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How does TEACCH work?
To understand TEACCH we must first understand how we think
and communicate. Think about your favourite meal. For
example let’s say it’s fish and chips. Did you see the words
Fish and Chips in your mind? Most people would have thought
about a picture of nice hot fish and chips on a plate. Think
of your best friend. Did you think of their name written
down or think of their face. Although we use words to
communicate, we think in pictures.
When the first camera phones were coming out, one
manufacturer’s advert showed a man taking a picture of
several things (a meal, a bed, a toilet) and then he flew to
a foreign country. In trying to find a place to eat, he
showed someone his picture of the meal; trying to find a
toilet, he showed another picture and so it went on. He was
communicating using his pictures.
One thing we have discovered about Autism is that many
people who suffer from it are scared of the world they don’t
understand. For example, one service user we used to work
with would be violent at home. He understood the staff, the
other service users and the people who would visit. But, if
you took him outside he would cringe and hang on to your arm
for safety. He wasn’t comfortable with the unfamiliarity of
the world around him and was scared.
As many of our service users do not communicate verbally, by
using pictures we can begin to explain some of the things
that we take for granted in the world around us.
TEACCH educates service users to understand and perform
activities for themselves. It teaches them that everything
we do has a start, a middle and an end. For example, when
you use a pen, you start by getting it out, then you use it
and finally you put it away. Breaking it down even further,
when you put the pen away, first you put the lid on, then
put it in its case and lastly put the case on the shelf.
When training a service user in a new routine, they have a
series of pictures to help them work through the stages of a
task. As an example, imagine a service user is learning to
brush their own teeth. The beginning is to understand the
whole task, so the first picture shows the service smiling
and showing their teeth. The middle is to actually do the task,
so there are a series of pictures showing how to put
toothpaste on the toothbrush, how to brush all of the teeth
and how to rinse. The end is to be congratulated by a member
of staff or a family member. Therefore, the last picture
shows all the staff in the particular house and a speech
bubble saying ‘Well done’.
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