[Changes in child and adolescent psychiatric care with respect to autism spectrum disorders].

The evaluation unit for pervasive developmental disorders and autism - diagnostic center of Seine-et-Marne "United" has been open for eleven years within the child and adolescent psychiatry department. At the beginning, it welcomed patients as a first intention, or not, at a time when the diagnosis verbalized to the families was not self-evident. It has gradually taken on the role of an evaluation center for complex situations, pushed in this by the political authorities who are trying to structure (to change) the life course of people with autism. The Canadian "SACCADE" model opens up avenues of reflection on the understanding of autism, thus reexamining the place of the caregiver in child psychiatry.