Care pathways for autism spectrum disorder (ASD) in south Italy Campania region: From infant diagnosis to ‘after us’ program

Introduction: Autism Spectrum Disorder (ASD) requires multidimensional and continuous care throughout the life span. The Campania Region has implemented specific pathways for diagnosis, treatment, and social support for people with ASD.Methods: Narrative review based on the analysis of major international scientific sources, national andRegional regulations, company resolutions, and operational ASL documentation, as well as the 2024 Campania Region Autism Service Charter.Results: Campania adopted a highly complex PDTA (DGR 131/2021), introduced intervention flexibility (DGR 42/2024), activated inclusive and residential pathways for adults (DGR 744/2022, DD395/2023), and adopted the “Dopo di Noi” law (DGR 241/2022). ABA is integrated into some regional protocols (ASL Caserta - Resolution 1360/2024). The list of accredited centres is updated in the 2024 Service Charter.Conclusion: The Campania model represents an integrated and replicable approach, with a continuous pathway from childhood diagnosis to adulthood, emphasizing the effectiveness of structured and proactive intervention.