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Autism Teaching Methods: TEACCH (Treatment and Education of Autistic and Related Communication Handicapped CHildren)

TEACCH, developed at the University of North Carolina in the 1970s, is used by many public school systems. This method is often less intensive than Applied Behavior Analysis or Verbal Behavior programs in the preschool years. A TEACCH classroom is usually very structured, with separate, defined areas for each task, such as individual work, group activities, and play. It relies heavily on visual learning, a strength for many children with autism and PDD. The children use schedules made up of pictures and/or words to order their day and to help them move smoothly between activities. Children with autism may find it difficult to make transitions between activities and places.

Children may sit at a work station and be required to complete certain activities, such as matching pictures or letters. The finished assignments are then placed in a container. Children may use picture communication symbols - small laminated squares that contain a symbol and a word - to answer questions and request items from their teacher. The symbols help relieve frustration for nonverbal children while helping those who are starting to speak to recall and say the words they want.

TEACCH says that it respects the "the culture of autism," and embraces a philosophy that people with autism have "characteristics that are different, but not necessarily inferior, to the rest of us." It says, "the person is the priority, rather than any philosophical notion like inclusion, discrete trial training, facilitated communication, etc."

Drawbacks to this method: Social interaction and verbal communication may not be heavily stressed because TEACCH is more focused on accommodating a child's autistic traits than in trying to overcome them. Also, more research is needed into the effectiveness of TEACCH, especially in comparison to Applied Behavior Analysis and other teaching methods. In contrast to the outcome studies of ABA published by Dr. Lovaas, TEACCH has not published comprehensive, long-term studies of its effectiveness in treating and educating children. Parents who want their child included with nondisabled peers may not be happy with a TEACCH program.

TEACCH, as originally developed in North Carolina, includes an array of services that may be missing from other public schools that have adopted this method for their autism classroom. You may wish to learn more about the North Carolina model to see how your school's program measures up.

The TEACCH Approach to Autism Spectrum Disorders by Dr. Gary B. Mesibov, Victoria Shea and Eric Schopler. This comprehensive handbook explains the philosophy and methods of this program.

Web site: TEACCH at UNC

Parent Survival Manual: A Guide to Crisis Resolution in Autism and Related Developmental Disorders, edited by Eric Schopler, Ph.D., founder, Division TEACCH at UNC. Based on interviews with parents and behavioral experts, this book provides practical solutions to common behavior problems involving aggression, communication, hygiene, social skills, eating and sleep.

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