Descaminhos em busca do diagnóstico do transtorno do espectro autista no sistema de saúde

Abstract

Autistic Spectrum Disorder is defined as a neurodevelopment disorder, characterized by changes in communication, social interaction and restricted and repetitive patterns of behavior. In recent years, specific national policies for Autistic Spectrum Disorder and services for monitoring and rehabilitation have been created. This study aims to characterize the family trajectory followed in the search for the diagnosis of Autistic Spectrum Disorder and the challenges faced during this process. The present study is an integrative review and the data collection was carried out in the Scielo and Academic Google, using the descriptors "Autism Spectrum Disorder", "Autism", "Therapeutic itinerary", "Diagnosis", "Public health" 3 and "Family trajectory", considering the articles published in full from 2010 to 2020. The results are presented in two categories: pilgrimage in the health services and professionals involved and; mistaken or late diagnoses and the unpreparedness of health professionals. Of the nine studies evaluated, seven referred to passing through the public system. The studies found showed the difficulty of carrying out an early diagnosis and brought reports of mistaken diagnoses or diagnostic postponement. Autism policies in Brazil are recent, this may justify the difficulties of access, the provision of services and the lack of training.