Evidence of persistent Unable to sustain activities Severe visual loss which Inability to form relationships Child has limited repetitive play, restricted without significant support, requires continuous support for which may be evidenced by no understanding of what interests and severe consistent adult attention and mobility and self-help skills. recognition of self or others. is said or signed (age difficulties in imaginative intervention. and first language to be play. taken into account). Evidence that the child Persistent, unpredictable Severe multisensory No understanding of social Intensive support has significant difficulties extremes of demanding behaviour impairment with severe impact boundaries in play or other required to teach and retaining concepts over which affects the child’s safety on development. activities including social manage alternative time. and that of others. interaction. communication systems involving outside agencies. Child consistently losing Persistently presents a significant Physical or medical difficulties Unable to tolerate any social Sustained loss of skills. danger to self and others and that require specialist interaction other than in meeting previously destroys materials. equipment, adapted resources own basic needs. demonstrated and position changes and a high communication skills level of adult support. specifically spoken or signed. Totally withdrawn from activities High levels of adult support for Activities remain at sensory over a period of time and severe self-care needs Severe medical motor, self-stimulatory level or changes in behaviour and play/ difficulties that require are self-absorbed/repetitious to frequent high anxiety levels. controlled medication and the exclusion of other activities. intensive intervention Child may be frequently throughout the day. overwhelmed by sensory stimuli. Severe and persistent difficulties Physical/medical difficulties Severe and persistent levels of regulating own emotions and that put the safety and anxiety requiring intensive recognising those of others which of the child at severe risk support to enable emotional may be evidenced by: Long term and require intensive regulation. severe difficulties in social monitoring Adults may need interaction which prevent specialist training to support learning. physical/medical needs.
Evidence of persistent repetitive play, restricted interests and severe difficulties in imaginative play. Unable to sustain activities without significant support, consistent adult attention and intervention. Severe visual loss which requires continuous support for mobility and self-help skills. Inability to form relationships which may be evidenced by no recognition of self or others. Child has limited understanding of what is said or signed (age and first language to be taken into account). Evidence that the child has significant difficulties retaining concepts over time. Persistent, unpredictable extremes of demanding behaviour which affects the child’s safety and that of others. Severe multisensory impairment with severe impact on development. No understanding of social boundaries in play or other activities including social interaction. Intensive support required to teach and manage alternative communication systems involving outside agencies. Child consistently losing skills. Persistently presents a significant danger to self and others and destroys materials. Physical or medical difficulties that require specialist equipment, adapted resources and position changes and a high level of adult support. Unable to tolerate any social interaction other than in meeting own basic needs. Sustained loss of previously demonstrated communication skills specifically spoken or signed. Totally withdrawn from activities over a period of time and severe changes in behaviour and play/ frequent high anxiety levels. High levels of adult support for self-care needs Severe medical difficulties that require controlled medication and intensive intervention throughout the day. Activities remain at sensory motor, self-stimulatory level or are self-absorbed/repetitious to the exclusion of other activities. Child may be frequently overwhelmed by sensory stimuli. Severe and persistent difficulties regulating own emotions and recognising those of others which may be evidenced by: Long term severe difficulties in social interaction which prevent learning. Physical/medical difficulties that put the safety and of the child at severe risk and require intensive monitoring Adults may need specialist training to support physical/medical needs. Severe and persistent levels of anxiety requiring intensive support to enable emotional regulation.
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