School Passport

My Passport for Learning and Life Name: Year Group: Date:

Hamilton Road | Handsworth | Birmingham | B21 8AH Headteacher: Mr J Harris | Tel: 0121 464 1676 | Fax: 0121 464 4808 enquiry@hamilton.bham.sch.uk

www.hamilton.bham.sch.uk

Further Comments Sensory / Medical/

Likes

Food



.

Useful Info

Things I am good at

Communication/Understanding

Ask people who know me if you need to know more.

Independence

Pupil Profile Date of Birth

Strengths Comment:

Parents: Parents Contact: Last Updated:

Personal Home Learning Plan Needs Comment:

Activity IEP targets Sleep routines Routines and structures Social communication

Engagement Strengths Comment:

Developing independence Developing engagement Toilet training

Communication, language and Literacy Needs Comment:

Numeracy Physical and emotional wellbeing Expressive art and design Understanding the world

Constantly

Weekly

Fortnightly

Less Frequently

Toileting

Autistic Spectrum Disorders Toilet Trained?

I am diagnosed with ASD. This means that I have difficulties with social communication and social interaction and I have a tendency to show rigidity in my behaviour, communication and leisure choices.

Most people with ASD also feel very anxious. Here is a quote from the National Autistic Society which may describe how I feel:

“People with autism have said that the world, to them, is a mass of people, places and events which they struggle to make sense of, and which can cause them considerable anxiety. In particular, understanding and relating to other people, and taking part in everyday family and social life may be harder for them. Other people appear to know, intuitively, how to communicate and interact with each other, and some people with autism may wonder why they are 'different'.

Yes

No

Yes

No

If no, what support is needed?

Comment:

Personal Care Plan?

Social Interaction Strengths Comment:

For more information on ASD look at the National Autistic Society website www.nas.org.uk or ring them on 0845 070 4004.

Needs Comment:

Dinner Time Routine At dinnertime I need help to use

Knife

Things that heighten my anxieties Fork

Spoon

Fingers I use cutlery

I get very anxious when

independently with help from an adult Other: prefers to finger feed

Staff need to help me

Ask for what I want

I get upset/angry if

Carry my food back to my table Cut up my food

I need support to

Use my cutlery Other: Special Dietary Requirements

I really don’t like

Halal meat only No Halal meat

Vegetarian

If I become anxious or upset

Other: Any allergies

None known

Medical Needs Condition

Comments

Asthma Epilepsy Eczema Allergies Paracetamol Consent Other medical needs:

YES

NO

The adult working with me must be aware of:

In order to be successful in my learning I need:

Concentration Span

under 5 mins

Known Distractions

His imagination.

Co- ordination

N/A

Home language

RED

English Bengali

BLUE

Other:

Communication Support Transition objects Pot Boards (please tick)

What?

Represents?

Single Picture

‘Want’ Strip

‘Name + Want’

‘I Want’

GREY

Challenging behaviour

GREEN (black and white symbols

Severe

or words)

Timetable (Please highlight)

Staff support

Single 3 picture

2:1

1:1

1:2

Moderate

Now/next 5 picture

1:3

Mild

Small group

5-10 mins

10-15 mins

Urdu Punjabi French/African

over 15 mins

Arabic

Mirapuri

Bite

Pinch

Scratch

Kick

Slap

Pull hair

Drop to floor

Spit

Smear

Self-injurious behaviour

Sexualised behaviour

Soiling/ wetting

Passivity (requires a high level of staff input to engage in learning) Level of Language used by adult

Single words/key vocab supported by object Single words/key vocab supported by symbol 2 key words Simplified language Able to hold simple conversation

Input from Speech and Language Therapist: Comment:

Hardly Ever

Often BMS

Relevant rewards

See Engagement Section

Persistent

PHP Preferred item

Good symbol

Jigsaw reward charts

Praise

Timetabled rewards

Working styles

Work boxes

Independent stations

Small Group Teaching

Group table

Whole class Input from Occupational Therapist: Comment: