Home-Based, Parent-Implemented Intervention for Underserved Families in Taiwan

  • Li-Ching LeeEmail author
  • Aubyn C. Stahmer
  • Chin-Chin Wu
  • Peng-Chou Tsai
  • Chung-Hsin Chiang
Part of the Autism and Child Psychopathology Series book series (ACPS)


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.


Autism Global autism Intervention Disadvantaged families Underserved population Cultural adaptation International settings 


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Li-Ching Lee
    • 1
    Email author
  • Aubyn C. Stahmer
    • 2
  • Chin-Chin Wu
    • 3
  • Peng-Chou Tsai
    • 4
  • Chung-Hsin Chiang
    • 5
  1. 1.Departments of Epidemiology and Mental HealthWendy Klag Center for Autism and Developmental Disabilities, Bloomberg School of Public Health, Johns Hopkins UniversityBaltimoreUSA
  2. 2.Department of Psychiatry and Behavioral SciencesUC Davis MIND Institute, UC Davis Medical Center, Child and Adolescent Services Research CenterSacramentoUSA
  3. 3.Department of PsychologyKaohsiung Medical UniversityKaohsiungTaiwan
  4. 4.Department of EpidemiologyBloomberg School of Public Health, Johns Hopkins UniversityBaltimoreUSA
  5. 5.Department of Psychology and Research Center for Mind, Brain, and LearningNational Chengchi UniversityTaipeiTaiwan

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