香港兒童腦科及體智發(fā)展學(xué)會-廣州市太陽船康復(fù)教育中心-入

TheHongKongSocietyofChildNeurologyandDevelopmentalPaediatrics

AnnualScientificMeeting2009香港兒童腦科及體智發(fā)展學(xué)會2009年周年學(xué)術(shù)研討會AutismSpectrumDisorders:UpdatesonManagement處理自閉癥譜系障礙的新發(fā)展15November2009

TrainingstartsfromInterest

Acasestudyontrainingbasedoninterestforapre-schoolchildwithautisminGuangzhou,CHINA自閉癥兒童教育從興趣開始-

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

GuangzhouTaiyangchuanRehabilitation&EducationCentre

廣州市太陽船康復(fù)教育中心Mr.IvanMAO,DeputyCentre-in-charge,

GuangzhouTaiyangchuanRehabilitation&EducationCentreSupervisor:Dr.Xu-hongCHEN,SeniorPaediatrician

GuangdongProvinceAssociationforDisabledPersons廣東省殘疾人康復(fù)協(xié)會OutlookofGZTYC

廣州市太陽船康復(fù)教育中心外貌21-8-2009廣州市太陽船康復(fù)教育中心3GZTYCatTinyuGardenGZTYC-AfiveminuteswalkfromTheGuangzhouEastStationBackgroundInformationofGZTYC

廣州市太陽船康復(fù)教育中心簡介ACommunityBasedRehab.CentreundertheGZDisabledPersonsFederationandwasestablishedinJune2008.市殘聯(lián)社區(qū)康復(fù)基地Centrelocatedatdowntowncommercialareaof834sq.m.位於市中心商業(yè)區(qū)FinancialSources:財政來源

(a)feecharging,服務(wù)收費(b)donationfromprivatefoundatione.g.GIVES,&私人基金捐助(c)government.政府資助

BackgroundInformationofGZTYC

廣州市太陽船康復(fù)教育中心簡介RoleofCentre:中心任務(wù)Pre-sch.Trainingforchildrenwithautismandrelateddisabilities,學(xué)前自閉癥及特殊需要兒童訓(xùn)練Provinciallevelrehab.ProfessionalStaffTraining,&廣東省康復(fù)專業(yè)人員培訓(xùn)ParentsEducation&Support.家長培訓(xùn)及支援

BackgroundInformationofGZTYC

廣州市太陽船康復(fù)教育中心簡介Totalchildrenserved:96(6/2008-10/2009)曾受訓(xùn)兒童Trainingsessions:over58,000sessions個訓(xùn)總節(jié)數(shù)ExistingCapacity:45

children現(xiàn)有服務(wù)名額StaffStrength:30

persons職員人數(shù)Daytrainingandhourlytrainingbyindividualitem日間訓(xùn)練及按個別訓(xùn)練項目鐘點課

21-8-2009廣州市太陽船康復(fù)教育中心7TypesofDisabilitiesofServiceUsers服務(wù)對象特征

（Someserviceusersmayhavemorethanonetypeofdisabilities）ASD

自閉癥65名ADHD10名Intellectualdisabilities智障3名Sensorydisorder

感統(tǒng)失調(diào)80名SpeechHandicapped語障8名DownSyndrome唐氏綜合癥2名HearingImpairment聽障1名Hyperkinetic多動癥10名VisualImpairment視障1名PervasiveDevelopmentalDelay綜合發(fā)展遲緩6名CP

腦癱12名Asperger

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

中心服務(wù)對象年齡分布年齡Age人數(shù)No百分比%0–3Years23243–6Years43466-10years2523.7511-15years33.7516yearsorabove22.5合計96廣州市太陽船康復(fù)教育中心8CentreServiceOutcomesStatistics

中心服務(wù)對象訓(xùn)練成效Improvementaftertraining兒童訓(xùn)練主要成效人數(shù)NO.百分比%Withmajorimprovement兒童有明顯改善8386.6%(a)Returningtomainstreamschoolaftertraining

訓(xùn)練后已返回普校及幼兒園就讀

8

(b)Halfdayinschool&halfdaytraininginGZTYC

半天普校，半天中心訓(xùn)練15Nosignificantimprovement兒童沒有明顯改善1313.4%Total96100%廣州市太陽船康復(fù)教育中心9ServiceItems中心服務(wù)項目AssessmentIndividual&GroupTrainingOccupationalTherapy,SpeechTherapy,&PhysiotherapyIntegratedEducationParentsSupportServicesSocialInclusionProgramsCounselingServiceTemporaryCareService1、Objectiveofthestudy研究的目的Toimprovelanguage,cognitive&behaviorby:IntegrativerehabilitationHolisticApproachbasedonindividualinterestsGroup&IndividualTraining2、CaseStudy個案研究2.1、BackgroundInformation背景資料

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

AdmittedonFeb.2009Diagnosis:ASDAssessment：DevelopmentalAgeof1year6months2.2Conditionsbeforetraining

訓(xùn)練前研究對象的狀況Language:Poorattention,Nomeaningfulspeech,poorresponsetoownname,Indicateneedsbyusingadult’shandSocial:DoesnotplaywithotherchildrenCognitiveAbility:Identifyred&bluecolor,IdentifyownbelongingsBehavior:Tempertantrum,screamingwhenneedsnotmet,overreactiontostimulus,obsessive&stubborn,3.TrainingProcedure&Techniques訓(xùn)練程序及技巧評估→制定訓(xùn)練計劃→根據(jù)功能障礙情況選擇相對應(yīng)的訓(xùn)練方法→階段性評估→調(diào)整訓(xùn)練計劃→再實施結(jié)構(gòu)化教學(xué)TEACCH

ABA行為矯正

Beh.Training認知訓(xùn)練CognitiveTraining語言治療SpeechTherapy感覺統(tǒng)合訓(xùn)練S.I.

多感官訓(xùn)練Multi-SensoryTraining可視音樂治療VisualMusicTherapy

奧爾夫音樂MusicTherapy游戲治療PlayTherapy運動治療P.T.

電腦輔助訓(xùn)練Com.Asst.Learning

小組文化課Gp.CultureClass職業(yè)技能培訓(xùn)VocationalTraining社區(qū)教育SocialInclusionAssessmentSettingPlanSelectappropriatetrainingtechniquesAccordingtofunctionalabilitiesPeriodicalReviewAdjustingtheplanImplementingtheplan4、TrainingprogramsofXiaoQing

研究對象的訓(xùn)練項目TEACCHasabasisoftraining

Supplementedby:-Speechtherapy-Cognitivetraining-SensoryIntegrationtraining-AppliedBehaviorTraining-Multi-sensoryTherapy-MusicTherapy-GroupTherapy-Play&cultureintervention(PCI)TEACCHTraining結(jié)構(gòu)化訓(xùn)練Basedonclient’sspeechdefects,oralmassage,tonguestimulation&airblowingwereappliedinhertraining.Remarkableimprovementonherspeechabilitywasrecordedaftertraining.SpeechTherapy言語治療

SensoryIntegrationTraining

感覺統(tǒng)合治療ABABehaviorTraining

應(yīng)用行為訓(xùn)練Behavior&emontionalmanagementMulti-sensoryTraining

多感官治療EnhanceeyehandcoordinationMusicTherapy

音樂治療EnhancelanguageabilityCognitiveTraining認知訓(xùn)練

Imitation：

a、Fromgrossmotortofinemotor

b、Fromfinemotortoskilledmotor

c、CombinationofmotorskillsGroupTherapy小組治療TableGamesPracticallivingskillsPlayCultureIntervention

游戲與文化介入Enhancesocialinteraction,五、ResultsofTraining訓(xùn)練成效Clienthadaremarkableimprovementafterthreemonthtraininginthefollowingareas：Language：-articulationcorrect,-improvementinspeechtone,-witheyecontactwhenbeingcalled,-abletorespondinsimpleword,-followtwostepsinstruction,-expressownneedsinsimplephrase五、ResultsofTraining訓(xùn)練成效

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