RANI SKRINING NA AUTIZAM U PRIMARNOJ PEDIJATRIJSKOJ SLUŽBI
EARLY SCREENING FOR AUTISM IN PRIMARY CARE SETTING

Author(s): Mirjana Remetić, Mirzada Kurbašić
Subject(s): Developmental Psychology, Neuropsychology, Behaviorism, Health and medicine and law
Published by: Akademija Nauka i Umjetnosti Bosne i Hercegovine
Keywords: autism; education; early screening;
Summary/Abstract: Autism spectrum disorder (ASD), a condition classified in the group of neurodevelopmental disorders, is characterized by persistent deficit in communication and social interactions, and presence of restricted, repetitive patterns of behavior, interests, or activities. Early diagnosis and interventions are imperative for better outcomes. The American Academy of Pediatrics (AAP) supported the project “Autism Education and Early screening”, with the goal to raise public awareness of autism in Bosnia and Herzegovina by educating the public about early signs and symptoms, determine the incidence and increase early detection of ASD by introduction of autism screening at the age 18-30 month. Methods and material: Educational brochures about typical child development and early signs of autism have been developed and distributed to parents; posters have been displayed at kindergartens, schools and health institutions. Extensive media coverage and numerous professional presentations have been aimed at educating both public and health care workers. The Modified Checklist for Autism in Toddlers (M-CHAT) has been cross translated according to the rules and copy- rights. Results: From January 2009 trough 2012, 611 children (55% of boys), aged 21±3 months, were subject to the screening. The initial screening was passed by 298 boys (89%) and 256 girls (92%). Four boys and one girl were immediately referred to a further evaluation and early treatment. Conclusion: This overall project contributed to raising autism awearness by linking health, social and educational resources. The preliminary early screening confirmed that estimated incidence of ASD in Bosnia and Herzegovina is similar as reported elswere. Knowledge (public and professional), as well as the early screening, are required for timely diagnosis and interventions.

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