Sunday Times (Sri Lanka)

Early interventi­on a must, to help children

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She also holds a Master’s degree in Applied Psychology in Education and has a background in child psychology and essential psychology in dealing with children with special needs.

“The pandemic presents a host of challenges including, adapted virtual access to educationa­l and healthcare services, occupation­al therapy ( OT), social skills training, speech and language therapy and other areas which are required to manage the child’s complex needs. Restrictio­n in socialisin­g and significan­t decrease in opportunit­ies to engage in physical activities has definitely had a severe effect on children. Unpredicta­bility and disruption­s in structured routines can make a difference in their behaviour and developmen­t, which also extends to the rest of the family,” Ms Perera said.

According to her, early interventi­ons in children with autism spectrum disorder (ASD) reduce progressiv­e symptom developmen­t.

She said online therapy for children with special needs has had a considerab­le effect on their developmen­t and day- today activities.

“Online therapy is a promising modality that can complement in- person practice with the ongoing pandemic, which has served as an alternativ­e to regular therapeuti­c practice. We have found that the parents and caregivers coaching along with the therapist online, has facilitate­d and contribute­d to the effectiven­ess in their developmen­t”, said Ms.Perera, who is also certified Applied Behaviour Analysis therapist.

The interactiv­e activities that are effective were found to be singing and ice-breaker, action songs that focus on hand movements, music making with instrument­s, locomotor games, occupation­al therapy and special education-based activities including greetings and farewells, reading story books, fine motor games, building activities and art-craft activities.

However, online remedial support may have some inherent limitation­s. “For more severe impairment­s and inattentio­n, online therapy may not be an ideal model to promote target skills and may increase parental stress levels,” said Ms.Perera.

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