Chinh sach doi voi tre ttf ky fr Viet Nam hien Dgu Tuan Nam v a Hai Vdn " Tdm tdt: Trong khoang 15 nam Gd lai day, so lugng Ge d Vift Nam mic chiing t^r ky gia tang dang kl va trd mpt vdn dl xa hpi rat dang quan tam Trong dd nhan thiic cua cdc gia dinh, cpng dong, xa hpi ve hpi chiing cdn thilu diy du, tham chi sai lfch; dilu gay rdt nhieu kho khdn cho tre ty ky vifc tiep cjn, thy hudng cdc djch vy y te, giao dye va cdc chinh sdch an sinh xa hpi Bdi vilt de c^ip nhihig khd khdn, bat cgp chinh sach dii vdi tre ty ky d Vift Nam, tG dd gpi ^ mpt so giai phap nhdm giup tre ty ky c6 ca hpi binh ddng tiep cgn, thy hudng cac djch vy y te, giao dye vd cac chinh sach an sinh xd hfl cua Nha nudc Tit khda: Ty ky; roi lo^n phd ty ky; chinh sach doi vdi tre ty ky; tre ty ky IVld diu Trung Qudc, van de ty ky cGng dd dugc cdc Ty ky hay rdi logn p h i ty k^ Id mft dang nhd khoa hpc ddc bift quan tam Tuy khuyet tat phdt t r i l n ' ' thudng xudt hifn vdo nhidn, nhdn thGc cua cac cgng dong, nhdm khodng ndm dau ddi, nhung ton tgi lau dai xd hpi v l hgi chung d nhieu quoc gia vd gdy ndn nhGng khd khdn nhdt dinh, tham cdn thieu day du, thfm ehi sai lfch gdy nen chi nghiem Gpng tdi nhilu mdt Gong ddi song gia dinh, xd hpi va bdn than trd mdc **' Tien si, Hpc vifn Chinh trj khu vyc I, Hpc vi^ chinh trj quic gia Ho Chi Minh DT: 0912539889 Email: namdautuan@gmail.com tay Chdn dodn vd Thong ke cdc roi logn **'* Th?c sT, Hpc vifn An ninh nhSn ddn "* Theo CDC (Center for Disease Control and tdm thdn - bdn Idn thii (DSM-5) md ta la Prevention - Trung tam kilm so4t vi phfing ngira mft dgng khuyit tgt phdt triln vdi cdc d|ic djch bfnh thufc Bf Y tk \h Dich vy NhSn sinh Hoa Ky), khuyet t^it phdt tri6n 14 mft nh6m da bfnh man trung CO bdn Id: khiem khuyit vd giao tilp tinh nghiem trpng suy ylu tinh th^n v^o^c the qua lgi vd tuong tdc xd hfi; hanh vi hgn hpp chSt Khuyit ^t phdt triSn gdy nhieu khd khan mft so Rnh vyc cua cufc sdng, d$c bi§t li vd thudng l§p di ldp lgi*^\ Trdn thi gidi, sd Irong "ngdn ngO', V^ID dfng, hpc t ^ , tg Iyc vd sing lugng cdc nghien ciiu v l hdi chung ty ky mft mltih", doi vdi nhihig ngudi dang phii s6ng chung vdi chQng http://vi.wikipedia.oig/wiki^tiy% dugc thyc hifn ngdy cang nhilu, nhit la tai El%BA%BFt_t%E1%BA%ADtj)h%C3%Alt_tri% cdc nudc phdt triln cd thu nhgp cao nhu El%BB%$3n *^' American Psychiatric Association (2013), Dia^ic Anh, My, DGc, AusGalia eac nudc and Statistical Manual (f Mental Disorckrs, 5th Editkm Chdu A nhu Hdn Qudc, An Dp, Thdi Lan, Arlington, VA American Psychiatric AssociatitMi, Web [access date: June 2013] dsm.psychiatiyonline.org hpi chGng ndy Rdi logi phd ty ky dugc SS 60 Chinh sdch ddi vdi tre tuky nhieu hf lyy ddi sdng xa hdi vd thye sach y td ciia Tdng thdng Barack Obama, vd thi cdc chinh sdch Gg giup Trong thdng dng ciing da keu ggi su ho trg nhieu han difp "Ngay T h i gidi nhan thGc ve ty ky" nGa cho tre ty ky va gia dinh cdc em, quyet (ngdy thang ndm 2012), Tdng thu k^ dinh se chi hang ti dd la tG ngan sach lien Lien Hgp Qudc, dng Ban Ki-moon cung da bang cho cdc nguyen cGu ve nguydn nhan tGng chi rdng: "Tre em va nhung ngudi va phuang phdp tri lieu cho Ge ty ky mdc chGng tu ky phai ddi mat vdi nhGng O Vift Nam, chua cd sd lifu cdng bd thdch thGc Idn, Gong dd cd sy phdn bift chinh thGc, nhung tG nam 2000 din sd ddi xu cung nhu thidu khd nang tilp can Ge dugc chdn dodn vd dilu tri chGng ty ky djch vu ho Gg Nhieu ngudi phai vat Ipn tgi cdc CO sd y te cdng lap ngdy cdng tdng, vdi cdc rdo cdn cudc sdng hang ndm sau cao hon nam trudc Theo sd lifu ngdy"^ Vi vdy, nghien cGu tim hidu cua Khoa Phyc hdi chGc nang (Bfnh vifn nhihig khd khan b i t cap Gong vifc thgc thi Nhi Trung uong), ndm 2000 sd Ge ty ky chinh sdch ddi vdi Ge tu ky Id vifc ldm hit din khdm tdng 122% so vdi ndm trudc va sGc can thidt, de tu dua cdc khuyin ndm 2007 sd Gd ty ky ddn khdm tang len nghj v$n dgng chinh sdch nhdm giup ngudi din 268% Tgi Tp Hd Chi Minh, ndm 2000 ty k^' ndi chung va Ge tu ky ndi ridng cd chi ed Gd din Bfnh vifn Nhi dong CO hfi binh ddng Gong tilp cdn va thy khdm vd dilu trj ehiing tu ky, thi ndm 2008 hudng cdc djch vu y t l , gido dye va an sinh s l Ge den kham Id 324, tang hem 160 lin xd hpi cua Nhd nudc Trong nhOng ndm gdn day, s l lugt trd din T i n g quan tinh hinh tre em mdc hfi chGng ty- ky d Viet Nam Theo thong kd ciia td chGe Autism Speaks*''*, ty If Gd em dugc phdt hifn vd khdm tai Khoa Tdm thin (Bfnh vifn Nhi Trung uong) dugc chin dodn rdi logn p h i ty ky hay cd diu hifu tg ky ngdy edng gia tdng (Hinh 1) chin dodn mdc hgi chung ty ky trdn thi gidi gia tdng ddng k l , ndm 1975: 1/5000; ndm 1986: 1/2500; ndm 1995: 1/500; ndm 2001: 1/250; nam 2004: 1/166; ndm 2007: 1/150; ndm 2009: 1/110; ndm 2012: 1/88*^' vd ndm 2014 Id 1/38**' T^- Id Gd ty ky gia tdng nhanh chdng dang dat nhung vin d l Idn doi vdi nhilu quoc gia Tgi My, tu ky dugc x i p vdo danh muc 13 dgng khuyit t^t va v i n d l trd ty ky dd dugc khdng djnh la mgt Gong nhChig uu tidn hdng diu chmh * *http://www.un.org/sg/statements/?nid=5184 *^' Autism Speaks \k mft t6 chiic tuyen truyin v§n dfng ve ty 1P^ My, hoat dfng chii yeu trfin c4c ITnh vyc: tii trp cho nghiSn ctru \k ty kj \h tiln hinh cdc ho^t dfng nhdm ndng cao nh^n thiic vd tilp c$n cfng dSng *" http://www.autismspeaks.org/sites/defauU/files/ documents/media-center/as_prevalence_vs_costchartOl.jpg ''"http://www.autismspeaks.org/science/science-news/ autism%E2%80%99s-rising-prevalence-what-donumbers-mean 61 Tgp chi Khoa hgc xa hgi Vift Nam, sd 11(96) - 2015 4000 - - 3500 j 3000 >K4J41 • ^~~~» 2468 2S00 , y\-)12 20OO 1500 1000 L„„»K4J41 • ^~~~» 2468 2S00 , y-)12 20OO 1500 1000 L„„»