Study for establishment of early intervention program for children suspected Developmental Disorders and their parents

我们为疑似患有自闭症谱系障碍（ASD）的儿童及其父母制定了一项早期干预计划。该方案旨在在社区儿童保育支持系统方案中实施。本研究与儿童养育主要支持中心合作，建立一个支持模型作为儿童保育支持系统之一。分析了该计划的影响，包括父母的行为。通过两个周期的持续参与，家长的心理状态发生了四个阶段的变化；(2)父母抑郁水平略有降低，育儿压力，尤其是母亲育儿能力压力有所降低；(3)根据京都心理发展量表，儿童在早期表现出整体领域或语言-社会领域发展商的增加；(4)儿童学会了群体生活所必需的行动和技能，母亲则学会了如何与孩子进行具体的交流；(5)大多数孩子最终进入托儿所或幼儿园，60%的中产阶级孩子需要较少的支持。这样的一个项目在社区儿童保育支持系统的框架内运作，可以为自闭症儿童及其父母提供一个支持的机会。研究表明，我们的项目对父母和孩子都有好处。

We have developed an early intervention program for children with suspected Autistic Spectrum Disorders(ASD) and their parents. This program was designed to be implemented within the scheme of childcare support systems in the community., The study was conducted in cooperation with Child Rearing Main Support Center to establish a support model as one of the childcare support systems. The effects of this program including parents behavior were analyzed. Parents' continuous articipation in the program over two cycles demonstrated the following effects :(1) the parents' mental state has changed through four stages ;(2) the parents' depression levels were slightly reduced, and the parenting stress, especially the stress on mothers' ompetence for parenting was reduced ;(3) the children showed increases of the developmental quotients in the total areas or the language-social area according to the Kyoto Scale of Psychological Development at the early stage ;(4) the children learned actions and acquired skills necessary for the life in a group, while their mothers learned how to specifically communicate with their children ; and(5) most of the children finally attended a nursery school or kindergarten, and 60 percent of the middle class children required less support. Such a program operated within the scheme of childcare support systems in the community can offer an opportunity to support children with ASD and their parents. The study has showed that our program was beneficial for both parents and children.