ARIE - Integral Programme for Down Syndrome Children

The integral Programme for Down Syndrome children is a programme designed to help each child to achieve his maximum potential and functional Independence in all aspects of his life.

Children are treated from year zero onwards through periodic evaluations with different specialists by a multidisciplinary team. At the same time the Paedriatricians provide support in the tracking of other problems frequent in the Down Syndrome child. The tracking lasts until the stages of adolescence and early youth reach physical, cognitive, emotional and learning aspects at school age and the initial stages of a working life.

This programme has the following stages according to the age of the child:


EARLY INTERVENTION STAGE (From 0 to approiximately  2 years and 6 months)
Muscular Hipotonia and ligamentary  hypermobility that will determine important delays in gross and finemotor. At the same time the disorder in the cognitive functions is constantly associated  with a delay in the development of speech and communication as well as an ideomotor initiative condition. In addition the sensory problems, such as hearing and disorders in visual refractive are frequent and  interfere with the arrival of adequate stimuli to the brain processing areas.

The programme  contemplates the following interventions:
• Movement Re-education
• Speech Therapy
• Sensory-perceptual stimulation
• Occupational therapy

PRE-SCHOOL PROGRAMME (2 years 6 months to 5 years approximately)
This stage is key for the child, the professional team and parents must work to consolidate communication skills, specifically in increasing vocabulary, day to day activities and important learning notions for future school entry. In addition they will identify the most appropriate education system for each child and in this way inform the family about an appropriate choice.

Interventions are performed under a scheme of group work with the participation of:
• Occupational therapy
• Speech therapy
• Psychomotor
• Pedagogy
• Computing


TEACHING SUPPORT STAGE (From 6 years to 8 years approximately)
In this stage of life the child attends regular inclusive or special school, but it is necessary to receive complementary therapy to support the diverse needs that are not covered under the education system, and at the same time to continue annual medical controls to regulate the programme and detect the emergence of co-morbidity that is part of the syndrome.


The following interventions could be required:
• Learning therapy
• Occupational therapy
• Speech therapy
• Psychomotor

READINESS TO LABOUR STAGE (From 9 years onwards)
In this stage the process of preparing for a future productive activity is initiated, which finally leads to workforce integration. We look for areas of interest in each teenager to identify their preferences through sequential activities that at the same time enable development of basic work skills, such as punctuality, team work, responsibility, incorporating the family in the process to achieve future job preparation.


This can include the following interventions:

• Job readiness
 
• Occupational therapy

• Functional learning