Autism and education—international policy in small EU states: policy mapping in Malta, Cyprus, Luxembourg and Slovenia

Author:

van Kessel Robin1ORCID,Hrzic Rok1ORCID,Czabanowska Katarzyna123,Baranger Aurélie4,Azzopardi-Muscat Natasha56,Charambalous-Darden Nefi7,Brayne Carol8,Baron-Cohen Simon9,Roman-Urrestarazu Andres189

Affiliation:

1. Department of International Health, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands

2. Department of Health Policy Management, Institute of Public Health, Faculty of Health Care, Jagiellonian University, Krakow, Poland

3. National Institute of Public Health, Warsaw, Poland

4. Autism-Europe, Brussels, Belgium

5. Department of Health Services Management, Faculty of Health Sciences, University of Malta, Msida, Malta

6. Islands and Small States Institute, WHO Collaborating Centre on Health Systems and Policies in Small States, University of Malta, Msida, Malta

7. Centre for Education and Research, University of Northampton, Northampton, UK

8. Institute of Public Health, University of Cambridge, Cambridge, UK

9. Department of Psychiatry, Autism Research Centre, University of Cambridge, Cambridge, UK

Abstract

Abstract Background Special education provides an array of support that can advantageously meet special education needs (SEN) of children with autism. This report maps autism and SEN policies, and tension of international legislation in Malta, Cyprus, Luxembourg and Slovenia. Methods A policy path analysis was performed using a scoping review as fundamental methodological framework. Results Education for children with SEN developed from limited education towards segregation, and further to integration, and inclusion in mainstream education. International policy has greatly influenced the education systems under study. The rights to education and to have SEN addressed have been adopted in all countries. Inclusion is seen to be gradually incorporated by Malta, Cyprus and Luxembourg—closely following values of international documents through concise SEN policies. Slovenia’s education system remains segregated, indicating potential tension. Conclusions It appears that mainstream schools offer SEN services until no longer feasible for the child in the majority of investigated countries. Inclusion has become a guiding principle for most education systems under study. Finally, small states either commit to the implementation of inclusion or delay it and attempt to improve the education system for children with SEN in different ways.

Funder

Gillings Fellowship in Global Public Health and Autism Research

Innovative Medicines Initiative 2 Joint Undertaking

European Union’s Horizon 2020

EFPIA

AUTISM SPEAKS

Autistica

SFARI

Autism Research Trust

MRC

Wellcome Trust and the NIHR Cambridge Biomedical Research Centre

National Institute for Health Research (NIHR) Collaboration

Cambridgeshire and Peterborough NHS Foundation Trust

Publisher

Oxford University Press (OUP)

Subject

Public Health, Environmental and Occupational Health

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