STUDY ON DEVELOPMENT OF FAMILY AND COMMUNITY EMPOWERMENT MODELS IN HANDLING AUTISTIC CHILDREN IN SURABAYA CITY
DOI:
https://doi.org/10.17501/24246735.2022.7116Keywords:
ASD, family, community, policy and program, empowerment, stakeholderAbstract
Background: The COVID-19 pandemic has seriously impacted children's efforts to develop Autism Syndrome Disorder (ASD). The role of family and the closest community is significant in providing support and assistance for ASD individuals while at home. The study aims to develop a family and community empowerment model for handling autistic children by integrating multisectoral stakeholder policies and programs. Methods: The qualitative study in Surabaya with purposive sampling. Data collection by indepth interview with ASD parents and FGD with 16 multisector stakeholders. Results: Family and community constraints in handling autistic children in Surabaya were the low parental responsiveness to monitoring child development, early detection, therapy assistance, lack of communication, information and access to professional ASD health service and education facilities, and limited access to services for autistic children, neglected, and social problems. In addition, the study identified challenges in implementing policies and program strategies for dealing with ASD stakeholders: health service facilities and ASD education are still lacking, lack of infrastructure, curriculum, implementation of human resources and financing, and the dissemination of regulations has not been intensive and sustainable. Conclusion: The study developed a family empowerment model in handling autistic children involving multisectoral stakeholders by synergizing policies and programs, especially in health, education, social, religion, women's empowerment, and child protection supported by governments. We can implement the model by advocating stakeholders to pursue with a shared commitment and formulating program activities, also financing needed to implement activities.
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References
Bailey, D. B., Bruder, M. B., Hebbeler, K., Carta, J., Defosset, M., Greenwood, C., … Barton, L. (2006). Recommended outcomes for families of young children with disabilities. Journal of Early Intervention, 28(4), 227–251. https://doi.org/10.1177/105381510602800401
Baio, J., L, W., DL, C., MJ, M., J, D., Z, W., … NF, D. (2018). Prevalence of autism spectrum disorder among chlidren aged 8 years. MMWR Surveillance Summaries, 67(6), 1–23. https://doi.org/10.15585/mmwr.ss6706a1.
Balitbangkes Kemenkes RI. (2019). Laporan Nasional Riskesdas 2018. Lembaga Penerbit Badan Penelitian dan Pengembangan Kesehatan. Jakarta.
Baxter, A. J., Brugha, T. S., Erskine, H. E., Scheurer, R. W., Vos, T., & Scott, J. G. (2015). The epidemiology and global burden of autism spectrum disorders. Psychological Medicine, 45(3), 601–613. https://doi.org/10.1017/S003329171400172X
Braddock, B., & Twyman, K. (2014). Access to treatment for toddlers with autism spectrum disorders. Clinical Pediatrics, 53(3), 225–229. https://doi.org/10.1177/0009922814521284
De Bildt, A., Sytema, S., Ketelaars, C., Kraijer, D., Mulder, E., Volkmar, F., & Minderaa, R. (2004). Interrelationship between Autism Diagnostic Observation Schedule-Generic (ADOS-G), Autism Diagnostic Interview-Revised (ADI-R), and the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR) classification in children and adolescents with menta. Journal of Autism and Developmental Disorders, 34(2), 129–137. https://doi.org/10.1023/B:JADD.0000022604.22374.5f
Delgado, C. E. F., Vagi, S. J., & Scott, K. G. (2007). Identification of early risk factors for developmental delay. Exceptionality: A Spescial Education Jornal, 15(2), 119–136. https://doi.org/10.1080/09362830701294185
DiLavore, P. C., Lord, C., & Rutter, M. (1995). The Pre-Linguistic autism diagnostic observation schedule. Journal of Autism and Developmental Disorders, 25(4), 355–379. https://doi.org/10.1007/BF02179373
Dini, I. K., Sujianto, U., & Retnaningsih, D. (2015). The relationship between family support and the burden of parents in caring for children with disabilities at the elementary level at SLB Negeri Semarang. Journal of Health Science and Technology, 6(2), 28–40. Retrieved from http://stikeswh.ac.id:8082/journal/index.php/jitk/article/view/113/106
Doherty, M., Haydon, C., & Davidson, I. A. (2021). Recognising autism in healthcare. British Journal of Hospital Medicine, 82(12). https://doi.org/10.12968/hmed.2021.0313
Dr. dr. R. Hapsara HR, D. (2015). Strengthening public health efforts and community empowerment in the health sector in Indonesia. Jogjakarta: GADJAH MADA UNIVERSITY PRESS. Retrieved from https://ugmpress.ugm.ac.id/userfiles/product/daftar_isi/Penguatan_Upaya_Kesehatan_Masyarakat.pdf
Durkin, M. S., Maenner, M. J., Meaney, F. J., Levy, S. E., di Guiseppi, C., Nicholas, J. S., … Schieve, L. A. (2010). Socioeconomic inequality in the prevalence of autism spectrum disorder: Evidence from a U.S. cross-sectional study. PLoS ONE, 5(7), 1–8. https://doi.org/10.1371/journal.pone.0011551
Elder, J. H., Brasher, S., & Alexander, B. (2016). Identifying the barriers to early diagnosis and treatment in underserved individuals with Autism Spectrum Disorders (ASD) and Their Families: A Qualitative Study. Issues in Mental Health Nursing, 37(6), 412–420. https://doi.org/10.3109/01612840.2016.1153174
Elder, J. H., Kreider, C. M., Brasher, S. N., & Ansell, M. (2017). Clinical impact of early diagnosis of autism on the prognosis and parent-child relationships. Psychology Research and Behavior Management, 10, 283–292. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5576710/
Haroon, M. (2019). ABC Autism (First Edit). UK: Jonh Wiley & Sons Ltd.
Hodges, H., Fealko, C., & Soares, N. (2020). Autism spectrum disorder: Definition, epidemiology, causes, and clinical evaluation. Translational Pediatrics, 9(8), S55–S65. https://doi.org/10.21037/tp.2019.09.09
Kemenkes RI. (2016). Guidelines for the implementation of stimulation, detection and early intervention for child development [Internet]. Minestery of Health. Jakarta. Retrieved from https://banpaudpnf.kemdikbud.go.id/upload/download-center/Buku SDIDTK_1554107456.pdf
Kementerian PP&PA RI. (2018). World Autism awareness day: recognize the symptoms, understand the situation [Internet]. Retrieved from https://www.kemenpppa.go.id/index.php/page/read/31/1682/hari-peduli-autisme-sedunia-kenali-gejalanya-pahami-keadaannya
Kristiawan, B., Wijayanta, A. T., & Suminah. (2016). Community-based rehabilitation for people with disabilities at the Mutiara Bunda Inclusion Studio. Jurnal Semar, 5(1), 73–81.
Kurniawan, A. (2021). Early detection of autism children. Jurnal Otopedagogia, 7(1 Juli), 57–61. Retrieved from http://journal2.um.ac.id/index.php/jo/article/view/22154
Kuru, N., & Piyal, B. (2018). Perceived social support and quality of life of parents of children with Autism. Nigerian Journal of Clinical Practice, 21(9), 1182–1189. https://doi.org/10.4103/njcp.njcp_13_18
Lei, X., & Kantor, J. (2021). Social support and family functioning in Chinese families of children with autism spectrum disorder. International Journal of Environmental Research and Public Health, 18(7), 1–10. https://doi.org/10.3390/ijerph18073504
McCarty, P., & Frye, R. E. (2020). Early detection and diagnosis of autism spectrum disorder: why is it so difficult? Seminars in Pediatric Neurology, 35, 100831. https://doi.org/10.1016/j.spen.2020.100831
McManus, B., McCormick, M. C., Acevedo-Garcia, D., Ganz, M., & Hauser-Cram, P. (2009). The effect of state early intervention eligibility policy on participation among a cohort of young CSHCN. Pediatrics, 124(SUPPL. 4), S368–S374. https://doi.org/10.1542/peds.2009-1255G
Menteri Kesehatan RI. (2014a). Regulation of the Minister of Health of the Republic of Indonesia Number 25 of 2014 concerning Child Health Efforts [Internet]. Jakarta. Retrieved from https://peraturan.bpk.go.id/Home/Details/117562/permenkes-no-25-tahun-2014
Menteri Kesehatan RI. (2014b). Regulation of the Minister of Health of the Republic of Indonesia Number 66 of 2014 concerning Monitoring of Child Growth, Development, and Developmental Disorders [Internet]. Jakarta. Retrieved from https://peraturan.go.id/common/dokumen/bn/2014/bn1524-2014.pdf
Menteri Negara PP&PA RI. (2011). Regulation of the State Minister for Women's Empowerment and Child Protection Number 10 of 2011 concerning Policies for Handling Children with Special Needs [Internet]. Jakarta: Menteri. Retrieved from https://jdih.kemenpppa.go.id/peraturan/Permeneg PP&PA No.10 Thn 2011 - ABK.pdf
Oduyemi, A. Y., Okafor, I. P., Eze, U. T., Akodu, B. A., & Roberts, A. A. (2021). Internalization of stigma among parents of children with autism spectrum disorder in Nigeria: a mixed method study. BMC Psychology, 9(182), 1–12. https://doi.org/10.1186/s40359-021-00687-3
Pramudiana, I. D. (2016). Implementation of public service policies for people with disabilities. Dimensi, Journal of Sociology, 9(1), 25–30. Retrieved from http://jurnal.ugj.ac.id/index.php/Responsif
Raspa, M., Hebbeler, K., Bailey, D. B., & Scarborough, A. A. (2010). Service provider combinations and the delivery of early intervention services to children and families. Infants and Young Children, 23(2), 132–144. https://doi.org/10.1097/IYC.0b013e3181d230f9
Richards, L., & Morse, J. M. (2013). Readme First for a User’s Guide to Qualitative Methods. SAGE Publications Inc (3rd ed). Los Angeles. https://doi.org/10.3316/qrj0701067
Tiel, J. M. Van. (2011). My Child's Education is Late Talking. Prenada. Jakarta: Prenadamedia Group.
Twoy, R., Connolly, P. M., & Novak, J. M. (2007). Coping strategies used by parents of children with autism. Journal of the American Academy of Nurse Practitioners, 19(5), 251–260. https://doi.org/10.1111/j.1745-7599.2007.00222.x
Wahyudi, W., & Kristiawati, R. (2016). An Overview of Inclusive Schools in Indonesia: An Overview of Junior High Schools. (Sudarwati, Ed.), Center for Data and Statistics of Education and Culture. Jakarta: Ministry of Education and Culture. Retrieved from http://publikasi.data.kemdikbud.go.id/uploadDir/isi_14D0F106-F4EE-486B-A74F-84A191B4AD25_.pdf
Wing, L. (1997). The autistic spectrum. Lancet, 350(9093), 1761–1766. https://doi.org/https://doi.org/10.1016/S0140-6736(97)09218-0
Yanti, D., Kumara, A., Hastjarjo, T. D., & Adiyanti, M. G. (2018). Parenting Burden Experienced by Parents of Children with Autistic Spectrum Disorders. Tropical Medicine, 1(1), 163–170. https://doi.org/10.32734/tm.v1i1.42
Zwaigenbaum, L., Brian, J. A., & Ip, A. (2019). Early detection for autism spectrum disorder in young children. Paediatrics and Child Health (Canada), 24(7), 424–432. https://doi.org/10.1093/pch/pxz119
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