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香港儿童脑科及体智发展学会 2009 年周年学术研讨会 Autism Spectrum Disorders: Updates on Management 处理自闭症谱系障碍的新发展

The Hong Kong Society of Child Neurology and Developmental Paediatrics Annual Scientific Meeting 2009. 香港儿童脑科及体智发展学会 2009 年周年学术研讨会 Autism Spectrum Disorders: Updates on Management 处理自闭症谱系障碍的新发展 15 November 2009.

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香港儿童脑科及体智发展学会 2009 年周年学术研讨会 Autism Spectrum Disorders: Updates on Management 处理自闭症谱系障碍的新发展

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  1. The Hong Kong Society of Child Neurology and Developmental PaediatricsAnnual Scientific Meeting 2009 香港儿童脑科及体智发展学会 2009年周年学术研讨会 Autism Spectrum Disorders: Updates on Management 处理自闭症谱系障碍的新发展 15 November 2009

  2. Training starts from InterestA case study on training based on interest for a pre-school child with autism in Guangzhou, CHINA 自闭症儿童教育从兴趣开始 -个案研究分析 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 Centre Supervisor: Dr. Xu-hong CHEN , Senior Paediatrician Guangdong Province Association for Disabled Persons广东省残疾人康复协会

  3. Outlook of GZTYC广州市太阳船康复教育中心 外貌 GZTYC - A five minutes walk from The Guangzhou East Station GZTYC at Tinyu Garden 21-8-2009 3 廣州市太陽船康復教育中心

  4. Background 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 Disabled Persons Federation and was established in June 2008.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,服务收费 (b) donation from private foundation e.g. GIVES, & 私人基金捐助 (c) government. 政府资助

  5. Background Information of GZTYC广州市太阳船康复教育中心简介 • Role of Centre: 中心任务 • Pre-sch. Training for children with autism and related disabilities,学前自閉症及特殊需要兒童訓練 • Provincial level rehab. Professional Staff Training, & 广东省康复专业人员培訓 • Parents Education & Support.家長培訓及支援

  6. Background Information of GZTYC广州市太阳船康复教育中心简介 • Total children served: 96 ( 6/2008-10/2009)曾受訓儿童 • Training sessions: over 58,000 sessions 个訓總节數 • Existing Capacity: 45children 现有服务名额 • Staff Strength: 30persons 职员人数 • Day training and hourly training by individual item 日间训练及按个别训练项目钟点课

  7. Types of Disabilities of Service Users 服务对象特征（Some service users may have more than one type of disabilities） 21-8-2009 7 廣州市太陽船康復教育中心

  8. Age distribution of service users中心服务对象年龄分布 8 廣州市太陽船康復教育中心

  9. Centre Service Outcomes Statistics中心服务对象训练成效 9 廣州市太陽船康復教育中心

  10. Service Items 中心服务项目 • Assessment • Individual & Group Training • Occupational Therapy, Speech Therapy, & Physiotherapy • Integrated Education • Parents Support Services • Social Inclusion Programs • Counseling Service • Temporary Care Service

  11. 1、Objective of the study 研究的目的 To improve language, cognitive & behavior by: • Integrative rehabilitation • Holistic Approach based on individual interests • Group & Individual Training

  12. 2、Case Study 个案研究 2.1、Background Information背景资料 Name of Case: Xiao Qing， Sex: Female， Age: 6 Yr. 10 mths Admitted on Feb. 2009 Diagnosis: ASD Assessment：Developmental Age of 1 year 6 months

  13. 2.2 Conditions before training训练前研究对象的状况 Language :Poor attention, No meaningful speech, poor response to own name, Indicate needs by using adult’s hand Social :Does not play with other children Cognitive Ability: Identify red & blue color, Identify own belongings Behavior: Temper tantrum, screaming when needs not met, over reaction to stimulus, obsessive & stubborn,

  14. Select appropriate training techniques According to functional abilities 3. Training Procedure & Techniques 訓練程序及技巧 Assessment Setting Plan ABA行为矫正Beh. Training 多感官训练Multi-Sensory Training 奥尔夫音乐 Music Therapy 电脑辅助训练Com. Asst. Learning 小组文化课 Gp. Culture Class 职业技能培训Vocational Training 结构化教学 TEACCH 语言治疗 Speech Therapy 认知训练Cognitive Training 感觉统合训练 S.I. 可视音乐治疗 Visual Music Therapy 游戏治疗Play Therapy 运动治疗 P.T. 社区教育 Social Inclusion 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 Periodical Review Adjusting the plan Implementing the plan

  15. TEACCH as a basis of training Supplemented by: - Speech therapy - Cognitive training - Sensory Integration training - Applied Behavior Training - Multi-sensory Therapy - Music Therapy - Group Therapy - Play & culture intervention (PCI) 4、Training programs of Xiao Qing研究对象的训练项目

  16. TEACCH Training 结构化训练

  17. Speech Therapy 言语治疗 Based on client’s speech defects, oral massage, tongue stimulation & air blowing were applied in her training. Remarkable improvement on her speech ability was recorded after training.

  18. Sensory Integration Training感觉统合治疗

  19. ABA Behavior Training应用行为训练 Behavior & emontional management

  20. Multi-sensory Training多感官治疗 Enhance eye hand coordination

  21. Music Therapy音乐治疗 Enhance language ability

  22. Cognitive Training 认知训练 Imitation： a、 From gross motor to fine motor b、 From fine motor to skilled motorc、 Combination of motor skills

  23. Group Therapy 小组治疗 Table Games Practical living skills

  24. Play Culture Intervention游戏与文化介入 Enhance social interaction,

  25. 五、Results of Training 训练成效 Client had a remarkable improvement after three month training in the following areas ： • Language： - 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

  26. 五、Results of Training 训练成效 • Cognitive Ability: - Identify common fruits and daily objects, - Rote counting 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

  27. 五、Results of Training 训练成效 • Behavior: - Decrease in screaming & temper tantrum, - Decrease in over-reaction to stimulation, - More adaptable to new environment & people

  28. 6、Conclusions 结论 1. The greatest motivation for learning in children with special needs is their individual interest. This is the basis of success in their training program. 2. Practical real life experience are just as important as classroom training. 3. Cooperation and support from the family are crucial to the sustainable success of centre training.

  29. Thank You 多谢！ Contact: 广州市太阳船康复教育中心 Guangzhou Taiyuanchuan Rehabilitation & Education Centre • Address: Blk. A, 6th Floor, Phase 2, Tian Yu Hua Yuan, No. 140, Lian Hu Zhong Lu, Tian Ho Qu, Guangzhou, CHINA, Postal Code: 510630广州天河区林和中路140天誉花苑2期6楼A座 • Tel：+86-20-3880-9996 • Email：cxh69@126.com / info@gztyc.org • Website: www.gztyc.org / www.gztyc.org.cn

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