Home-Based, Parent-Implemented Intervention for Underserved Families in Taiwan
The prognosis and outcomes of autism spectrum disorder (ASD) are highly influenced by social and family contexts, cultural history, public policies, available programs, environment, and opportunities. Families who live in under-resourced environments face more than their share of stress and obstacles. Social determinants that prevent families affected by ASD from accessing needed interventions may have a detrimental impact on child and family outcomes. Addressing these issues is particularly critical for vulnerable families who are SES disadvantaged. In this chapter, we describe general understanding and cultural interpretation of ASD in disadvantaged families in Taiwan. We also summarize ASD-related services in the Taiwanese health-care and education systems available to families of children with ASD, as well as common barriers to ASD diagnosis and ASD services. Furthermore, we discuss the challenges and opportunities for adapting individualized parent-implemented intervention for the underserved and SES-disadvantaged families who are affected by ASD. Lastly, we suggest feasible strategies for successful adaptation and adoption of parent-implemented intervention for these families.
KeywordsAutism Global autism Intervention Disadvantaged families Underserved population Cultural adaptation International settings
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