is the project for?
families of children who have shown high positivity in the M-CHAT-R or M-CHAT-R/F test and
want to get:
- care from top-class clinical speech
therapist, doctor care - leading expert in child
- psychiatry and four-day
therapeutic stay of the child and the whole family system including ADOS-2
testing (gold standard tool) by an experienced diagnostician.
they want to work exclusively with the O.T.A. (parent training to work with a child)
PROJECT TERMS AND CONDITIONS:
- High-risk of ASD (M-CHAT-R or /F ≥7).
- Children in the age of
18-36 months in entry into intervention.
- Capacity is limited
to project criteria. After completing the number of 100 children and their
families, recruitment will end.
The first families enter the project in February 2019,
the last in autumn 2019.
2019-2021 Family and child are in
the care of a child psychiatrist, clinical speech therapist and early care or
Early Intervention O.T.A.
2021-2022 Project evaluation and publication of
Characteristics of a child with positive screening in M-CHAT-R or M-CHAT-R/F.
- In the case of a
in the M-CHAT-R or M-CHAT-R/F questionnaire, it is very likely that it may be a childhood developmental
disorder, some neurodevelopmental disorder.
- These disorders may,
in isolated cases, gradually disappear and no longer affect the development of
the child. However, in most cases, the parent needs professional assistance to
stimulate the child's skills necessary for his / her healthy development. Because
normal, intuitive upbringing is not enough in this case.
disorders also include autism
spectrum disorders. On the contrary, the development with the
age of the child deviates from the healthy development more clearly, is uneven
and the symptom is deepening. It cannot be cured, but it can be successfully
influenced by the influence of the external environment - educational
procedures - to modify the manifestations.
- However, at an early
age, a well-targeted intervention can stimulate the skills that belong to a
healthy child's development and force the brain to "rewrite" its
original settings (epigenetics), strengthen the child's healthy development,
and optimally achieve full integration and healthy development.
Early intervention O.T.A.
High intensity of therapeutic action is needed to
stimulate healthy reactivity in a vulnerable child. It cannot be achieved
outside the child's family. Therefore, O.T.A. - like Vojta's method - aimed at
training parents who become the child's main therapists.
The intervention is not aimed at working with and
training the child, but at optimizing the child's external environment through
primary educators. The aim is to stimulate a child's healthy development. By
its very nature, O.T.A.
is suitable for the positive development of every child, based on healthy
Conditions of Success Early Intervention O.T.A.
- A parent fully
engaged in therapeutic work, willing to train his / her own educational skills
to achieve a positive change in child development.
- The parent should be
able to minimize his or her child's demands at the beginning, and then
gradually increase them and demand their fulfilment without damaging the
- Fulfilment of the
intervention plan, which looks simple, but in practice initially entails a
demanding work and an effort to change mainly on the part of us educators (the
work of parents is quite demanding and the first unchangeable successes come in
- Measure and record
the behaviour into the recording sheet according to an updated intervention
- The early
O.T.A. showed worse results in children who worked not only
under the guidance of their parents but also under the regular activity of a
specialist therapist. Better results are repeatedly reported by children who
are only therapeutically guided by their parents under the supervision of a
therapist and the child's therapy is added at a maximum of 4-5 hours over two
is involved in the project
intervention O.T.A. is provided by O.T.A. and VTI therapist in Center of Autism
trainers trained in O.T.A. Outside the Center of Autism Therapy.
Society for Primary Pediatric Care (OSPDL)
MUDr. Ivo Paclt, CSc. - child and adolescent psychiatrist
Ryšánková - child and adolescent psychiatrist and diagnostician (NAUTIS
z.s., Canadian Medical, s.r.o.)
Clinic Logo, Brno (children's psychiatrist and clinical psychologist)
Přemysl Mikoláš - psychologist and psychotherapist
Anna Vozková - psychologist
Martin Nekola, Ph.D., Mgr. Markéte Nekolová - evaluation.
The project is run by the Autism Therapy Center.
Brief description of the research design
The project will include 100 children and their families,
children with positive screening in M-CHAT-R/F.
At the beginning of the project, the child
psychiatrist will examine the children with the ADOS-2 scale, and this test will
be repeated after two years. The results of the intervention group will be compared
with the results of the control group.
Families will be evaluated by a questionnaire which
measures parental satisfaction and stress at the beginning and end of the
project. The parent's questionnaire will be evaluated.