COMISSÃO ESPECIAL DA POLÍTICA NACIONAL PARA PESSOAS COM AUTISMO (PL 3080/20)

- Bye bye. Sra. Presidente da mesa, deputada Maria Rosas, deputados e deputadas, colegas profissionais, familiares e todos presentes. My name is Casey Nobrega, I'm a occupational therapist and a teacher. I speak in this public audience in the position of representative of the Federal Council of Fisioterapia and Terapia Occupational, COFITO. with the objective of of manifest our support and contribute to the improvement of the law 3080-2020, that is the national policy policy for the protection and expansion of the rights of people with autism disorder. Before any consideration, I would like to thank this House for the initiative to discuss the strengthening of the public policies, about people with autism disorder. "It is a pauta of great relevance for the inclusion of social inclusion and the guarantee of fundamental rights. In the specific field of autism, Brazil has advanced significantly with the promotion of the law 12.764-2012 known as Lei Berenice Piana. which instituted the National Protection of the Rights of the People with Transformation of the Spectre Autistic, and recognized the person with autism as a person with deficiency for all effects legal effects. This legislation has established as directives the integral of the needs of the person with TEA, including the precocious diagnosis, the multi-professional treatment and access to therapies based on evidence. In the next, comes the Lei 13.146, of 2015, which is the Brazilian Inclusion of People with Deficiency, which reforce the State's compromising with the promotion of autonomy, social participation, and equality of opportunities for people with deficiencies, promoting expressly the offer of rehabilitation services by multiple teams. and interdisciplinary. which is the theme of our debate. Also in the field of health care, the organization of the networks of people with disabilities, is a integrated approach of different health professionals, recognizing that the complex of the human conditions are required to be complementary and articulated. Thank you. Thank you. The care of people with autism requires an integral and collaborative assistance, because this condition directly affects different areas of development, like communication, social interaction, and autonomy, and autonomy in the daily activities. In the complex demand, the act in a team of interprofessional, is considered one of the most effective strategies to promote the integral development, inclusion and quality of life. a In this way, the care of different areas work cooperatively and centric in the user, sharing responsibilities in the therapy process. The integration of interventions evite fragmentation of the care and share the decision. The participation of the family and the patient's own plan is to be prepared. At the moment, there are several practices based on evidence, used by professionals from different areas, which are common to the profession, and others that are specific to each category. But the objectives of these practices need to be aligned and integrated for the well-being and quality of life of people with autism. In the occupational therapy, there are also the sensory integration, DIR floor time, ABBA, communication augmentative and alternative, among others. However, it is necessary to reflect that the methods and techniques are important to orient the clinical, educational and therapeutic work. but they cannot be able to be a professional. This is because the ethical and qualified proficiency of the profession is to be a critical analysis, a individualized evaluation and a decision based on the specific needs of each individual. The care of people with autism requires a professional posture that recognizes the complexity of the human phenomenon. autism is characterized by a great heterogeneity of manifestations. People in the spectrum can present different levels of support, different functions, different functions, singularly communication, and possible conditions associated. So, the idea that a single-treative approach could respond adequately to all these demands, ignores this diversity and reduces the complexity of the subject to a restricted set of procedures. - The first time I was in the hospital, I was in the hospital. - The first question is, When a technique or method passes to occupy the center of therapy, there is risk to reverse the logic of the care, instead of adapting the intervention to the person. Busca se adaptar a pessoa ao método. Essa inversão pode limitar a escuta profissional, reduzir a sensibilidade e as particularidades do indivíduo, e enfraquece o processo de intervenção. The "fazer profissional qualificado e integrado", ao contrário, exige flexibilidade teórico-técnica. Profissionais que atuam com pessoas com autismo, frequentemente precisam articular diferentes referenciais, integrar estratégias de diversas áreas e ajustar continuamente suas práticas. Isso inclui considerar aspectos comunicativos, emocionais, cognitivos, sensoriais, familiares e sociais. No isolation, no isolation, can be able to achieve enough all these areas of intervention. The integrated therapies are integrated different knowledge and therapeutic approaches, allowing interventions to be coerent and complemented. This prevents isolated actions and prevents a more integral plan. It is in this context that is a terapia ocupational, a field of knowledge and intervention in health, education and social sciences. a profession regulated by law, focused on the autonomy, functionality and social participation of people in their daily activities. The focus is to ensure that each individual participates in a plent and significant life in the family, school, labor, social and social. and community. The act of the occupational occupational and autistic people is widely recognized socialmente, by scientific literature and by the directives of public policies of care for this population. The occupational occupational occupational act for individuals to participate in a plenum and significant way in all human occupations. or activities that involve daily activities, daily activities, daily activities, daily activities, daily activities, education, work, play, play, social, social activities. The occupational therapists use technologies and different therapy resources to develop the necessary skills to do the daily activities of people. The role of the occupational therapist is, therefore, to develop, in conjunction with the user, Thank you. So, these interventions are directly aligned with the objectives of public policies focused on people with TEA. In addition, the absence of explicit mention of occupational therapy in the Projet of Lei 3080-2020 can represent a lacuna in the structure of public policies. So, in this way, the inclusion of the occupational therapy is the principle of the attention multi-professional already prevailing in the Brazilian normatives, and guarantees the greater coerence between this new policy public and the juridical system. More than recognizing a profession, it is to guarantee that people with the spectrum of autism have access to interventions necessary cidadania. For this reason, the Federal Federal of Fisioterapia and Terapia Ocupational, COFIDO, has, respectfully, proposed that the Projeto of Ley 3080-2020 include expressly a terapia ocupational between areas of the profession that includes attention integral to people with autism. for people with autism. We affirm our disposition to work technically to improve this project and to build policies more inclusive and more inclusive policies, based on evidence and committed with human dignity. Thank you.