; il 39% in età di scuola elementare, il 22 % in età di scuola media/superiore; complessivamente le difficoltà di linguaggio e di apprendi- 161 mento della letto-scrittura costituiscono il 48% delle motivazioni di invio; le innovazioni metodologiche introdotte nel corso della realizzazione del progetto hanno riguardato la consultazione di 129 minori). Si presenterà inoltre la modalità di lavoro che comprende: setting multidisciplinare- multiculturale-plurilinguistico, anamnesi transculturale e biografia linguistica, partecipazione della Mediatrice Culturale allo svolgimento della valutazione logopedica. La nuova metodologia di intervento ci ha finora permesso di accostare da nuove prospettive e con nuovi strumenti di valutazione il problema del multilinguismo, con la possibilità di analizzarlo in modo più articolato e utile ai fini preventivo e prognostico (bi/plurilinguismo aggiuntivosottrattivo). Il setting e gli strumenti specifici, inoltre, hanno facilitato l’alleanza terapeutica con la famiglia e il paziente, utile sia in fase diagnostica che di restituzione e pianificazione dell’eventuale intervento, in particolar modo per quelle situazione in cui la difficoltà linguistica ha importante genesi conflittuale.
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Nouvelles normalités Nouvelles pathologies Nouvelles ... - Psynem

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