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Dispute over money threatens the treatment of children with autism – Switzerland: standard


How would this be if the state invested CHF 200 000 a year in the treatment of a child to save millions later? The federal council is presenting this promising bill in a new report on autism in Switzerland. As the Federal Council writes, new treatments for the treatment of autism disorders have been promising.

Thanks to these therapies, many autistic people would not be cured, but they would be able to live more independently. This would save a tremendous amount of care for the country, especially the cantons. But precisely this potential for savings is endangered, since most cantons are not yet ready to support therapy.

"Significant improvements"

These are the so-called intense early intervention. Children with autism have been diagnosed for two years at special centers for two years using medical and pedagogical methods. This multidisciplinary approach comes from the United States; Swiss autistic experts have tried it for about 15 years, so far without official state funding.

Since 2014, an experimental trial has been launched in which invalidity insurance (IV) supports the following treatment trials: CHF 45,000 per child, five pig breeding centers, Muttenz BL, Aesch BL, Sorengo TI and Geneva.

A recent study recently completed by the University of Applied Sciences in Zurich (ZHAW) has come to the conclusion that the new methods are really effective. Although many questions remain open. However, it is clear that attitudes "can significantly improve the condition of children, the quality of life of parents, as well as reduce educational costs and economic costs."

15 million per patient

With more than 20 treatment sessions a week, treatment is labor-intensive and expensive. At least 200,000 CHF will be spent on a two-year program. The large remaining amount remaining after deduction of IV contributions is mostly covered by private sponsors and parents. In some cases, the cantons of the location of the centers also contribute.

However, the cost offsets huge savings potential. An Autistic adult caring at home costs an average of about 25,000 francs a month, calculated by the federal council. Extrapolating for 50 years, it amounts to about 15 million francs per person. If only two percent of early intervention actors could live independently, the programs would be financially rewarded. Not to mention the positive impact on the lives of the affected people and their families.

One of the first children who benefits from such early intervention in Switzerland is David Bachmann, son of Cécile Bachmann, President of the Swiss Autistic Association. "Thanks to this program, my son has undergone tremendous development," she says. Her son, who suffered from severe autism, entered the program at the age of five and could not speak at all. Today, when he is 19, he still needs care, but thanks to timely intervention, he can talk.

Experts around Switzerland expect around 100 children a year to pay around 20 to 30 million francs.

Since, according to the ZHAW study, this effect is scientifically proven, the federal council extends the experimental experiment for four years. He wants to take this time to create a model that will allow as many children as possible to receive intensive treatment in the future. Experts around Switzerland expect around 100 children a year to pay around 20 to 30 million francs. But the question is, who is paying for it.

In its report, the Federal Council finally demands that cantons also pay in the future. In accordance with the Financial Equalization Rules (IVF), IV is responsible only for the part of intensive care, but for the cantons of the educational and therapeutic part.

Already in recent years, the Confederation negotiated with cantonal educational, social and health directors for financial participation but without agreement. ZHAW researchers write in their report that a "black parrot game" is taking place between the federal government and the cantons – at the expense of children.

Alain Berset Alert

Now, Minister of Social Affairs Alain Berset (SP) has written three conferences on social, health and education directors asking for serious consideration to be given to negotiating table discussions. In order to comply with this requirement, the Bertst Division has included a new official decree that sounds like a warning. IV reserves the right to "go out at any time" in a trial experiment if the solution to the cost problem with the cantons is "no longer realistic," says the regulation. According to the Federal Council, the only IV funding is simply "not in accordance with the law".

In the three cantonal conferences it is said that in January, it will probably be decided to respond to the letter from the Bersett Health Minister. (Ededia Tamedia)

Created: 18.11.2012. 20:01 clock

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