ASD Transition Snapshot Template * Secondary

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ASD: Secondary school transition statement
Student’s personal details
Student’s details
Name
DOB
Address
Postcode
Family details
Parent’s names
Siblings
Primary school contacts
Name
School
Email
Phone
Name
School
Email
Phone
Other professionals involved
Name
School
Email
Phone
Name
School
Email
Phone
Transition Co-ordinator
Name
Email
72 Autism Spectrum Disorders
Phone
n
Planning a successful transition to secondary school
ASD: Secondary school transition statement
Diagnosis and assessment information
Diagnosis
Diagnosed by
Date of Diagnosis
Cognitive assessment
Date of assessment
Results
Communication assessment
Date of assessment
Results
Adaptive skill development
Date of assessment
Results
Other
Date of assessment
Results
ASD: Secondary school transition statement
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ASD: Secondary school transition statement
Current ASD symptoms
Social
Communication
Behaviour, interests and activities
Health and associated features
Health
Diet/Eating
Sleep
Fine and Gross Motor
Sensory Disturbance
74 Autism Spectrum Disorders
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Planning a successful transition to secondary school
ASD: Secondary school transition statement
Cognitive profile, thinking and learning
What are the student’s strengths and weaknesses?
What are the student’s particular areas of interest or talent that motivates him/her?
Is the student easily distracted?
How does the student cope with change?
Does the child persist with difficult tasks?
Can the student generalise skills and learning (people, settings and equipment)?
What does the student do when confused or anxious?
Can the student organise and sequence information?
ASD: Secondary school transition statement
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ASD: Secondary school transition statement
Emotional and behavioural difficulties (anxiety, depression)
Current successful strategies
Other
76 Autism Spectrum Disorders
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Planning a successful transition to secondary school
ASD: Secondary school transition statement
Thoughts and comments from the student
1. What do you like about primary school?
2. How have the teachers at primary school helped you with your work?
3. How are you getting on with the other kids?
4. Is there anything worrying you about going to your new school?
5. What would help you settle at your new school?
6. What would you like your new teachers to know about you?
Other comments
ASD: Secondary school transition statement
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ASD: Secondary school transition statement
Transition plan checklist
Checklist
Yes
No
Action
PSD Year 6/7 review if
applicable
Transition coordinator
identified
Diagnostic and
assessment reports
Health and medical
reports
Professional Development
for Teachers
School familiarisation
and orientation
Thoughts and comments
from the student
Student snapshot
developed
ASDs Secondary School
Transition Statement
Specialists consultation
Primary school
consultation
Methods of parent-school
communication
Plans to support student
Plans to support family
Plans to support
teaching team
Develop individual
learning plan
Future Student Support
Groups
78 Autism Spectrum Disorders
n
Planning a successful transition to secondary school
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