以社區為基礎的兒童早期介入工作手冊

「以社區為基礎的兒童早期介入」（簡稱社區早療）是發展遲緩兒童早期介入之世界潮流。為推動社區融合早療，乃經由文獻回顧、調查訪談、焦點團體與共識決策程序編撰《以社區為基礎的兒童早期介入工作手冊》。內容包含：社區早療之規劃與開辦者指引（24 個建議）；社區早療第一線服務者之作業原則（34 個原則）；以及台灣案例等。指引提出5 個社區早療必備要素之建議，即：（1）服務對象必須涵蓋該社區所有發展異常或預期有發展遲緩之學前兒童；（2）不僅關注兒童及其家庭之需求，並注重社區之需求及資源；（3）規劃時有社區居民/單位參與；（4）以家庭為中心取向；（5）期限至少3 年。期待手冊有助於推動社區早療，並促進兒童及其家庭之生活品質。

The Community-based Childhood Early Intervention (CBEI) has followed the world trend for conducting the inclusive early childhood intervention. To promote the CBEI, the Handbook of Community-based Childhood Early Intervention was developed by a CBEI task force through literature review, survey, on-site visit, focus group and consensus meeting in 2013. There are 7 chapters in this handbook. The content includes the purposes, operational definition of terminology, literature review, methodology, guidelines for planning and establishing a CBEI Program (24 recommendations), principles for service providers of CBEI Program (36 principles), and the existing Taiwan examples to explain the guidelines, to demonstrate CBEIservices and core activity designs. Five recommendations are proposed to meet the essential elements of a CBEI Program: 1). The CBEI program must include all preschoolers in the community who have developmental disorders or are at risk of developmental delays; 2) The CBEI program should focus not only about the child and the need of his/her family, but also about the need and the resources of the community they live in; 3) It requires the participation of resident/unit in the community during the planning stage of the CBEI program; 4) The CBEI program should provide family-centered early intervention services; 5)The time duration of the CBEI program should be at least for 3 years. Due to time pressure and insufficient local materials, most recommendations of this handbook were relied on studies and recommendations from western countries. With this handbook, the early intervention services would head to build an ideal community-supported environment for children with developmental delays and their family.