The programmes at Inspire There are many programmes at Inspire which are co-ordinated and facilitated from the two centres in Malta. The first centre is in Bulebel which is the education and training centre which includes a centre for children with autism and neurological conditions, and another centre mainly for adults with disabilities including work placement opportunities to develop work potential. The second centre is at Marsascala which is the therapy and leisure centres which also includes pottery sessions, animal interaction, therepuetic horseback riding, swimming and the multi-sensory rooms. Some of the programmes which use these facilities are shown below. PACES This programme is the parent and client education service and is for clients who have intellectual disabilities. It has been tailored to meet the individual needs of persons with learning disabilities from birth and throughout the school years. It addresses the needs of the individual in all areas of development. It targets goals set at the young person’s Individual Education Plan (IEP), in the family setting, in the school and in the community. The clients that attend PACES mostly have down syndrome. STEP Structures Training and Education Programme (STEP) is a specialized programme for children and adolescents within the Autistic spectrum. The step programme is based on the National Autistic Society (2013) Treatment and Education of Autistic and Related Communication-Handicapped Children (TEACCH) and the Structure, Positive (approaches and expectations), Empathy, Low arousal, Links (SPELL) frameworks and approaches. STEP aims to: - Provide intensive specialized training, education and support allowing the development of the individuals potential and levels of independence appropriate for that persons age. - Provide assistance and support to ensure full inclusion at school and within the community. Children in STEP spend one morning a week at the Bulebel centre where they attend 1-1 and group activities which the OT’s carry out consultations to identify the strengths and areas of development for the child and then liaise with tutors and the parents to make any recommendations. The children from STEP also spend 1 afternoon a week at the Marsascala centre where they attend either MSR (Multi-sensory rooms), THR (Therapeutic horseback riding), pottery or swimming sessions. The OT’s again carry out consultations in these areas and make recommendations to parents and tutors. The sessions at Bulebel and Marsascala are structured using a visual system which encourages the children independence and improves self-esteem and confidence levels within these environments. The children associate themselves with coloured cards with their photos on and the use of the ‘whats next card’ aids there transitions throughout the programmes for the day. The structure is support by positive reinforcement from the tutors and therapists working with the children. With the use of short phrases such as ‘hands quiet’ or ‘not good’ instead of a negative reinforcement such as saying no to the children when their behaviour is not appropriate. STYLE Specialized Training for Lifestyle Enhancement for youngsters enrolled in the Autistic spectrum disorder programmes. The focus is the clients potential and further development. Those on the programme are encouraged to engage in activities favoured by their typically developed peers. The OT attends the groups and offers group consultation to develop their potential and increase their independence. The OT co-facilitates groups for independent life skills such as budgeting skills and then encourages these individuals to use these skills on day trips and at home. The OT also carries out other group skills such as sensory integration for clients whose functional abilities are more impaired by their condition. STAR This programme caters for children aged between birth and 16 with neurological conditions such as brain injury, cerebral palsy and other physical disabilities. It provided specialized therapies, education and support allowing the development of each child’s full potential and level of independence. STAR also provides assistance and support to ensure full inclusion at school and within the community. Intervention is delivered by a team of tutors who are supported by the Occupational Therapists, Physiotherapists, Speech and Language Therapists and Psychologists. The OT carries out 1-1 sessions and assessments to assist the tutors and offers consultations with the parents to increase functional independence levels and participation in daily activities.