Journal of the Korean Academy of Child and Adolescent Psychiatry

Korean Academy of Child and Adolescent Psychiatry (대한소아청소년정신의학회)
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A Survey on the Status of Hospital-Based Early Intensive Intervention for Autism Spectrum Disorder in South Korea

국내 자폐스펙트럼장애 아동의 병원 기반 조기 집중 중재 실태 조사

  • Lee, Ju Young (Department of Psychiatry, Seoul Metropolitan Children's Hospital) ;
  • Moon, Duk-Soo (Department of Psychiatry, Seoul Metropolitan Children's Hospital) ;
  • Shin, Suk-Ho (Dr. Shin's Child and Adolescent Psychiatric Clinic) ;
  • Yoo, Hee-Jung (Department of Psychiatry, Seoul National University Bundang Hospital) ;
  • Byun, Hee-Jung (Department of Psychiatry, Seoul Metropolitan Children's Hospital) ;
  • Suh, Dong-Soo (Department of Psychiatry, Seoul Metropolitan Children's Hospital)
  • 이주영 (서울특별시 어린이병원 정신건강의학과) ;
  • 문덕수 (서울특별시 어린이병원 정신건강의학과) ;
  • 신석호 (신석호 소아청소년 정신과) ;
  • 유희정 (서울대학교 분당서울대학교병원 정신건강의학과) ;
  • 변희정 (서울특별시 어린이병원 정신건강의학과) ;
  • 서동수 (서울특별시 어린이병원 정신건강의학과)
  • Received : 2016.12.19
  • Accepted : 2017.04.18
  • Published : 2017.10.01
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Abstract

Objectives: Early intensive interventions are very important for children with autism spectrum disorder. We examined the actual conditions of hospital-based early intensive interventions for autism spectrum disorder in Seoul, in order to help develop and implement an evidence-based early intensive intervention model for use in Korea. Methods: Nine hospital-based institutes running an early intensive intervention program for children with autism spectrum disorder responded to a questionnaire in September 2014. They provided a brief introduction to their program, explained its theoretical bases, and reported the number of children, their age, intervention time, duration and so on. Results: In the majority of the institutions, the intervention was provided for over 20 hours every week, and the theoretical bases included various applied behavioral analysis (ABA) methods and other therapies (language and occupational therapy). The therapist-child ratio ranged from 1:1 to 5:3. Various types of therapists were involved, including behavioral analysts, special education teachers and (or) language pathologists. There was only one clinic where the behavioral analyst was the main therapist. Usually, the intervention was terminated just before the child entered elementary school. The main merit of the hospital-based intervention in our survey was the effectiveness of the multi-disciplinary intervention plan and its other merits were the accuracy of the diagnosis, its ability to be combined with medicine, and so on. Conclusion: The current hospital-based early intensive intervention programs provide interventions for over 20 hours per week and employ multidisciplinary approaches. However, there are very few institutes for children with autism and very few intervention specialists and specialist education courses in the country. We need more educational programs for intervention therapists and have to try to develop policies which encourage the implementation of an evidence-based early intensive intervention program nationwide.

Keywords

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