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

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

Outlook of GZTYC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3

GZTYC at Tinyu Garden

GZTYC - A five minutes walk from The Guangzhou East Station

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

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

(a)Pre-sch. Training for children with autism and related disabilities,学前自閉症及特殊需要兒童訓練

(b) Provincial level rehab. Professional Staff Training, & 广东省康复专业人员培訓

(c) Parents Education & Support.家長培訓及支援

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: 45 children 现有服务名额

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项目钟点课

21-8-2009 廣州市太陽船康復教育中心7

Types of Disabilities of Service Users 服务对象特征（ Some service users may have more than one type of disabilities）

ASD 自闭症 65 名 ADHD 10 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 distribution of service users中心服务对象年龄分布

年齡 Age 人數 No 百分比 %0 – 3 Years 23 243 – 6 Years 43 46

6-10 years 25 23.7511-15 years 3 3.7516 years or

above 2 2.5

合计 96廣州市太陽船康復教育中心8

Centre Service Outcomes Statistics中心服务对象训练成效

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 83 86.6% (a) Returning to mainstream 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

13 13.4%

Total 96 100%廣州市太陽船康復教育中心9

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

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

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

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,

3. Training Procedure & 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 T

EA

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认知训练C

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语言治疗 S

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感觉统合训练 S

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多感官训练M

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可视音乐治疗 V

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奥尔夫音乐 Mu

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游戏治疗P

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运动治疗 P

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电脑辅助训练C

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小组文化课 G

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职业技能培训V

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社区教育 S

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Assessment Setting PlanSelect appropriate training techniquesAccording to functional abilities

Periodical Review Adjusting the plan Implementing the plan

4 、 Training programs of Xiao Qing研究对象的训练项目

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)

TEACCH Training 结构化训练

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.

Speech Therapy 言语治疗

Sensory Integration Training感觉统合治疗

ABA Behavior Training应用行为训练

Behavior & emontional management

Multi-sensory Training多感官治疗

Enhance eye hand coordination

Music Therapy音乐治疗

Enhance language ability

Cognitive Training 认知训练

Imitation ： a 、 From gross motor to fine motor     b 、 From fine motor to skilled motor   c 、 Combination of motor skills

Group Therapy 小组治疗

Table Games Practical living skills

Play Culture Intervention 游戏与文化介入

Enhance social interaction,

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

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

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

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.

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