St Christopher’s School and Children’s Home (Bristol) Policy Guidelines on Transitions Ratified by Trustees October 2014 Review date November 2015 Introduction Pupils with autism spectrum disorders (ASD) regularly experience difficulties in coping with change. This difficulty is often apparent when our pupils are confronted with transitions. The daily routine of our pupils is punctuated with transitions from one environment to another and from one activity to the next. Pupils with ASD have difficulty with shifting attention from one task to another and with changes in routine. Due to their impaired ability to process new information and organise their perceptions, they rely on familiar routines and activities. (See policy on Flexibility of Thought). All staff must be aware of strategies and techniques that are implemented in order to support our pupils and reduce any anxieties associated with transitions. The purpose of this policy is to outline St Christopher’s approaches and practices in supporting pupils with transitions. Types of Transition Our pupils are diagnosed with severe and complex or profound and multiple learning difficulties, and many also have a diagnosis of ASD, so transitions and change can be very difficult for them. Daily life is full of transitions, and especially in a residential school setting, where pupils move from House to school and back a few times a day, or meet with a variety of staff both in class and the House. The bigger transitions would begin with moving to St Christopher’s, for many it is the first time they live away from home, and later on possibly moving to a new house or class room. We therefore always have to ensure that transitions are planned to meet the individual needs of the pupil/young person to make moving to and from St Christopher’s as well as within St Christopher’s, as manageable as possible. OM 5. Transitions Policy File 2 Page 1 Transition to St Christopher’s The first most significant transition experienced by our pupils is their move to a residential school. This is a major change, as for many it would be the first time they leave home. This initial transition needs to be carefully prepared for in close collaboration with the pupil’s parents, and when possible teaching or respite care staff who have professional knowledge of the pupil. Once a referral has been made the prospective pupil’s parents/social worker visit St Christopher’s. Key staff from St Christopher’s usually also visit the prospective pupil at his existing school or home, to assess whether St Christopher’s could meet their needs. If appropriate the pupil will then visit St Christopher’s with parents/carers. If the decision is made that St Christopher’s can meet the pupil’s needs a suitable House and class are allocated. Decisions about suitability are made taking into account compatibility with existing youngsters as well as environmental considerations such as noise levels, size and groups. A visit is made to the pupil by the House manager, support staff and teacher, a welcome pack is sent to the pupil/parents and an ‘All About Me’ form given to parents to fill out. The welcome pack for new pupils is designed in a bespoke way to facilitate their understanding. A moving date will be decided, preferably during school holiday time or the weekend, so the pupil has time to adjust to new surroundings. Once an admission date is decided all relevant staff are informed. A transition meeting or discussions between House and teaching staff/parents/social worker/key workers will agree: How long a transition the pupil needs How many visits to be made by St Christopher’s staff, or the pupil and their family to St Christopher's. Whether on the day of the move parents/key workers are to come with the pupil to help settle them in and for how long, eg overnight. Whether some personal belongings be moved before the transition date. Within St Christopher’s environment Examples include: OM In the House, going from bedroom to common room or dining room. In school, from classroom to music room or Groves Hall. Between House and school: pupils move from House to school and back twice every day, and for some this can still be a difficult transition. 5. Transitions Policy File 2 Page 2 Going off-site: most pupils often go off site for walks, shopping or accessing a variety of community facilities. Going home: most pupils go home for short visits during school holidays or on weekends. Some have a termly placement so they spend every holiday at home. Within Time Structures and Routines Transitions and changes also occur in moving from one activity to another. Here the pupil is confronted not only with a different environment but also with a different activity. Pupils experience many changes in routines and timetables on a daily and weekly basis. Some are familiar and form part of their daily routines, and some may be unpredictable, due to unforeseen circumstances e.g. pool out of order. These are often more difficult for the pupil with ASD to cope with. Transition from St. Christopher’s Pupils experience another major change in their lives when the time comes for them to leave St. Christopher’s and join an adult placement. This can be a great challenge for all pupils particularly those with ASD. This process is undertaken with great care and enough time is allocated to allow for all involved in this transition to liaise and define an individual programme of transition to suit the needs of the student. Statutory Transition Plans, in line with the SEN Code of Practice (2001), and preparing for adulthood reviews of the Education, Health and Care Plans (in line with the SEND Code of Practice 2014) are held for all pupils from the first Annual Review after they have turned fourteen. Pupils are usually involved in their transition planning only at the last stage, when a placement and funding are agreed, and the possible move has become a reality. Any involvement prior to that is seen to be too abstract and therefore potentially unsettling for most pupils. Some pupils do attend their Annual Review meeting, showing a power point presentation with their teacher, sharing what they enjoy to do in school (with high level of prompting). Transitions to Adult or other new Placements Once a placement has been identified and a leaving date decided the pupil will be taken, if appropriate, for a visit with parents/key workers. A visit will also be made by the placement’s manager/support staff to meet with St Christopher’s staff where a copy of the pupils care plan and up to date school reports and therapy passports will be given. A plan for the transition will be drawn up between St Christopher’s staff, parents, social worker and the new placement. This will state: OM How long a transition the pupil needs. 5. Transitions Policy File 2 Page 3 How many visits to the new placement the pupil should make, if appropriate. How long new placement staff should ‘shadow’ key workers. Whether the pupil is to have any overnight stays. Whether on the day of the move parents/key workers are to go with the pupil to help settle them in and for how long i.e. 1 – 2 days. All relevant staff are informed of the transition date, to allow for time to prepare any necessary documents. St Christopher’s ensures that new placements receive as much helpful information as possible to support a smooth transition. Documents we send include: A communication passport ( please see below) The pupil’s Life Book Up to date class and care reports Behaviour risk assessment and management plan Lists of motivating and preferred activities PECS books and other Visual Supports and Communication Aids Other preparations also take place in order to support this process. The house manager will visit the new placement to help do risk assessments for the environment. Appropriate professionals are informed of leaving dates i.e. dentist, chiropodist. Any upcoming consultant appointments are referred to the new placement. Staff either take photos of the new placement on their own or when they go for a visit with the pupil. Photos are often an excellent way of introducing and discussing new placements. Communication Passport Personal Communication Passports are a practical and person centred way of supporting children, young people and adults who cannot easily speak for themselves. Passports are a way of pulling complex information together and presenting it in an easy-to-follow format.’ (Sally Millar – Personal Communication Passports. Guidelines for Good Practice. Call Centre 2003). The Passport is written as if by the young person themselves, to reflect their character and personality. It presents the person positively and as a unique individual and does not merely describe problems. It provides information drawn from different contexts and people who know the young person well, and sets out how the young person most OM 5. Transitions Policy File 2 Page 4 effectively communicates. This is to enable and facilitate those meeting the person for the first time to communicate with them and have successful interactions. Transition Strategies Because transitions are inevitable, transition strategies need to be employed in order to support pupils and create predictability and positive routines around change. Transition strategies can be employed: before a change takes place – in preparation for change during transition – e.g. using a transition object after a transition – e.g. placing a transition card at the entrance to a room. Visual timetables help pupils make sense of time sequence and the beginning and end of activities. Using visual timetables in the classroom and House helps pupils cope better with transition from one activity to another as well as from one setting into the next. ‘Change’ or ‘surprise’ cards used as part of a visual timetable can also help to explain when a planned activity is cancelled unexpectedly (see also policy on Flexibility of Thought). Transition Area A useful area to have in the classroom or House is a ‘transition area’ where the pupil’s visual timetable is kept. Going to the transition area in between activities as well as checking the visual time table can help with making transitions. When a pupil has difficulty in changing from one activity to another, often from a preferred activity, schedules can also increase the pupil’s motivation presenting a readily available visual reminder: ‘first work, then play’. Schedule (visual timetable) cards can also be used as ‘transition cues’, when the pupil can take an activity card off the schedule and match it to a card outside the area where the activity takes place e.g. Groves Hall. This practice also helps pupils become more independent and confident with transitions. Transition Cues Schedule cards can also be used as ‘transition cues’, when the pupil can take an activity card off the schedule and match it to a card outside the area where the activity takes place e.g. Groves Hall. This practice also helps pupils become more independent and confident with transitions. Transition cues can be given in a variety of forms, depending on the pupil’s level of comprehension. For some, a simple verbal reminder ‘time for music now’ is sufficient preparation for the approaching change of activity. Others will need a symbol, picture card, a photo of the activity leader, or object of reference depicting the next activity. OM 5. Transitions Policy File 2 Page 5 Some pupils benefit from a count-down to the end of the activity or use of an egg timer. In Upper School, classrooms are used as different activity rooms on Tuesday and Thursday afternoons. In order to help pupils anticipate the designated use of the room, a number of methods are used: for the sensory group a smell and sound are used to mark the activity for the drama group which also takes place in the same room, a picture card showing the photos of all the participating pupils, is used. References Please refer to the following policies: Policy on Flexibility of Thought (Policy File 2) Policy on ASD Needs (Policy File 1) OM 5. Transitions Policy File 2 Page 6