School AMPSを用いた作業療法の試み

Occupational therapy using the School version of the Assessment of Motor and Process Skills in Japan

要旨：School AMPSはOTが学校で用いる評価法であり，児童が学校で行う課題遂行の質を観察評価するものである．この度，授業中の離席が問題のADHD児に対し，School AMPSの結果を基に，教員に対して課題遂行の改善を目的とした提案を行った．その結果，事例に対する教員の関わり方が変化し，事例の運動とプロセス能力が改善した．この事例にSchool AMPSを用いた利点は，教室内での問題を明確に示せたこと，具体的で実施可能な提案が行えたこと，変化を数値で示せたことである．その一方，学校でSchool AMPSを用いた作業療法が実施できるようなシステム作りが今後の課題と思われた．

　The School version of the Assessment of Motor and Process Skills (School AMPS) is a observation-based assessment that measures the quality of schoolwork task performance in school settings. The authors practiced occupational therapy using School AMPS with a student with ADHD unable to attend to his class. As a result of the therapy, his motor and process abilities improved, and he became able to attend to his classroom lessons. We were able to demonstrate the merits of School AMPS, such as identifying problems during his class, providing specific advice to his teacher and clarifying the outcomes of OT intervention. However, a system for OT practice using School AMPS in school settings remains to be established in Japan.