OCCUPATIONAL THERAPY FOR CHILDREN WITH AUTISM SPECTRUM DISORDER IN WARTIME CONTEXTS

Purpose: To analyze the effectiveness of occupational therapy for children with ASD and identify the specific features of therapeutic interventions in the context of war. Materials and methods: Analysis of contemporary scientific and methodological literature on occupational therapy for children with ASD, as well as the specific features of occupational therapy interventions for this client/patient category in wartime conditions. To achieve the stated goal, a theoretical analysis of scientific and methodological literature related to the research problem was conducted, along with the systematization of the obtained data. Sources were selected based on their relevance, novelty, and alignment with the research topic. The materials were retrieved using the PEDro, Scopus, PubMed, and Google Scholar databases. Results: The war significantly affects the psychosocial state of children with ASD and their families. Stress, loss of stability, and environmental changes lead to worsening behavioral manifestations, skill regression, and decreased quality of life. Parents also exhibit elevated levels of anxiety, depression, and stress, negatively impacting their ability to support their children. It has been established that sensory integration therapy, environmental adaptation, activity modification, and family support are key elements of effective occupational therapy programs. Special attention should be given to telehealth technologies, which offer new opportunities for service delivery in conditions of limited access. Conclusions: Occupational therapy is a crucial tool for improving the quality of life of children with ASD in wartime conditions. Adapted interventions help reduce anxiety and improve social skills. However, achieving sustainable results requires a comprehensive approach, including psychosocial support, the integration of art therapy and technologies, and active family involvement in the therapeutic process.