Should My Autistic Child Go to Preschool?

Preschool may - or may not - be the right option for your particular needs.

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Should my child with autism go to preschool? What are the pros and cons of preschool versus a home-based program for preschoolers with autism?

Pros and Cons of a Home Setting

Pros. A home setting can be ideal for autistic preschoolers. It provides a safe and secure setting that is personalized to your child's needs, and it can be a convenient setting for the intensive therapy that's so often recommended.

Sensory input can be controlled, and expectations remain consistent throughout the day. Some therapists feel that the familiarity of home is conducive to learning and that parents are the best therapists. Still others feel that there are no better options.

Developmental and play therapies, such as RDI, Floortime, and Sonrise are generally given by parents in a natural setting. Specialized preschools and clinics may not even offer these programs. If you are providing a developmental therapy, then home may be your best or only option.

In most communities the stay-at-home parent need not go it alone; school districts and/or regional autism agencies offer a good deal of support as well as itinerant therapists, and autism support groups are great sources for playdates and other community opportunities. A great way to start accessing these options is to contact your local autism agency for early intervention services and to connect with local support groups to meet other parents or caregivers like you.

Cons. On the other hand, the choice of at-home care means that someone -- usually a parent -- must be willing and able to stay at home with an autistic youngster. What's more, while it's easy to SAY that home will be calm and secure, in many cases life intervenes -- and the home setting can become unpredictable, loud, and even chaotic.

Beyond the obvious and critical issue of finances, the role of stay-at-home parent to a child with autism is not for everyone. The role usually entails acting as a therapist during at least part of the day, managing your child's behaviors outside of the home while shopping and going to playgrounds and other settings, and acting as a case manager for the many therapists and doctors you may now have in your life. While some parents find this type of challenge interesting and even stimulating, others find it depressing, difficult and exhausting.

Pros and Cons of a Preschool Setting

Pros. Preschools for children on the spectrum are often (though not always) staffed by people who are specifically trained to support your child's needs. They are structured, consistent, and have all the tools at hand to work on skills ranging from social interaction to fine motor coordination. Preschools also offer the very significant benefit of a community of peers and their parents -- something that is very tough to create from the ground up if you have an autistic child.

In some cases (especially when you've chosen parent-centered therapies such as floortime or RDI)  it's positive and beneficial for parents to provide therapy. But if your child is receiving Applied Behavioral Analysis (ABA), there's no particular reason why your child should be at home: ABA is generally provided by non-parents for many hours a week.

Cons.  While the ideal preschool setting can be terrific, the fact is that many preschools are far from ideal. You may find that your child is getting little out of the experience, or is even having a negative experience. You may discover that the so-called "trained" personnel are actually teacher's aides who went to a lecture on autism. You may learn that the other children in your child's group are far more or less disabled than your child, making socialization and learning difficult.

If your child is at a typical preschool, even with early intervention services, you may find that there are other issues -- really prejudices -- to contend with. General education teachers and parents of typically developing children may be less than willing to reach out and include your child -- and you -- in their social groups and out-of-school activities.

Whether you choose home or preschool, it's important to remember that you can always change your mind -- and even mix and match. There is no absolute right or wrong; the answer you reach will relate very specifically to your family, your location, and -- of course -- your child.

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