Supporting Students with Autism Spectrum Disorder in Schools
1_NCSE-Supporting-Students-ASD-Schools
1_NCSE-Supporting-Students-ASD-Schools
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Pre-School Children and School-Aged <strong>Students</strong> <strong>with</strong> ASD<br />
Considerable frustration at <strong>in</strong>consistent access to pre-school supports was voiced repeatedly –<br />
access to DES services depends on a formal diagnosis of ASD. Parents and professionals advised<br />
that this dependency on a diagnosis – not always readily available or desirable – and hav<strong>in</strong>g<br />
to wait for diagnosis, caused significant stress to parents seek<strong>in</strong>g crucial early <strong>in</strong>tervention<br />
services. This resulted <strong>in</strong> <strong>in</strong>tense pressure on professionals to make an early diagnosis (even<br />
where not cl<strong>in</strong>ically necessary at that time for that child).<br />
All groups voiced concern about the lack of therapeutic and cl<strong>in</strong>ical services (psychology,<br />
speech and language therapy, occupational therapy, physiotherapy and psychiatry) to support<br />
children <strong>in</strong> pre-schools which they considered to be limited and <strong>in</strong>consistently available at best<br />
and often not available at all.<br />
There is strong support for the ECCE scheme to be extended to two years for children <strong>with</strong><br />
special educational needs, <strong>in</strong>clud<strong>in</strong>g ASD, as many require additional time to be ready for<br />
school. Generally it was considered that pre-school age was too early to separate children from<br />
their peers because if they started off <strong>in</strong> special sett<strong>in</strong>gs it was likely they would rema<strong>in</strong> there.<br />
Ideally groups considered that they should be supported to attend ma<strong>in</strong>stream pre-schools so<br />
they could mix <strong>with</strong> other children <strong>with</strong>out ASD. But concern was expressed that ma<strong>in</strong>stream<br />
pre-schools currently had not the necessary levels of staff <strong>with</strong> appropriate tra<strong>in</strong><strong>in</strong>g and<br />
experience – there was particular concern and confusion about the national fund<strong>in</strong>g of preschool<br />
assistants <strong>in</strong> ma<strong>in</strong>stream sett<strong>in</strong>gs for these children.<br />
Some groups thought a visit<strong>in</strong>g teacher service to support children <strong>with</strong> ASD and their families<br />
might work to provide additional support necessary.<br />
One group considered that young children <strong>with</strong> ASD should be educated <strong>in</strong> ASD specific sett<strong>in</strong>gs<br />
and receive early <strong>in</strong>tensive behavioural <strong>in</strong>tervention (EIBI) on a one-to-one basis through an<br />
ABA framework. This would provide the therapist <strong>with</strong> the specific tools for motivat<strong>in</strong>g the<br />
child to learn effectively. Staff <strong>in</strong> ASD specific sett<strong>in</strong>gs should be supervised by a board certified<br />
behavioural analyst (BCBA) to ensure that behavioural <strong>in</strong>terventions were appropriately<br />
implemented. This group considered all <strong>in</strong>dividuals <strong>in</strong> the child’s environment required <strong>in</strong>tensive<br />
tra<strong>in</strong><strong>in</strong>g <strong>in</strong> the pr<strong>in</strong>ciples of applied behaviour analysis, <strong>in</strong>clud<strong>in</strong>g <strong>in</strong>dividualised assessment,<br />
design and implementation of <strong>in</strong>dividualised <strong>in</strong>tervention programmes as well as <strong>in</strong>-depth<br />
and on-site tra<strong>in</strong><strong>in</strong>g <strong>in</strong> behaviour management skills. This was not a consensus view across<br />
consultation groups, however, as others voiced concern that children could become promptand<br />
re<strong>in</strong>forcement-dependent <strong>in</strong> such environments.<br />
Problems <strong>with</strong> the operation of the home tuition scheme were identified. The scheme’s<br />
quality and the qualifications and experience of home tutors should be monitored. One group<br />
considered that tutor qualification needed to be broadened to <strong>in</strong>clude psychology and ABA<br />
as these were appropriate qualifications for work<strong>in</strong>g <strong>with</strong> pre-school children <strong>with</strong> ASD. Some<br />
parents did not know about the scheme while others had difficulty f<strong>in</strong>d<strong>in</strong>g suitable and qualified<br />
home tutors as no such list was available to them. Other parents expressed concern about the<br />
comb<strong>in</strong>ed allocation of home tuition hours for sibl<strong>in</strong>gs.<br />
<strong>Support<strong>in</strong>g</strong> <strong>Students</strong> <strong>with</strong> <strong>Autism</strong> <strong>Spectrum</strong> <strong>Disorder</strong> <strong>in</strong> <strong>Schools</strong> – NCSE Policy Advice 2015 27