Implementing community co-designed model to enhance functioning in autistic children through skill development play activities– A case study

Abstract

Continuity of care for autistic children is a significant challenge for care providers. Structured play activities are an evidence-based intervention for skill development among these children. An adaptive Collaborative Care Model (CCM) was implemented at the primary care level as a community-co-designed model to conduct evidence-based interventions with continuous follow-ups. The study was validated through periodical assessments of child growth milestones. The model enhanced independence, showing 82% improvement in gross motor skill development and 52% in pre-learning activities. In terms of life skill development, 35% of individuals still required guidance to perform tasks. The fidelity of the study demonstrated a 2:1 ratio of children to Community Health Workers (CHWs) in service delivery. The penetration of the study was highlighted by the continuous growth in the number of beneficiaries and the involvement of CHWs in service delivery. This model holds promise for not only Sri Lanka but also other countries in the region. By adapting the collaborative care approach to local contexts, other countries can similarly enhance the developmental outcomes of autistic children through structured play and continuous follow-up. The successful implementation and scalability of this model make it a viable solution for addressing the challenges in continuity of care for autistic children across the region.