L’UTILIZZO IN MEDICINA LEGALE DELLA MISURAZIONEDELLA SALUTE DEL MINORE SECONDO ICF-CY: ESEMPLIFICA-ZIONE CASISTICA

Abstract

The evaluation of minors within welfare contest requires an adequate multidisciplinary and interdisciplinary approach to clinical and psycho-social order. There are many evaluation’s instruments, but in the medico legal context particularly useful is the evaluation according to the guidelines of the World Health Organization, in the recent codification ICF, International Classification of Functioning, Disability and Health [1] version YC (Children and Youth) [2]. The use of minor measurement according to ICF-CY is here reported in a child’s health experience with neuropsychiatric disorders. The system ICF-CY offers a revolutionary new model that relates biological, psychological and social factors adopting a new terminology in positive value for health description: activity limitation (social perspec- tive of functioning) replaces term of disability, restriction of participation (individual perspective of the functioning) replaces term handicap: in that context the ICF-CY allows an adequate diagnostic formulation for commissions operating assessment under law 104/92. This new model suggests too an international language that adopt criterion of objectivity and interobserver reproducibility and provides the social health economic impact of limitations and restrictions, for the application of equity and distributive justice in the public resources use. The ICF classification unit is not a diagnosis for a child, but a profile of his functioning: it includes new codes to describe and document the children development characteristics, bodily functions, activities and participation up to 18 years age; it also aims to describe nature and gravity of functioning limitations and environmental factors. The ICF crucial points are the family context, developmental delay, participation and environmental role