療育センターにおける重複難聴児の支援体制  [in Japanese] Support system for hearing-impaired infants and young children with multiple disabilities at Hiroshima City Child Care and Guidance Center  [in Japanese]

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<p>要旨: 重複障害を有する難聴児に対する, 広島市こども療育センターの支援体制について検討した。過去5年間に当センター耳鼻咽喉科を受診し, 難聴と重複障害が判明した39名に対して以下の三形態の療育支援を行った。 ①重度の運動および知的障害をもつ14名に対して, 運動・知的障害のための療育と, 重複児対象の難聴療育を併行して実施した。 ②当センターに附属する難聴幼児通園施設の療育開始後に知的障害の診断を受けた9名に対して, 発達レベルに応じて療育内容を調整し, 4名については特別支援学校幼稚部への移行を支援した。 ③難聴療育開始後に自閉症スペクトラム障害 (ASD) 特性が明らかとなった16名に対して, 難聴療育の枠内で特性への支援を強化した。 各形態とも, 機関連携と障害特性に応じた支援が療育効果を高めたことがうかがえた。 ASD 重複群に関しては, 支援の遅れが特性を強めた疑いがあり, 保護者への告知のあり方にも課題が残った。</p>

<p> We present the support system for hearing impairment infants and young children with multiple disabilities provided at the Hiroshima City Child Care and Guidance Center. The subjects were 39 cases with multiple disabilities diagnosed as having hearing impairment seen at our center between April 2012 and March 2017. Three types of support were provided to the subjects enrolled in this study. The first type was provided to 14 cases with "severe mental retardation and motor disability." We enrolled them at both the "Department of audiological habilitation for multiple disabilities" and "Daycare institution for intellectual and/or motor disabilities," and coordinated the care given at both institutions. The second type was used for 9 cases with "moderate mental retardation" at the "Daycare institution for hearing-impaired children." We adjusted the habilitation programs according to the level of development and degree of disabilities. The third type was provided to 16 cases with "Autism Spectrum Disorder (ASD)." We adopted "Autism treatment techniques" for these patients at the daycare institution.</p><p></p><p> For all types, cooperation among the facilities and habilitation based on the disabity characteristics may promote their development. Furthermore, improvement of the third type, because delay in its start might have strengthened the ASD characteristics, and some problems were identified in the way the parents took notice of the symptoms before ASD diagnosis.</p>

Journal

  • AUDIOLOGY JAPAN

    AUDIOLOGY JAPAN 61(2), 136-144, 2018

    Japan Audiological Society

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