Özet:

Purpose: This study is aimed at identifying the difficulties that doctors in the field of child psychiatry in our country encounter in the process of assessing special needs in the implementation of the Regulation on the assessment of special needs for children (SOLUTION). Tools and Methods: The member of the Children and Youth Psychiatry Association of Turkey has been reached by e-mail to the doctors and teachers specialized in mental health and diseases of all children and adolescents, from September to October 2020. For volunteers to participate in the study, the changes in the field of expertise of the doctor and the Solution Regulation followed the health council’s assessment, recognition, guidance to the committee and reporting processes based on self-reportation, which consisted of closed and open questions. Results: The average age of participants (n=156) is 33.8 (±4.1) and 67.3% are women. In the data concerning the practice of the health council; the council guidelines are mainly made by a child and adolescent psychiatrist, some psychiatric diagnoses are not educally approved by the guidance research center (RAM), this situation can affect the doctor's diagnostic decision, almost half of the participants have been shown that they have not been diagnosed in the hospital when evaluating the patients of the health council after SOLUTION, and that they have been challenged at least in one field, including cognitive development, language speech and communication and children and adolescent psychiatrics, having problems related to the breach of the boundaries with different disciplines. Our study found that on the basis of the self-reference of the doctors in different after-solution centers patients with the same diagnosis may be different in terms of the area and level of special needs, especially autism spectrum disorder and the level of special needs in the report of mental insufficiency may not match the actual level of the child. Result: In order to be able to regulate the reports of the health council from the patient’s point of view without creating legal problems from the doctor’s point of view, it is necessary to make rational arrangements for the resolution of the challenges faced by the doctors in the Solution Regulation and then to train the relevant doctors, hospital managers and RAM staff to the regulation.

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