早期療育發展遲緩兒童篩檢模式之建立

Establishment of Child Find System in Early Intervention

孫世恆(Shih-Heng Sun) ； 楊玲芳(Ling-Fang Yang)

《物理治療》 31卷6期 (2006/12) Pp. 383-390

摘要

背景與目的：本研究的目的在了解地方政府以及醫療、教育、社政機構之問如何建構發展遲緩幼兒早期發現篩檢體系。方法：本研究以行動研究法進行，研究者透過參與早期療育推動委員會的會議，參與通報轉介中心在各鄉鎮所舉辦的篩檢活動，擔任篩檢工具培訓課程的講師，以及早期療育業務聯繫會議的督導，觀察與紀錄苗栗縣的發展遲緩兒童篩檢模式建構的歷程。結果：結果發現「初篩園遊會模式」是最早發展出來的篩檢工作模式。為了要達到全面篩檢的目標，通報轉介中心針對0-3歲幼兒，建立了「衛生所篩檢模式」。針對3-6歲幼兒則與托兒所合作建立「托兒所篩檢模式」。為了使家長能夠接受篩檢結果以及確認托兒所與衛生所發現之個案，通報轉介中心建立了「二次篩檢模式」。結論：研究結果建議在建立篩檢模式的過程中，應對於篩檢工具與工作模式建立共識，依照初篩以及二篩的需要，培養第一線兒童工作者正確使用兒童發展篩檢工具的能力，如此才能建立完整的兒童發展篩檢模式。

關鍵字

兒童發展篩檢 ； 篩檢模式 ； 早期療育

並列摘要

Background and Purpose: This study tried to record and analyze how local government coordinates institutes from medical, educational, and social welfare sectors and established the child find system in early intervention. Methods: Action research method was employed. Through participating the early intervention committee of local government, being the lecturer of the screening tool workshops, providing consultation services to the early intervention referral center, the researcher observed and recorded the process of developing a child find system. Results: Child Development Screening Carnival was the first model developed. A local health center screening model was developed for children aged 0-3. A preschool screening model was designed for children aged 3-6. A multiple screening model was developed to confirm the screening result and make parent accept it. Conclusions: The result suggested during the construction of the screening model, all participants from different sectors should be familiar with the screening tool and reach the consensus of the working model.

並列關鍵字

Developmental screening ； Screening model ； Early intervention