In Italy, after a 6-month to one-year waiting period for assessment, the child diagnosed with ASD is generally assigned to an eclectic treatment. This treatment generally focuses on physical and speech and language therapies and almost never includes ABA therapy. Even though the Ministry of Health published the Linea Guida 21 which recognizes behavioural therapies as having the major scientific evidence of effectiveness, the Regions are autonomous on health care and disregard these guidelines. Parents can privately recruit ABA service providers which costs are partially reimbursed in three of the 20 Italian Regions. There are about seventy BCBAs in the country; however, there is no registry of behavior analysts. Moreover, the quality of ABA-based treatments is questionable as there is no formal regulatory organization that oversees ABA training programs. For more information about ABA in Italy please read page 174 of Keenan, M., Dillenburger, K., Röttgers, H. R., Dounavi. K., Jónsdóttir, S. L., Moderato, P., Martin, N. (2015) Autism and ABA – The Gulf Between North America and Europe. Journal Autism Developmental Disorders, 2:167–183. doi: 10.1007/s40489-014-0045-2.
We thank Autismo Fuori dal Silenzio for their assistance in gaining access to legal proceedings related to ABA in Italy.
Ringraziamo Autismo Fuori dal Silenzio per la loro assistenza nell’accedere ai procedimenti legali relativi alla ABA in Italia.