Establishing Routines in Children with Autism

Importance of Routines

Humans naturally thrive on routine. Regardless of age, lifestyle, or background, everyone benefits from having an established schedule. For children with autism, who often struggle with transitions and change, routines provide a sense of stability and comfort. This stability can make daily life more predictable and less stressful for both the child and their caregivers.

For parents and caregivers, establishing routines at home can streamline responsibilities and reduce overall stress. Routines also teach children valuable life skills and promote family bonding. By creating a structured daily schedule, families can bring a sense of order and flow to their lives, making everyday tasks more manageable.

Understanding Autism and Routines

Researchers have learned a lot about why routines are important for people with autism. They found that “intolerance of uncertainty” is a key factor in anxiety related to changes in routine. This means autistic children are often in a heightened state of arousal and struggle to know what to focus on when things change.

Creating a daily routine provides a predictable structure for children with autism, reducing stress from unexpected changes. Research shows that a consistent routine helps them become more independent and improves their social and emotional health. Once a routine is in place, children feel more secure and less anxious. It’s also important to inform other caregivers about the child’s daily routine to ensure consistency.

Additionally, daily routines strengthen the bond between caregivers and children, give children a sense of control over their day, and create a safe, comfortable environment.

When children feel safe and their stress levels are low, they are more receptive to strengthening existing skills and learning new ones. A familiar routine not only helps them cope with anxiety-inducing situations but also sets them up to thrive.

Setting Up a Routine

Routines for children with autism should be structured and organised around the day’s needs and natural order. Start each week by placing a physical version of your child’s daily routine in an easily accessible spot. This helps them establish a predictable rhythm for the week.

Identify Important Tasks

List everything your child needs to do each day, like chores, homework, meals, and other activities. Break these tasks into smaller, manageable steps.

The key to a successful routine is being predictable and specific. Clearly lay out the steps or options for each block to ensure your child understands what’s going on.

For example, getting ready for bed at 8 p.m. can be broken down into:

  1. Put on pyjamas
  2. Brush teeth
  3. Read one bedtime story
  4. Turn off the light

If too many steps seem overwhelming, include simple directions next to each task. For example, “Get Ready for Bed” could include “put on pyjamas, brush teeth, wash face,” followed by separate steps for reading a story and turning off the light.

Be patient and communicate to find the best routine for your child.

Create a Schedule

Create a visual tool, such as a calendar on the fridge or a poster on the wall, to help your child understand and follow their routine. Organise tasks into a daily schedule and experiment with using pictures, photos of your child performing each task or simple text depending on what your child responds to.

Your schedule should be unique to your family and child, aligning with the natural flow of their existing routine. Remember to include time for fun activities, allowing your child to engage with their interests or explore new ones.

Without enough support, transitions can be difficult. Autistic children might miss social cues, like when it’s time to pack up or stop a conversation. They can become upset if their usual play or routine ends suddenly.

To assist with transitions, use timers and alarms to provide noticeable cues. Visual aids like pictures or checking steps off with a marker or sticker can make transitions less confusing and more rewarding.

Morning Routine

Example of a Daily Schedule for a Child with Autism.

Maintaining a Routine

Refer to the Schedule Often

Frequently refer to the schedule throughout the day to prepare your child for upcoming activities. Reinforce the plan with descriptive praise, such as, “Good job cleaning up your toys on your own.” This reinforcement builds confidence and reassurance, making children more comfortable with the routine.

Refer often to the visual schedule and emphasise the importance of each event or task. Use positive reinforcement, such as a sticker chart, to reward the completion of tasks. Additionally, use verbal communication to guide your child through each task – before, during, and after.

Example of a Reward Chart

Be Consistent

To help maintain a daily routine, consistency and practice are essential. Stick to the schedule and try to follow it the same way every day. Remember, it will take time for your child to learn the routine, so don’t give up. Sticking to it and positively reinforcing each step will help encourage your child to settle into the schedule.

Make the schedule feel like it belongs to your child by establishing it as a permanent part of their life to provide structure. Once you and your child have maintained a consistent schedule, gradually add new tasks into the routine to help them learn new skills and behaviours.

Allow Flexibility

While keeping a routine is important, it’s also good to be flexible. Changes in location or plans can upset some children, so let them know about any changes ahead of time. If you expect the schedule to change, include placeholder activities like “surprise event” or “new activity” to help them adjust. Use positive reinforcement and go slowly to make transitions smoother.

Conclusion

A daily routine helps a child with autism develop independence and boosts their self-esteem, improving their overall well-being. Providing the right tools and skills is essential for helping your child thrive. Consistent routines will help them learn new skills, make progress, and achieve their goals.

Helpful Resources

The following videos from the Early Autism Project may be helpful in guiding you to set up routines and visual schedules for your child.

How to Use A Visual Schedule for Children with Autism

How to Teach a Child with Autism to Cooperate

Following a Schedule – Teaching Cooperation

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