SPELL is an acronym for Structure, Positive, Empathy, Low Arousal, and Links. It is the method of intervention used by the National Autistic Society (NAS) in the United Kingdom. NAS say the SPELL approach has been refined to recognize the individuality of each child or adult with an Autistic spectrum disorder including Asperger's. It is a holistic approach that sees every child/adult as a unique individual while acknowledging that they share similar experiences and difficulties. They say SPELL describes the necessary environment and support environment that enables the child to learn while minimizing stress. NAS's description of the SPELL approach is as follows: · Structure: helps the child to make sense of a very confusing world. · Positive: attitudes and appropriately pitched expectations enhance the child's self esteem and self-confidence. · Empathy: Empathy is crucial to see the world from the child's unique viewpoint and to understand their perceptions. · Low Arousal: The child's learning environment needs to be clear, calm and clutter free. · Links: With parents and mainstream education.
(particularly with Tetralogy of Fallot) the child becomes bluer, breathless and limp for a period of time
NAS An educational approach to overcome or reduce the disabling effects of autism, creating an atmosphere which has Structure, Positive approaches and expectations, is Empathetic, Low arousal and maintains vital Links. It emphasises consistency of approach and the importance of mainstream opportunities and settings.