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A Multidisciplinary Approach According to IEP for ASD Children at Dhaka, Bangladesh
In Bangladesh Institute of Paediatric Neurodisorder and Autism (IPNA), Bangabandhu Sheikh Mujib Medical University aims at consolidating research initiatives both at the national and international level and pledges to make all out efforts to be a beacon of hope and inspiration for families and communities in Bangladesh who are struggling to cope with autism spectrum disorders. This Institute has a school for ASD children named IPNA Autism School with Individualized Education Programme (IEP) in a multidisciplinary approach.
Objectives:
In this study it was observed that at IPNA Autism School, in a multidisciplinary approach according to IEP what were the clinical outcomes or functional changes of children with Autism Spectrum Disorder (ASD).
Methods:
With 30 ASD children of IPNA Autism School, Dhaka, Bangladesh was observed from January 2016 to December, 2017. All children were also received occupational and physio therapy, speech and sensory therapy. Parents of those children were also received counseling. Children were received sessions 30-32 hours per week according to IEP as well as received occupational, physio and speech therapy 4 hours per week, sensory and music therapy 2 hours per week. Parents counseling were given 5 times in a month. Every evaluation was taken after 6 months in a data sheet by task analysis according to child’s IEP.
Results:
A large percentage improvement was observed after task analysis of the ASD children of IPNA Autism School. According to domen-wise improvement in case of speech 43% improvement achieved after 6 months but after 2 years it was 93% achieved. In case of cognition same percentages of improvement was observed. In social improvement after 6 months it was 30% achieved and after 2 years which was achieved 83%. In case of academic improvement 46% improvement were observed after 6 months and 80% were seen after 2 years.
Conclusions:
After 2 years some of ASD children of IPNA Autism School were send to mainstream inclusive school for further education with a routine follow-up. That had been done due to follow IEP in a multidisciplinary approach with limited resource settings in Bangladesh.