軽度発達障害を持つ人とその家族への支援―アスペの会石川・金沢エルデの会における言語聴覚士の実践

Services for adults and children with developmental disorders and their families : The role of the speech-language-hearing therapist in the group activities in Aspe-no-kai Ishikawa and Kanazawa Erude-no-kai

　軽度発達障害を持つ人やその家族への生涯にわたる援助システムとして，NPO法人アスペの会石川，金沢エルデの会が活動している．同じ障害を持つ仲間集団の特徴と，その中で専任言語聴覚士(ST)が担う役割についてまとめた．

　本稿では，会の事業内容と，会のメンバーとSTのやりとりや，メンバー同士のやりとりをSTがサポートする様子を具体的会話例を挙げ紹介する．彼らは仲間活動の中で，定型発達の人たちとの集団では体験しにくい自分らしい表現でのやりとりや，責任ある役割を経験している．そのための専門家の役割として生涯を見通し，また家庭や学校，活動でみせる姿を総合して個人個人への理解を深め，活動準備・環境設定を行う，活動の中でどんなコミュニケーション支援が適切かを見極め取り組む，個々にあった学習の仕方を探り実践していく，などが挙げられた．

　Both Aspe-no-kai Ishikawa and Kanazawa Erude-no-kai are societies that intend to provide lifetime services for those with Asperger's syndrome and learning disabilities, respectively.　The features of the group activities organized by these two societies and the roles that a staff speech-language-hearing therapist (SLHT) could play in the activities were reported.

　In the group activities, the SLHT facilitated communication among children and adolescents with Asperger's syndrome or learning disabilities.　They were encouraged by the SLHT to communicate with one another in their own ways, and to fulfill duties which are hardly ever allocated to them when interacting with their peers who do not have AS or learning disabilities.　To be a facilitator, the SLHT should be well aware of how these young people interact with their family or peers, and what they are supposed to learn in the future in this respect.　The SLHT prepared activities, created conditions appropriate for learning in the group situation and provided the necessary assistance to individuals in order to maximize their chances of learning.