• Question 4 The Physical Environment. How can I make it more inclusive?

    In this section:

    1 How to create structure, routine and predictability in the physical environment

    2 Visuals – Calendars, visual timetables, visual schedules 

    3 Quiet space – why and how?

    4 Teaching children/young people about their social energy – why and how?

    5 Class seating

    6 Workstations – what, why and how? 

    7 Differentiation hints and tips


    A indicates images that follow are hyperlinked

    1 How to create structure, routine and predictability in the physical environment

    What do the key documents say?

    P4 ‘Environment first. The physical … environment should be appropriately adapted to meet the needs of all learners. The physical environment includes the way the school looks and feels and how learners use materials and move around. Noisy and busy parts of the school (e.g. dining hall and gym) are often stressful environments for autistic learners’.

     

    P3 ‘In an inclusive setting, the physical … environment is appropriately adapted to meet the needs of all learners. A predictable environment that supports independence and participation for autistic learners is likely to include:

    • an individualised visual timetable relevant to developmental stage

    • other visual supports

    • an individualised safe space (that they chose to go to)

    • planned movement breaks

     

    P5 ‘The physical environment refers to the physical layout of the classroom and the resources used within it.

    P10 ‘ All learners are influenced by the physical environment. … supports focus on “tuning” the physical … environment; establishing structures and routines throughout the school day.

     

    and


    I like this summary from ‘Total Spectrum’.

    ‘Routine is a good thing. Research informs us that we could all benefit from having a routine and a regular rhythm in our lives. But routine is especially important for children with autism. Here are some of the reasons why:

    1. Order From Chaos. Many children and young people with autism live in a world of chaos. They have difficulty making sense of everyday movements, sounds, and actions. What sounds like a symphony to you may sound like white noise to the ASD child. Routine creates order in their lives. These children and young people gradually learn what to expect and when to expect it. Routine creates a safe and secure environment in which life is predictable.

    2. Routine Comes Naturally. Children and young people with autism naturally tend to like repetitive actions. You often will notice them creating repetition themselves. Routine comes naturally to them.

    3. Stress Relief. Routine is known to relieve stress is almost all individuals. The child or young person with autism has a particularly stressful life as he or she tries to make sense of his or her surroundings. Adding routine will relieve the their stress.

    4. Routine Adds to the Learning Potential. Once you can relieve the child’s/young person’s stress, then it’s much easier to help the child learn new things. New habits. New skills. New accomplishments. Routine is a powerful learning tool in the ASD environment‘.

    Visuals/visual timetables/visual schedules/social stories should be used to prepare autistic people, young and old, for today, tomorrow, the future, change, events, holidays, dentist … don’t assume they know what is going to happen in their day. Autistic people need to see what is happening. They must be prepared for changes and transitions. No surprises! It reduces their anxiety making it much more likely they can cope with the day ahead.


    Came across this from the Autism Education Trust (English law). A quick checklist is always a handy thing to have around.


    I find this summary of reasonable adjustments from Autism Understanding Scotland helpful. This charity did not have it’s funding renewed which is a great pity as it was completely autistic led and carried out some fab work. They have kept their Information Hub ‘live’ so folk can still access advice. Here’s what they say about environmental adjustments:

    (text is a bit small – click on each of the 2 images to enlarge)


    Before you think about anything else, think about lighting. Fluorescent lighting of any kind can be unbelievable dysregulating for lots of learners. Which of these 2 environments would you find it easier to work in? (slide from one of my presentations).


    2 Visuals – Calendars, visual timetables, visual schedules 

    Visuals are anything you can see. Something that helps back up the spoken word and makes it permanent. This slide from a presentation of mine helps us understand what we mean by visuals.



    Important to remember!


    There’s a kind of hierarchy to introducing visuals, depending on the age and stage of the learner. Have a read at this article.


    Do learners have access to a calendar/timetable (home and school) so they know what’s happening when and with whom?

    Are they OK with the class timetable or would they prefer their own individual copy too?

    Be aware that there are some autistic people who become more stressed by timetables and calendars (PDAers?). If in doubt, ask them.

    If I were back running my own classroom I’d have a class timetable as well as weekly and monthly calendars on display that I would refer to regularly. I’d use them to show any changes that were happening that day and in the future. I would offer individual timetables to not just the autistic learners but to all learners. Why do we wait until learners are in secondary school before we give them their own timetable?

    Here’s a great article from Lynn McCann at Reachout ASC entitled ‘The right way to use visual timetables’. She explains that allowing learners to access timetables teaches them so much more than what is coming next.


    This timetable was written for a 5 year old … text (cursive!) worked for him rather than images. He loved adding a smiley face when an activity was completed.

    A couple of example to illustrate that timetables don’t always need to be ‘hi tech’! What’s far more important is that the learner is involved pulling it together.

     

    It’s so easy to quickly understand this was a Friday morning, the child was in room 2 with Miss Di Nardo, PE was first followed by 2 more activities before playtime.


    Timetables using real objects can be created for non-speaking learners or those who are developmentally delayed. Here’s an example. Moving from left to right, the learner removes the object from the polypocket (which helps them identify the task), finds the matching task. When the task is complete, the object is placed in the finished (blue in the image) basket and the learner moves on to the second object.


    Downloadable visuals from The Autism Toolbox – lower and upper primaries.


    For some learners who are not yet able to cope with a full day’s timetable, a ‘first/then’ or ‘now/next’ approach is the answer. Here are some examples. what you can’t see in the photo below is the ‘finished’ basket.

    Depending on their developmental stage, an object, a photograph, a line drawing, text etc. can be placed in each section.

     

    They don’t have to be shiny and laminated. This looks more like the visuals I’ve used over the years.


    Do they need an individual ‘checklist’ to help them complete tasks? Could this be offered to all learners? Some examples.

     

     

     


    3 Quiet space – why and how?

    Autistic children, young people and adults need regular time on their own away from the highly social (and stressful) environment that is a school (or workplace) to de-stress and re-charge their ‘social battery’. Have you identified a quiet space with them (home and school)? Would they benefit from regular times in their quiet space built into their timetable/day? This is necessary even if they really want to be with other people. This video explains why. It talks about ‘Asperger’s’ and ‘high-functioning teens’ but it applies to ALL autistic people.


    An oldie now but still a goodie!

    Patricia Howlin (1998, p200), Professor of Clinical Child Psychology, notes that when it comes to challenging behaviour ‘letting children spend time/play games alone in the library or carrying out other tasks and providing them with a set space to sit may have a much greater impact than a complex behavioural programme’.


    Advice from NAIT on safe spaces. I had a quick chat with them about the use of the word ‘safe’. I feel if we call it a safe space it implies everywhere is unsafe. Folks agreed it’s difficult to get the right word so I think we call it whatever the learner wishes to call it. I’ve had ‘quiet spot’, ‘concentrations spot’, ‘chill out zone’ etc. Having said all that, many, many autistic people will say they did (or do) feel unsafe in a school environment.


    Some young people don’t want to appear (although they will certainly feel) different to their peers so allowing them access to an individual safe space is not appropriate. Here are some ideas of how to give them those breaks out of class in a covert way. Disguised as the ‘purple folder’ from a Facebook post.

    the rucksack

    the paperclip code


    5 Class seating

    Sometimes a whole desk to themselves at the end of a group can be of huge benefit.


    6 Workstations – what, why and how?

    Would they benefit from access to a workstation (concentration spot, office)? This should NOT be used as a punishment and the child/young person should also have their own place in a social group. Should be seen as a positive place to be. Workstations can be adapted for any age/stage. Here’s a link that explains how to set up a workstation.


    Love this explanation from Chalkboard Superhero.


    Sign up for Chalkboard Superhero’s Starter pack and other freebies!


    Here are some examples of workstations.


    This short video explains how to structure a workstation. This is only one way of doing it!


    Another video illustrating how a workstation should operate.


    This video explains to children how to use their work system.


    7 Differentiation hints and tips

    Apologies if you feel this section is a bit like teaching a granny to suck eggs!

    ‘Is the curriculum sufficiently differentiated? Although the child might seem to cope with the majority of normally differentiated work, there will be times when more individual differentiation is required. It is appreciated that this can be difficult to plan and organise but in order for the child to be included successfully, reduce inappropriate behaviour and reach their potential, changes may be needed.’

    It’s important to remember that autistic children and young people are having to cope with a ‘double curriculum’ all day, every day. This is illustrated brilliantly in a slide from a talk given by Dr. Peter Vermeulen.


    Good advice on differentiation for primary and secondary schools from Leicestershire Council.


    General advice for secondary teachers from Lynn McCann at Reachout ASC. Also relevant for primary.


    Lynn McCann at Reachout ASC wrote this piece for the National Autistic Society – more advice for secondary teachers.

     

  • Question 1 Autism and Neurodiversity. What should I read, watch, listen to?

    All the information and resources I gather and signpost folk to are underpinned by the autistic voice as well as current best practice in Scotland as outlined by the GTC, Education Scotland (they manage the Autism Toolbox) and the National Autism Implementation Team

    In this section:

    1   Neurodiversity – what is it?

    2  Autism in School

    3  The autistic voice – links to videos and articles by autistic people explaining their autism

    4  The link between autism and and anxiety

    5  Autism and girls

    6 Masking (it’s not just girls who mask)

    7  Autism and ADHD


    A indicates images that follow are hyperlinked

    There is now a huge amount of information available for education staff to help them support the autistic/neurodivergent learners in their care but there is almost too much. Teachers and support assistants regularly tell me they have no idea where to start. They aren’t sure what’s good or what’s not so good information or advice. Over the last 5 years I have researched and collated what is good, evidence-based information, approaches and resources and pulled it all together here. It’s not the answer to everything but it will give staff an easy to access starting point.

    1  Neurodiversity – what is it?

    ‘Neurodiversity is the diversity of human brains and minds, the infinite variation in neurocognitive functioning within our species. The Neurodiversity Paradigm is an emergent paradigm in which neurodiversity is understood to be a form of human diversity that is subject to the same social dynamics as other forms of diversity (including dynamics of power and oppression)’. (The Neurodiversity Paradigm, Nick Walker).

    This professional guide from GTC Scotland provides further explanation.


    This illustration explains it simply. Great to use with learners.


    Some stats:

    • Around 15-20% of the population is considered neurodivergent.

    • 1-2 % of the population is estimated to be autistic. Figures can vary depending on what you read.

    • It’s estimated that 90% of autistic people have a co-occurring condition. 50% will have four or more co-occurring conditions e.g. 28% of autistic children will also have ADHD and 42% will have an anxiety disorder. NB Anxiety is not part of the autism profile.

    • Up to 50% of autistic people experience co-occurring alexithymia. (See Question 9 for an explanation of alexithymia).

    • 2 in 3 people with ADHD have autistic ‘traits’. People with ADHD are 8 times more likely to meet the full criteria for an autism diagnosis but may not have a diagnosis.


    From the Autism Toolbox – (some of the) diagnosable neurodivergent conditions.


    A slide from one of my sessions highlighting common differences. Approaches for supporting these differences are covered in this resource which helps to highlight the point that if you get it right for autism, you get it right for everyone.


    Have you come across EPIC Think Learn? The website is great and they produce free booklets to help you identify learners strengths and differences (as outlined above) and suggests easy to implement strategies that help support their differences. Booklets for teachers and parents.


    From Salvesen Mindroom Research Centre at Edinburgh University ‘A free programme for mainstream primary schools to introduce pupils aged 8-11 years to the concept of neurodiversity, and how it impacts our experiences at school.’


    Also from the research centre ‘NEST groups use a peer support model to enable neurodivergent young people to spend time together, with a focus on building community and supporting them to develop their own identities.’


    Brilliant video  from Kickstart Learning that explains neurodiversity in such a relatable way!


    2   Autism in School

    These are the key documents in Scottish education which will give you up-to-date, reliable, evidence-based information (which was created in consultation with autistic people) about autism and how best to support autistic learners.

    Throughout the key documents the messages are:

    • Adjustments should be anticipatory; let’s not just see how it goes because …

    • we were expecting you!

    • A neuro-affirming approach should be adopted by all.

    • Good things should just happen.

    • You won’t always know what to do but you can come at a challenge with an open mind, willing to do things differently.

    These resources will help you to know what to do. Read on …

    The National Autism Implementation Team is Scottish Government funded in partnership with Queen Margaret University. They provide information, advice and research. The NAIT Team are professionals from Education, Speech and Language Therapy, Occupational Therapy and Psychiatry who have considerable experience and expertise in working with autistic individuals of all ages, their families and others who support them. NAIT provide practitioner to practitioner advice.

    The Autism Toolbox.  A wealth of information and a resource for nursery, primary and secondary schools. Be prepared to get lost for hours!

    Professional guides from the GTC which say the same things. First one is specifically for teaching staff and the second for all staff in school.

    and

    and the CIRCLE document


    Further information and advice.

    An article on autism and nurture. From Teaching Scotland Jan. ’21. I make no apology for posting this at the beginning of each question as a reminder. I agree!

    A visual illustrating the same point.


    Support for our autistic learners should always be anticipatory. We should expect that they will have challenges in the highly social and sensory environment that is a school. This article from ‘Teaching Scotland’ (Nov ’19, Page 18) explains in more detail.


    Free modules from Education Scotland.


    ♥ Salvesen Mindroom have a section in their website called ‘knowledge exchange’. You’ll find some excellent videos from their conference.


    Scottish Autism


    National Autistic Society Scotland


    Some short videos to help everyone (adults, young people and children) understand autism.

    From Scottish Autism ‘What is autism?’ 4 minute video.

     


    From the National Autistic Society. 4 minute video.


    Really good animation ‘Amazing Things Happen’. 6 minute video.


    A ‘Newsround’ clip by Rosie King. This has been around for many years now but it’s still a great watch. 15 minute video.


    From Ambitious about Autism


    3  The autistic voice – links to videos and articles by autistic people explaining what it’s like to be autistic

    If you really want to understand autism and learn about the most effective strategies to use, speak to autistic people and ask them to explain their sensory differences, meltdowns, what it’s like to spend a day at school, what it’s like trying to operate in a group etc. It’s fascinating hearing their different perspective of the world. The next best thing is to listen to what autistic people have to say online. Here are links to videos of autistic people I think are brilliant at talking about their autism and helping us ‘neurotypicals’ understand what it’s like to live with autism …

    I’ve thought long and hard about including this video as Hannah uses language some may find offensive. However, it’s so brilliant at helping us understand autistic thinking I’m going for it! Here’s a little bit of info on Hannah Gadsby:

    Growing up, Hannah Gadsby always felt she was different. She struggled to read social cues, she had trouble applying for jobs, and spent a few living in a tent and doing farm labor. But Gadsby, who’s from Tasmania, had always been funny. On a whim, in 2006 she entered a stand-up comedy competition — and won.

    “I’d never held a microphone before. … I’d never even been to a comedy show — but all of a sudden, I kind of knew what I was doing,” she says. “As soon as I told my first joke … it really made people engage with me, and I held the audience in my hand.”

    Gadsby embarked on a comedy career in Australia, but she still felt out of place. It wasn’t until 2016, when she was diagnosed with autism spectrum disorder that things started to make sense.

    “It shifted the way that I understood myself,” Gadsby says of the diagnosis. “I was always operating on the false premise that everyone saw the world like I did.”

    “People on the spectrum … sort of feel like an alien being dropped in from outer space, and you can’t quite connect properly,” she says. “Being on stage and making a room full of people laugh, felt like a connection I hadn’t been able to establish in any other environment.”

    Enjoy! She is VERY funny! 7 minute video.


    I think this is a great page to help non-autistic people understand the autistic perspective.


    Purple Ella is an autistic/ADHD woman who has made several videos where she describes her own autism. Link takes you to YouTube where you’ll find lots of 10/15 minute videos made by Ella.


    This 13 minute video by John Simpson about autism and secondary school was made several years ago but still contains relevant information and advice. 14 minute video


    Another oldie but a goodie! Dean Beadle is an autistic adult who travels the world talking about his autism to various groups. He is also VERY entertaining! 11 minute video.


    Being diagnosed with autism is often seen as a tragedy. But for Jac den Houting, it was the best thing that’s ever happened to them. 13 minute video.


    John Simpson is an academic and autistic adult. In this selection of videos, John discusses his experiences of school (positive and negative), the importance of structure/routine/predictability, friendship and communication/social skills, advice for teenagers, advice for parents/carers, anxiety, mental health and self esteem and special interests.


    2 minute video clip of Gary Newman talking about his autism.


    A 5 minute video from Chris Bonnello (a qualified teacher and tutor of children with additional support needs) talks about his report from nursery.


    If you’ve not already watched the Christine McGuinness documentary about her autism diagnosis, I recommend you seek it out. Here’s a clip from the programme.


    An autistic adult talking about his late diagnosis and how he copes with life now he understands himself. (2 mins. 49secs.)


    And for a bit of a laugh … the comedian Joe Wells (who is autistic). Get yourself along to one of his shows – you won’t be disappointed! (1min. 30secs.)


    4  The link between autism and and anxiety

    Anxiety is likely to be the overarching emotion experienced by an autistic person. Research informs us that anxiety disorders are substantially more common in autism than in the general population (on average, 10 – 15% of the general population and at least 40% of autistic people). They may express their anxiety through behaviour that challenges us. That might look like defiance, avoidance (including school), over planning, difficulty focusing, sore tummies and headaches, difficulty managing emotions etc. which may eventually result in a ‘meltdown’. Or you may see nothing which may be ‘shutdown’.

    The child may be masking their autism and/or anxiety in school. Autistic girls are significantly under diagnosed and one of the reasons for this is they are skilled ‘maskers’ (boys mask too!). Masking is exhausting and anxiety provoking for an autistic child or young person meaning they may meltdown/shutdown at home. This situation is difficult for all involved as the child/young person may be ‘holding it together’ in the very environment which is significantly contributing to their anxiety. If this happens to be the case, it’s understandable that staff  perceive they are ‘doing fine’ which can be very frustrating for parents/carers.

    It cannot be stressed enough that anxiety is reduced in an environment which is highly visual, structured, predictable and ensures sensory differences are addressed. Remember … autism is a communication difference so they may not communicate their anxiety either effectively or appropriately.


    A slide from my ‘Autism & Anxiety’ presentation – stats. are sobering!


    Research findings from The Autism Research Group. Easy to read and current, sound advice.


    A must watch before you read any more


    An excellent article by Dr. Tony Attwood – world renowned autism expert.


    Information and advice from the National Autistic Society on autism and anxiety in school.


    A great short read from Sarah Henedrickx (an autistic woman, autism consultant and author) about autism and anxiety in the classroom.


    Understanding that anxiety presents itself in many ways helps to explain behaviour that challenges us (what we are now referring to as distressed behaviour).


    Sarah Hendrickx (an autistic woman, autism consultant and author) talking about how anxiety affects everything. 45 min. video but well worth watching.

    __________________________________________________________________________________________________________________________

    A short video from NAS. 4 Autistic young adults discussing social anxiety.


    A MUST read. Autism, anxiety and the impact on parents. Like the author, I hear similar stories almost every day of my working life.


    If you’ve ever wondered why some autistic people have meltdowns, this may answer your question.


    I Love Neurodivergent_Lou’s Facebook page. She explains her autism so succinctly.


    Advice for school staff from The National Autism Implementation Team for those autistic learners who are experiencing anxiety related absence (school refusal) and are unable to return to school.

    I also pass this to parents to help them frame their thinking and conversations with school.


    Interesting article on anxiety related absence


    5  Autism and  girls 

    • Previously thought fewer females are autistic.

    • Now recognised from research, clinical practice and anecdotal reports that many autistic women and girls are not being recognised. This can result in misdiagnosis, late diagnosis, or them not being diagnosed at all.

    • Some say the diagnostic criteria for autism are biased towards the behaviour of men and boys.  ’Diagnostic tools … were developed according to male phenotypes’ (Gould and Ashton-Smith, 2011). Whatever the reasons, we know that autistic women and girls are still hugely misunderstood and underdiagnosed.

    • Their more subtle presentation can be barrier to clinicians and other professionals. I have heard the phrase ‘they’re fine’ used to describe many women and girls I have known over the years. They are often not fine!

    • It’s still more common for men and boys to receive a diagnosis of autism. Increasingly understood autistic women and girls may be better at masking their differences and so their autism is missed.

    • It seems that girls on the autism spectrum may be less noticeable than boys because they are less disruptive and have an ability to mimic behaviours (Attwood, 2012).

    The general consensus is that autistic females:

    • Exhibit more sophisticated social imitation skills

    • Have more of a desire to interact directly with others

    • Tend to be (described as) shy or passive

    • Possess better imagination

    • Demonstrate better linguistic abilities

    • Their interests tend focus on animals or people so not perceived as ‘odd’

    • Mask!


    Info from NAS


    A TED talk


    Sarah Hendrickx lecture. 1hr. 15mins. but very informative.


    I’ve just finished reading this book. It was written by a teen for other teens but reading it yourself really helps you understand the aspects of life autistic girls find challenging.


    6 Masking (it’s not just girls who mask)

    Very informative guide from the National Autism Implementation Team

    and a video from the website on masking.


    A blog about masking.


    A video about masking.


    7  Autism and ADHD (this section is under construction)

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