香港儿童脑科及体智发展学会-廣州市太陽船康復教育中心-入

TheHongKongSocietyofChildNeurologyandDevelopmentalPaediatrics

AnnualScientificMeeting2009香港儿童脑科及体智发展学会2009年周年学术研讨会AutismSpectrumDisorders:UpdatesonManagement处理自闭症谱系障碍的新发展15November2009

TrainingstartsfromInterest

Acasestudyontrainingbasedoninterestforapre-schoolchildwithautisminGuangzhou,CHINA自闭症儿童教育从兴趣开始-

个案研究分析Ms.JuanTAN,Therapist,SpecialEducationTeacher,

GuangzhouTaiyangchuanRehabilitation&EducationCentre

广州市太阳船康复教育中心Mr.IvanMAO,DeputyCentre-in-charge,

GuangzhouTaiyangchuanRehabilitation&EducationCentreSupervisor:Dr.Xu-hongCHEN,SeniorPaediatrician

GuangdongProvinceAssociationforDisabledPersons广东省残疾人康复协会OutlookofGZTYC

广州市太阳船康复教育中心外貌21-8-2009廣州市太陽船康復教育中心3GZTYCatTinyuGardenGZTYC-AfiveminuteswalkfromTheGuangzhouEastStationBackgroundInformationofGZTYC

广州市太阳船康复教育中心简介ACommunityBasedRehab.CentreundertheGZDisabledPersonsFederationandwasestablishedinJune2008.市残联社区康复基地Centrelocatedatdowntowncommercialareaof834sq.m.位於市中心商业区FinancialSources:财政来源

(a)feecharging,服务收费(b)donationfromprivatefoundatione.g.GIVES,&私人基金捐助(c)government.政府资助

BackgroundInformationofGZTYC

广州市太阳船康复教育中心简介RoleofCentre:中心任务Pre-sch.Trainingforchildrenwithautismandrelateddisabilities,学前自閉症及特殊需要兒童訓練Provinciallevelrehab.ProfessionalStaffTraining,&广东省康复专业人员培訓ParentsEducation&Support.家長培訓及支援

BackgroundInformationofGZTYC

广州市太阳船康复教育中心简介Totalchildrenserved:96(6/2008-10/2009)曾受訓儿童Trainingsessions:over58,000sessions个訓總节數ExistingCapacity:45

children现有服务名额StaffStrength:30

persons职员人数Daytrainingandhourlytrainingbyindividualitem日间训练及按个别训练项目钟点课

21-8-2009廣州市太陽船康復教育中心7TypesofDisabilitiesofServiceUsers服务对象特征

（Someserviceusersmayhavemorethanonetypeofdisabilities）ASD

自闭症65名ADHD10名Intellectualdisabilities智障3名Sensorydisorder

感统失调80名SpeechHandicapped语障8名DownSyndrome唐氏综合症2名HearingImpairment听障1名Hyperkinetic多动症10名VisualImpairment视障1名PervasiveDevelopmentalDelay综合发展迟缓6名CP

脑瘫12名Asperger

阿氏保加8名Totalsample=96children基數=96名(6/08-10/09)Agedistributionofserviceusers

中心服务对象年龄分布年齡Age人數No百分比%0–3Years23243–6Years43466-10years2523.7511-15years33.7516yearsorabove22.5合计96廣州市太陽船康復教育中心8CentreServiceOutcomesStatistics

中心服务对象训练成效Improvementaftertraining儿童训练主要成效人数NO.百分比%Withmajorimprovement儿童有明显改善8386.6%(a)Returningtomainstreamschoolaftertraining

训练后已返回普校及幼儿园就读

8

(b)Halfdayinschool&halfdaytraininginGZTYC

半天普校，半天中心训练15Nosignificantimprovement儿童没有明显改善1313.4%Total96100%廣州市太陽船康復教育中心9ServiceItems中心服务项目AssessmentIndividual&GroupTrainingOccupationalTherapy,SpeechTherapy,&PhysiotherapyIntegratedEducationParentsSupportServicesSocialInclusionProgramsCounselingServiceTemporaryCareService1、Objectiveofthestudy研究的目的Toimprovelanguage,cognitive&behaviorby:IntegrativerehabilitationHolisticApproachbasedonindividualinterestsGroup&IndividualTraining2、CaseStudy个案研究2.1、BackgroundInformation背景资料

NameofCase:XiaoQing，Sex:Female，Age:6Yr.10mths

AdmittedonFeb.2009Diagnosis:ASDAssessment：DevelopmentalAgeof1year6months2.2Conditionsbeforetraining

训练前研究对象的状况Language:Poorattention,Nomeaningfulspeech,poorresponsetoownname,Indicateneedsbyusingadult’shandSocial:DoesnotplaywithotherchildrenCognitiveAbility:Identifyred&bluecolor,IdentifyownbelongingsBehavior:Tempertantrum,screamingwhenneedsnotmet,overreactiontostimulus,obsessive&stubborn,3.TrainingProcedure&Techniques訓練程序及技巧评估→制定训练计划→根据功能障碍情况选择相对应的训练方法→阶段性评估→调整训练计划→再实施结构化教学TEACCH

ABA行为矫正

Beh.Training认知训练CognitiveTraining语言治疗SpeechTherapy感觉统合训练S.I.

多感官训练Multi-SensoryTraining可视音乐治疗VisualMusicTherapy

奥尔夫音乐MusicTherapy游戏治疗PlayTherapy运动治疗P.T.

电脑辅助训练Com.Asst.Learning

小组文化课Gp.CultureClass职业技能培训VocationalTraining社区教育SocialInclusionAssessmentSettingPlanSelectappropriatetrainingtechniquesAccordingtofunctionalabilitiesPeriodicalReviewAdjustingtheplanImplementingtheplan4、TrainingprogramsofXiaoQing

研究对象的训练项目TEACCHasabasisoftraining

Supplementedby:-Speechtherapy-Cognitivetraining-SensoryIntegrationtraining-AppliedBehaviorTraining-Multi-sensoryTherapy-MusicTherapy-GroupTherapy-Play&cultureintervention(PCI)TEACCHTraining结构化训练Basedonclient’sspeechdefects,oralmassage,tonguestimulation&airblowingwereappliedinhertraining.Remarkableimprovementonherspeechabilitywasrecordedaftertraining.SpeechTherapy言语治疗

SensoryIntegrationTraining

感觉统合治疗ABABehaviorTraining

应用行为训练Behavior&emontionalmanagementMulti-sensoryTraining

多感官治疗EnhanceeyehandcoordinationMusicTherapy

音乐治疗EnhancelanguageabilityCognitiveTraining认知训练

Imitation：

a、Fromgrossmotortofinemotor

b、Fromfinemotortoskilledmotor

c、CombinationofmotorskillsGroupTherapy小组治疗TableGamesPracticallivingskillsPlayCultureIntervention

游戏与文化介入Enhancesocialinteraction,五、ResultsofTraining训练成效Clienthadaremarkableimprovementafterthreemonthtraininginthefollowingareas：Language：-articulationcorrect,-improvementinspeechtone,-witheyecontactwhenbeingcalled,-abletorespondinsimpleword,-followtwostepsinstruction,-expressownneedsinsimplephrase五、ResultsofTraining训练成效

CognitiveAbility:-Identifycommonfruitsanddailyobjects,-Rotecountingfrom1to10,SocialInteraction:-Involveingroupactivities-Partici