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ppt课件

1、The Hong Kong Society of Child Neurology and Developmental PaediatricsAnnual Scientific Meeting 2021 香港儿童脑科及体智开展学会2021年周年学术研讨会Autism Spectrum Disorders: Updates on Management处置自闭症谱系妨碍的新开展 15 November 2021Training starts from InterestA case study on training based on interest for a pre-school child w

2、ith autism in Guangzhou, CHINA自闭症儿童教育从兴趣开场- 个案研讨分析Ms. Juan TAN, Therapist, Special Education Teacher,Guangzhou Taiyangchuan Rehabilitation & Education Centre 广州市太阳船康复教育中心Mr. Ivan MAO, Deputy Centre-in-charge, Guangzhou Taiyangchuan Rehabilitation & Education CentreSupervisor: Dr. Xu-hong CHEN , Seni

3、or Paediatrician Guangdong Province Association for Disabled Persons广东省残疾人康复协会Outlook of GZTYC广州市太阳船康复教育中心 外貌21-8-2021廣州市太陽船康復教育中心3GZTYC at Tinyu GardenGZTYC - A five minutes walk from The Guangzhou East StationBackground Information of GZTYC广州市太阳船康复教育中心简介A Community Based Rehab. Centre under the GZ

4、 Disabled Persons Federation and was established in June 2021.市残联社区康复基地Centre located at downtown commercial area of 834 sq. m. 位於市中心商业区Financial Sources: 财政来源 (a) fee charging,效力收费 (b) donation from private foundation e.g. GIVES, & 私人基金捐助 (c) government. 政府资助Background Information of GZTYC广州市太阳船康复教

5、育中心简介Role of Centre: 中心义务Pre-sch. Training for children with autism and related disabilities,学前自閉症及特殊需求兒童訓練 Provincial level rehab. Professional Staff Training, & 广东省康复专业人员培訓 Parents Education & Support.家長培訓及援助Background Information of GZTYC广州市太阳船康复教育中心简介Total children served: 96 ( 6/2021-10/2021)曾受

6、訓儿童Training sessions: over 58,000 sessions 个訓總节數Existing Capacity: 45 children 现有效力名额Staff Strength: 30 persons 职员人数Day training and hourly training by individual item 日间训练及按个别训练工程钟点课21-8-2021廣州市太陽船康復教育中心7Types of Disabilities of Service Users 效力对象特征Some service users may have more than one type of

7、disabilitiesASD 自闭症65名ADHD10名Intellectual disabilities智障3名Sensory disorder 感统失调80名Speech Handicapped语障8名Down Syndrome唐氏综合症2名Hearing Impairment听障1名Hyperkinetic多动症10名Visual Impairment视障1名Pervasive Developmental Delay 综合发展迟缓6名CP 脑瘫12名Asperger 阿氏保加8名Total sample=96 children基數=96名 (6/08-10/09)Age distrib

8、ution of service users中心效力对象年龄分布年齡 Age人數 No百分比 %0 3 Years23243 6 Years43466-10 years2523.7511-15 years33.7516 years or above22.5合计96廣州市太陽船康復教育中心8Centre Service Outcomes Statistics中心效力对象训练效果 Improvement after training儿童训练主要成效 人数 NO.百分比 %With major improvement 儿童有明显改善 8386.6% (a) Returning to mainstre

9、am school after training 训练后已返回普校及幼儿园就读 8 (b) Half day in school & half day training in GZTYC 半天普校，半天中心训练 15 No significant improvement 儿童没有明显改善 1313.4%Total96100%廣州市太陽船康復教育中心9Service Items 中心效力工程AssessmentIndividual & Group TrainingOccupational Therapy, Speech Therapy, & PhysiotherapyIntegrated Edu

10、cation Parents Support ServicesSocial Inclusion ProgramsCounseling ServiceTemporary Care Service 1、Objective of the study 研讨的目的To improve language, cognitive & behavior by: Integrative rehabilitation Holistic Approach based on individual interestsGroup & Individual Training2、Case Study 个案研讨2.1、Backg

11、round Information背景资料 Name of Case: Xiao Qing， Sex: Female， Age: 6 Yr. 10 mths Admitted on Feb. 2021 Diagnosis: ASD Assessment：Developmental Age of 1 year 6 months2.2 Conditions before training 训练前研讨对象的情况Language :Poor attention, No meaningful speech, poor response to own name, Indicate needs by usi

12、ng adults hand Social :Does not play with other childrenCognitive Ability: Identify red & blue color, Identify own belongingsBehavior: Temper tantrum, screaming when needs not met, over reaction to stimulus, obsessive & stubborn, 3. Training Procedure & Techniques 訓練程序及技巧评价制定训练方案根据功能妨碍情况选择相对应的训练方法阶段

13、性评价调整训练方案再实施构造化教学 TEACCH ABA行为矫正 Beh. Training认知训练Cognitive Training言语治疗 Speech Therapy觉得统合训练 S.I. 多感官训练Multi-Sensory Training可视音乐治疗 Visual Music Therapy 奥尔夫音乐 Music Therapy游戏治疗Play Therapy运动治疗 P.T. 电脑辅助训练Com. Asst. Learning 小组文化课 Gp. Culture Class职业技艺培训Vocational Training社区教育 Social InclusionAssess

14、mentSetting PlanSelect appropriate training techniquesAccording to functional abilitiesPeriodical ReviewAdjusting the planImplementing the plan4、Training programs of Xiao Qing研讨对象的训练工程 TEACCH as a basis of training Supplemented by: - Speech therapy - Cognitive training - Sensory Integration training

15、 - Applied Behavior Training - Multi-sensory Therapy - Music Therapy - Group Therapy - Play & culture intervention (PCI)TEACCH Training 构造化训练 Based on clients speech defects, oral massage, tongue stimulation & air blowing were applied in her training. Remarkable improvement on her speech ability was

16、 recorded after training.Speech Therapy 言语治疗Sensory Integration Training觉得统合治疗ABA Behavior Training运用行为训练Behavior & emontional managementMulti-sensory Training多感官治疗Enhance eye hand coordinationMusic Therapy音乐治疗Enhance language abilityCognitive Training 认知训练 Imitation： a、 From gross motor to fine mot

17、or b、 From fine motor to skilled motorc、 Combination of motor skills Group Therapy 小组治疗Table Games Practical living skillsPlay Culture Intervention 游戏与文化介入Enhance social interaction, 五、Results of Training 训练效果 Client had a remarkable improvement after three month training in the following areas ：Lan

18、guage： - articulation correct, - improvement in speech tone, - with eye contact when being called, - able to respond in simple word, - follow two steps instruction, - express own needs in simple phrase五、Results of Training 训练效果 Cognitive Ability: - Identify common fruits and daily objects, - Rote co

19、unting from 1 to 10,Social Interaction: - Involve in group activities - Participate in play with other children - Follow rules in play - Can sit and pay attention 五、Results of Training 训练效果 Behavior: - Decrease in screaming & temper tantrum, - Decrease in over-reaction to stimulation, - More adaptable to new environment & people 6、Conclusions 结论1. The grea