Clinical Pediatrics: Open Access
Open Access
ISSN: 2572-0775
ISSN: 2572-0775
Lucia Celesti
Bambino Gesu Childrens Hospital, Italy
Scientific Tracks Abstracts: Clin Pediatr OA
In 2015 the Bambino Gesù Pediatric Hospital (OPBG), within the European project "Common approach for refugees and other migrantâ??s health-CARE", studied and drafted a protocol for determining age in unaccompanied minors using a multidisciplinary and holistic approach. Due to the increasing numbers of migrants arriving in Italy by sea, a useful tool to manage the phenomenon in the difficult context of hotspots was required. In fact, being or not identified as a minor constitutes a watershed for the fate of the foreigner. At international level experts affirm that age assessment must consider a number of physical, psychological, environmental and cultural factors and that, for this reason, the involvement of doctors-with auxological skills, child neuro-psychiatrists, developmental psychologists, social workers, intercultural mediators-specialized and trained is needed. Based on demonstrated feasibility of the project, OPBG is going to be implemented in collaboration with Rome Municipalityâ?? the holistic protocol on local context of city of Rome. The age assessment foresee three main steps: a social evaluation, aimed at collecting information regarding the childâ??s life, his/her previous sexual activities, reason for the migration and useful details about the present situation; a neuropsychiatric/psychological evaluation through mental state evaluation (a qualitative analysis aimed to verify the existence of a potential psychiatric risk) and modified mini-mental state examination (a test used to assess and monitor cognitive functions in childâ??s principal neuropsychiatric domain); a medical-auxological examination, collection of all useful parameters to determinate age, including the childâ??s pubertal development. At the end of multidisciplinary evaluations, the case manager report the conclusion indicating the presumed age with a minimum value and a maximum value (range) deriving from the biological variability and the methods used by the team. If doubts remain, the migrant is considered as minor.
Lucia Celesti has completed her Degree in Medicine and Surgery at La Sapienza University in 1983 and is a Specialist in Pediatrics and Hygiene. She is the Director of Family Services at Bambino Gesù Children’s Hospital in Rome, Italy. She has published more than 25 papers in reputed journals and three books on children’s rights and relational and social issues in pediatrics.
E-mail: lucia.celesti@opbg.net