運用「我的優勢卡」促進兒童表意權和參與權

Appling“My Ability ID Cards＂to Enhance Rights of Self-Expression and Participation for Children

「我的優勢卡」（優勢卡）有助於實踐聯合國《兒童權利公約》兒童的權利，表達自己的意見及參與個別化服務計畫。這個新方法改變聚焦功能限制和損傷的傳統兒童早期介入服務方式。本文說明推廣「我的優勢卡」的理論背景，以執行科學推動的過程和初步成果、問卷調查與結果、反思和建議。優勢卡有自己表達的優勢、我需要的支持、自己表達的方式和他人表達的優勢四個部分。專業團隊運用執行科學，於探索期溝通、調查和擬定推動策略；於設置就緒期進行軟硬體準備和人員培訓，至2023年6月培訓2694人次；10個單位邁入初步執行期，為兒童擬定優勢卡。執行前問卷結果顯示，30%早療人員評估時參考兒童意見。重要的是，雖然75%贊成優勢卡加入兒童的檔案，但僅4%參加過優勢卡課程。未來台灣宜擴大優勢卡專業培訓，以系統化調整早療服務，確保兒童權利的實踐進入永續發展期。

“My Ability ID Cards”(ABID) implements children’s right of the United Nations Convention on the Rights of the Child, specifically to express their opinions and to participate in their individualized service plan. This novel approach changes the traditional practice of early childhood intervention that focuses on addressing functional limitations and impairments. This article describes the theoretical background and work to adopt and implement ABID, shows preliminary results of implementation and survey, lessons learned and recommendations. The ABID has four parts: 1) the strengths I express about myself, 2) the supports I need, 3) the way I express myself, and 4) what others express about my strengths. Interdisciplinary teams used implementation science to communicate stakeholders, to conduct survey and to develop promotion strategies during the exploration stage; to conduct software and hardware preparation and training courses during the installation stage. Overall, 2,694 person-times of training were offered by June 2023. In Taiwan, 10 units are in the initial implementation stage for initiating the services to complete children’s ABID. A pre-implementation survey showed that 30% of early childhood intervention practitioners did consider children’s opinions during assessments. Importantly, 75% were in favor of adding the ABID to the children’s records, but only 4% had participated in the ABID training courses. Hence, it is advisable to scale-up professional training on ABID in Taiwan to ensure systematic adoption of a child’s rights approach in early childhood intervention services to the sustainability stage.