Rieth Sarah R, Haine-Schlagel Rachel, Burgeson Marilee, Searcy Karyn, Dickson Kelsey S, Stahmer Aubyn C
Child and Adolescent Services Research Center, San Diego.
Department of Child and Family Development; San Diego State University.
Semin Speech Lang. 2018 Apr;39(2):114-124. doi: 10.1055/s-0038-1627483. Epub 2018 Mar 20.
Naturalistic developmental behavioral interventions include an explicit focus on coaching parents to use therapy techniques in daily routines and are considered best practice for young children with autism. Unfortunately, these approaches are not widely used in community settings, possibly due to the clinical expertise and training required. This article presents the work of the Bond, Regulate, Interact, Develop, Guide, Engage (BRIDGE Collaborative), a multidisciplinary group of service providers (including speech-language pathologists), parents, funding agency representatives, and researchers dedicated to improving the lives of young children with autism spectrum disorder and their families. The group selected and adapted a parent coaching naturalistic developmental behavioral intervention specifically for use with toddlers and their families for community implementation. Lessons learned from the implementation process include the importance of therapist background knowledge, the complexity of working with parents of young children, and needed supports for those working closely with parents, including specific engagement strategies and the incorporation of reflective practice.
自然主义发展行为干预明确注重指导家长在日常生活中运用治疗技术，被视为自闭症幼儿的最佳治疗方法。不幸的是，由于所需的临床专业知识和培训，这些方法在社区环境中并未得到广泛应用。本文介绍了“联结、调节、互动、发展、引导、参与”（BRIDGE协作组织）的工作。该组织由多学科服务提供者（包括言语语言病理学家）、家长、资助机构代表和研究人员组成，致力于改善自闭症谱系障碍幼儿及其家庭的生活。该组织挑选并改编了一种家长指导自然主义发展行为干预方法，专门用于与幼儿及其家庭配合，以便在社区实施。从实施过程中吸取的经验教训包括治疗师背景知识的重要性、与幼儿家长合作的复杂性，以及为与家长密切合作的人员提供所需支持，包括具体的参与策略和纳入反思性实践。
