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New Zealand Autism Spectrum Disorder Guideline - Ministry of Health

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Part 3: Education for learners with ASD<br />

Research has identified subgroupings <strong>of</strong> children<br />

on the basis <strong>of</strong> their social responsiveness:<br />

passive (few initiations but positive responses),<br />

alo<strong>of</strong> (indifferent in all situations, particularly<br />

with other children), ‘active but odd’ (seeks out<br />

interactions but uses odd language, focuses on<br />

obsessional topics and lacks understanding <strong>of</strong><br />

others) and ‘over formal and stilted’ (excessive<br />

formality and difficulties with the subtleties <strong>of</strong><br />

social situations) 96 . These groupings can be useful<br />

to help focus interventions and set priorities.<br />

Lack <strong>of</strong> speech does not prevent the<br />

development <strong>of</strong> increased social skills, but social<br />

interactions do require communication to initiate<br />

and respond, which underlines the importance<br />

<strong>of</strong> matching interventions to the child or young<br />

person’s communication skills 96 .<br />

Explicit teaching <strong>of</strong> social behaviour needs to<br />

be part <strong>of</strong> the individual plan for any child or<br />

young person with ASD throughout his or her<br />

life 202 208 224 .<br />

Verbal and higher functioning children<br />

and young people<br />

Despite their command <strong>of</strong> language and<br />

sometimes their desire to interact, higher<br />

functioning children and young people with<br />

ASD are <strong>of</strong>ten unable to use their verbal skills<br />

to successfully enter the social fray 224 . These<br />

children tend towards repetitive enactments <strong>of</strong><br />

solitary routines around their obsessive interests<br />

and either avoid social play or approach peers in<br />

ways that are unlikely to be reciprocated 225 .<br />

Older children and young people have difficulty<br />

with peer relationships and demonstrating social<br />

and emotional reciprocity 226 227 . Social difficulties<br />

are thought to be a reason for the high rates<br />

<strong>of</strong> depression, which are <strong>of</strong>ten seen in higher<br />

functioning adolescents 224 228 . In adolescence,<br />

young people begin to engage in social<br />

interaction primarily by conversation and this<br />

provides many challenges for the young person<br />

with ASD 224 .<br />

Approaches to interventions<br />

Interventions to enhance social development<br />

need to be carefully planned and systematic 229 .<br />

Particular care should be given to planning<br />

for generalisation and maintenance 96 208 230 .<br />

Practitioners need to be fluent in a range <strong>of</strong><br />

approaches so that they can choose what is most<br />

appropriate for the teaching <strong>of</strong> specific skills<br />

and for particular settings. It is also important<br />

to match the approach to the developmental<br />

level and needs <strong>of</strong> the particular child 96 .<br />

Researchers advocate that it is important for<br />

teachers and other pr<strong>of</strong>essionals to draw on<br />

their own theory <strong>of</strong> mind to try and appreciate<br />

their student’s view <strong>of</strong> the world when planning<br />

interventions 225 .<br />

Implications for pr<strong>of</strong>essional practice<br />

Assessment<br />

Different aspects <strong>of</strong> socialisation require<br />

different forms <strong>of</strong> assessment.<br />

Areas to be assessed<br />

Because communication is the process by which<br />

people carry out social relationships, social and<br />

communication assessments and the goals and<br />

objectives that follow need to be considered<br />

hand in hand 96 230 .<br />

Play is an important social activity for children;<br />

therefore, play skills also need to be assessed 96 .<br />

Researchers recommend an assessment <strong>of</strong> the<br />

sensory preferences <strong>of</strong> very young children 229 .<br />

These data will allow teachers and practitioners<br />

to more efficiently predict the features <strong>of</strong> toys<br />

which will be the most reinforcing. The interests<br />

and preferences <strong>of</strong> all children and young<br />

people will need to be understood if activities<br />

and materials are to be motivating 202 224 230 .<br />

Assessment techniques and tools<br />

Developmental scales may also be useful for<br />

assessing general social development. However,<br />

children with ASD <strong>of</strong>ten do not demonstrate<br />

typical patterns <strong>of</strong> development 96 .<br />

Part 3<br />

Many researchers report that the ability to<br />

carry out targeted observations is a key skill<br />

<strong>New</strong> <strong>Zealand</strong> <strong>Autism</strong> <strong>Spectrum</strong> <strong>Disorder</strong> <strong>Guideline</strong> 103

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