In this section, you will explore the following areas:
Assessment and monitoring are dynamic and symbiotic processes in which an autistic learner (and every learner) is at the centre. As a result, it should not be divorced from other aspects of the child’s life either at school, home or in the community.
Assessment is an integral part of learning and teaching which takes place in every classroom each day. It helps to provide a picture of a learner’s progress and achievements and to identify next steps in learning. Assessment should identify if particular strategies and supports continue to be appropriate for individual pupils.
Assessment can be for a variety of purposes. These may include reviewing and revising individualised educational/learning/support plans or compiling risk assessments, as well as monitoring progress in curriculum areas. Information may be required as part of a ‘joined-up’ assessment, towards development of a pupil profile, diagnostic information or for a coordinated support plan, consistent with the principles of the ‘Getting it right for every child’ approach to provide a holistic view of the child.
The assessment of autism in Scotland:
It is the responsibility of all who work with children to respond appropriately to their needs. Recognising early signs of difficulties and adapting learning and teaching approaches are a regular part of the daily routine for teachers supporting all children in an education environment. For those learners who may have additional learning needs, such as those arising from autism, it is important that these needs are met in the best possible way by accurate and timely identification.
My World Triangle is one approach which can be used to gather more information from a range of sources (some of it possibly specialist), to identify the strengths or wellbeing concerns in the child or young person’s world.
Access and download a copy of the My World Triangle and Further resources, images and information on the My World Triangle.
In Scotland, there is currently a move towards assessing and diagnosing autism as part of a range of neurodevelopmental conditions. We recognise that autistic young people can have other co-occurring difficulties that also need to be recognised, especially if they are to understand their own strengths and difficulties. Currently, a diagnosis of autism is given through the local health authority (NHS) but across Scotland there are a range of pathways and professionals involved. The Diagnostic and Statistical Manual (DSM-5) and the International Statistical Classification of Diseases and Related Health Problems (ICD) are used by clinicians to identify autism. In 2013, DSM-5 redefined autism. The terms ‘Autistic Disorder’, ‘Asperger’s Disorder’ and ‘PDD-NOS’ were replaced by the diagnosis of Autism Spectrum Disorder. The ICD is the diagnostic classification standard for all clinical and research purposes used to identify autism and this version of the manual.
Early identification of autism can be helpful as it can allow professionals to understand and respond to the child or young person’s unique pattern of strengths and difficulties, and thus allow the learner to flourish. Health professionals and education partners should therefore be aware of the possibility of autism when they notice a pattern of features in the areas of:
‘social interaction and play, speech, language and communication difficulties and behaviour’.
In early years and childcare settings and in schools, assessment involves the gathering of information about the learner’s strengths and difficulties and will include a wellbeing assessment. In collaboration with parents and the learner, a profile of the learner is established; this may result in a request for further assessment by speech and language therapy services and potentially educational psychology services.
If the information gathered indicates that the learner may be autistic, a request for assistance can be made to the local specialist autism or neurodevelopmental diagnostic team. For a range of reasons, some parents decide that they do not wish to move to formal identification. This does not stop the team around the child planning to support and meet the needs of that child or young person.
Good practice in terms of identification of autism involves the gathering of information by a multi-disciplinary team with the relevant skills and experience. Information should include the child or young person’s strengths and difficulties, and a diagnostic assessment based on the current version of DSM-5 or ICD.
‘Specialist assessment should involve a history-taking element, a clinical observation/assessment element, and the obtaining of wider contextual and functional information.’
The team uses this information to decide if the child or young person fits the criteria for autism. A report is usually compiled based on the gathered information and post-diagnostic support is normally offered to the family.
In Scottish schools, the staged intervention is used as a means of identification, assessment, planning, recording and review to meet the learning needs of children and young people, including autistic learners. Staged intervention:
Staged intervention is designed to be flexible and allows for movement between stages depending on progress. There are variations between local authorities regarding the number of stages within their process
Universal support starts with the ethos, climate and relationships within every learning environment. It is the responsibility of all practitioners to take a child-centred approach that promotes and supports wellbeing, inclusion equality and fairness. The entitlement to universal support for all children and young people is provided from within the existing pre-school and school settings.
An environment which is caring, inclusive, fair and focused on delivering learning to meet individual needs will encourage all children and young people to strive to meet their learning potential. Every child and young person is entitled to support to enable them to gain as much as possible from the opportunities which Curriculum for Excellence can provide. When a child or young person may require some additional support, this is initially the responsibility of the classroom teacher. The majority of children and young people’s needs are met through universal support.
Some examples of universal support are below. This list is not exhaustive.
Children and young people can benefit from additional or targeted support, tailored to their individual circumstances. This could be at any point on their learning journey.
This targeted support is any focused support that children or young people may require for short or longer periods of time, in order to help them overcome barriers to learning or to ensure progress in learning.
Targeted support is usually, but not exclusively, coordinated and provided by staff with additional training and expertise through a staged intervention process. This may be by staff other than the class teacher and outside the pre-school or school setting, but within education services.
Some examples of targeted support are below. This list is not exhaustive.
A key message highlighted through this module is that a diagnosis of autism is not the end of a journey in supporting an autistic learner; it can aid an ongoing process of support which will require planning and monitoring.
The principles of Curriculum for Excellence and the ‘Getting it right for every child’ approach place the child at the centre of all planning. Central to supporting pupils with autism is:
It is important that schools recognise that any adjustments made to support pupils with autism will potentially benefit all pupils.
Recap: Section 2 highlighted
‘Many autistic learners may only require minimal levels of support in class. Their needs will be met by a small number of reasonable adjustments within an inclusive classroom environment. This might include providing a visual timetable to enable them to better understand the structure of their day. A smaller number of autistic learners will need a more personalised, tailored approach.’
Through Curriculum for Excellence, all children and young people should have frequent and regular opportunities to engage with an adult who knows them well and with whom they have a mutually trusting relationship to review and discuss their learning and progress. Cognisance must be given to the individual developmental needs of learners when staff plan and support this engagement. For Social and Language partners, different methods of establishing their preferences are required. This key member of staff has the holistic overview of the child or young person’s learning and personal development.
There are variations between local authorities regarding the number of stages within their process and their terminology used to describe planning documents. An overview using common terms is provided in the table below.
Universal | Targeted | ||
---|---|---|---|
Stages/levels examples | 1 | 2 | 3 |
Examples of plans | Class planning Personal learning plan (PLP) | Individual education plan (IEP) | Coordinated support plan (CSP) Child's Plan |
Personalised learning is at the heart of supporting learning in which the learning environment is a crucial factor. Conversations about learning, reviewing progress and planning next steps are central to this process. All children and young people should be involved in personal learning planning (PLP).
Autistic learners (as are all learners) are entitled to have opportunities for achievement which focus on learning and progress made through activities across the full range of contexts and settings in which the curriculum is experienced. The 2017 Code of Practice says that children with additional support needs should be involved in their personal learning planning. It also says that, for many, this will be enough to meet their needs.
If a PLP does not enable sufficient planning to support an autistic learner, their PLP can be supported by an individualised educational programme (IEP). An IEP is a non-statutory document used to plan specific aspects of education for learners who need some of or their entire curriculum to be individualised. IEPs are usually provided when the curriculum planning required is to be ‘significantly’ different from the class curriculum. Involvement with group work or extraction for a number of sessions a week does not normally meet the criteria for an IEP.
A CSP is the only statutory educational plan in Scotland. It is a legal document and aims to ensure that all the professionals, the child/young person and the parents/carers work together and are fully involved in the support. It was developed to help coordinate services for children or young people whose additional support needs:
In line with the Children and Young People Act 2014 and the ‘Getting it right for every child’ approach, many children and young people will now have a Child’s Plan. Child’s Plans are created if a child or young person needs some extra support to meet their wellbeing needs, such as access to mental health services or respite care or help from a range of different agencies. The Child’s Plan will contain information about:
All professionals working with the child would use the plan, which may include an IEP or a CSP. Where there is a Child’s Plan and targeted interventions to support a child or young person and parents, there will be a Lead Professional to coordinate that help.
Reporting ‘provides clear, positive and constructive feedback … [on] learning and progress’ to parents and learners and ‘creates an agenda for discussions … about their next steps in learning.'
Staff supporting learners who require additional support are familiar with this kind of reporting whether for review meetings, evaluating plans and targets with learners, or as a report for parents or carers.
Intervention at all levels is managed in close collaboration with parents, allied health professionals (if there are signs that this is warranted) and others who may be able to give support either directly or indirectly. Where a collaborative plan of intervention requires to be developed, all parties involved may require meeting with parents/carers to ensure a common strategy for supporting the child. A record should be kept of any such meetings and retained with the paperwork for the Staged Process of Assessment and Intervention.
Effective monitoring of autistic learners’ learning is essential to support their progress and positive experiences of learning. This will guide staff to use appropriate levels of assessment and inform their planning.
The information gathered throughout the assessment process and diagnostic conclusions should support the planning for the autistic learner’s next steps. This will require monitoring due to the changes and challenges which will occur as they grow, and their curriculum develops as both they and their peers develop. For example, the difficulties experienced in P6 may not be exactly the same in S3 – they may be harder or easier and other challenges may replace them.
Listed below are areas that help schools achieve effective planning for their autistic learners.
Supporting learners is a collaborative process that involves effective partnership working between professionals, families and the learner, where possible. This is particularly important and helpful when identifying and planning support for an autistic learner.
The role and views of the parents, carers, and child or young person are extremely important and can provide valuable information to support assessment and monitoring. Learning targets are more likely to be reinforced at home if parents have also been centrally involved in planning.
Planning is considered to be most effective when the young person's views are taken into account. There is a clear consensus that joint planning at the earliest possible stage is most helpful in meeting children's and young people's needs. Early and good communication between education staff, allied health professionals and parents is more likely to lead to coordinated and appropriate planning, support and monitoring for each individual child.
Select the headings to reveal an explanation of professional roles and responsibilities.
Education authorities
Education authorities are required to identify and support the additional support needs of each child or young person for whose school education they are responsible. They should:
Classroom teacher
Support for all learners begins within the classroom and is provided by the classroom teacher who holds the main responsibility for nurturing, educating and meeting the needs of all pupils in their class, and who also ensures early identification of pupils' additional support needs, plans, delivers and reviews curriculum programmes.
However, this does not mean that class teachers are responsible for the formal identification of autism. It means that they play an important role in the initial stages and the continuing monitoring and assessment of learning – as they do for all their pupils.
The principles for the assessment of additional support needs are no different to those for Curriculum for Excellence. Information that is gathered on a daily basis by class teachers as part of their curriculum moderation and assessment can provide a significant contribution to support assessment. The information gathered reflects the learner’s presentation in class and can include examples of:
Support for Learning teacher (SfL/ASN teacher)
The Support for Learning or Additional Support Needs teacher works in partnership with parents and appropriate practitioners to meet the additional support needs of children and young people within their local authority's staged intervention process. They assist class teachers and school management to ensure that children who have additional needs have those needs identified and met within Curriculum for Excellence.
Support should be delivered through the five well-established roles of the Support for Learning teacher, which are all complementary and are explained below.
Educational Psychologist
The role of the Educational Psychologist within local authority schools is to offer advice and intervention to young people, parents, schools and the Education Service. The identification of autism within the school setting is not carried out by an Educational Psychologist. However, they may provide consultation on the assessment, identification and educational planning for autistic learners.
This may include working:
Occupational Therapist (OT)
Autism is a social communication difference and autistic learners will experience difficulties with social and practical skills – this will vary considerably from individual to individual. Where these difficulties affect the child's everyday life, the role of a Children's Occupational Therapist is to work with families, teachers and others to assess the difficulties the child is having with these skills. They will then advise children and families on how they can participate in daily activities to enable them to become as physically, psychologically and socially independent as possible. This includes general self-care, school, work and play/leisure (dependent on the age of the child or young person). They may also investigate sensory processing difficulties. With permission from the family or young person if they have capacity, this advice and support is shared with the school through child-centred partnership working.
Requests for assistance for Occupational Therapy Services can come from a variety of sources and this varies across the country. All referrers must ensure the request is made with the parents' consent.
Physiotherapist
Some autistic learners may experience physical movement problems. Physiotherapists work with children and young people with movement disorders, their parents/carers, teachers and others. The aim of the physiotherapist is to help the child or young person reach their full potential through providing physical intervention, advice and support.
Referrals to physiotherapy can come from a variety of sources and this varies across the country. All referrers must ensure the referral is made with the parents' consent.
Speech and Language Therapist (SLT)
Autistic learners experience speech, language, communication and social interaction difficulties, affecting non-verbal and verbal communication and/or social understanding or social communication difficulties. They may present at a preverbal stage of communication and at all stages up to being verbal and articulate with language.
The role of the Speech and Language Therapist is to work with children and young people with a range of neurodevelopmental difficulties (including autism), parents/carers, teachers, health visitors and others to assess the child's developmental progress and how this impacts on everyday communication, play and engagement in a range of contexts (e.g. home, school and in the community or with friends). This assessment is then considered in planning to meet the child's needs through a range of supports and interventions at a universal, targeted and specialist level.
Speech and Language Therapists are core members of diagnostic assessment teams and also work collaboratively to enable the child or young person to be successful communicators and to support those around them to adapt their environment and communication styles to support communication, reduce anxiety and distress, and build social relationships.
Requests for assistance around understanding and supporting communication or for diagnostic assessment can usually be made directly to the local SLT department through local pathways and guidance.