TEACCH is a whole-life approach to helping people with autism, which aims to
equip children for a productive life in
the community. It sets out to provide visual information, structure and predictability as it is recognised that the optimum learning channel is visual. It began in 1966 in North Carolina as a research project which was funded by the US government. The project, led by Eric Schopler and colleagues, developed from clinical experience at the University of North Carolina. It was established in 1972 as a state-wide programme. Since its foundation, Division TEACCH has worked with some 4,000 people with autism in North Carolina and has developed over the years in many parts of the world. The University of North Carolina continues to be at the core, offering services and opportunities for training and research, allowing easy access for clinicians and families to the latest developments. There is a comprehensive and integrated service for families that facilitates access to assessment and intervention. The approach requires that adaptations must occur in the three major areas of the childs life: home, school and community. Starting with a comprehensive assessment, the approach comprises a number of interconnected elements, which are based on structured teaching. Structured teaching Physical structure This refers to the way in which the environment is organised. There are clear visual boundaries segmenting the space into recognisable parts. This helps the children understand what they are expected to do in each area. In the area set aside for work, distractions are kept to a minimum. The schedule This tells the child visually what activities will occur and in which order. Using objects, photos, pictures, numbers or words (depending on the individuals developmental level) the child is helped to understand a sequence of events. Work system Through these systems the child is taught: What task/activity do I have to do? How much do I have to do? When will I have finished? What will I have to do next? Visual clarity Tasks are presented visually so as to make the expectations clear and highlight the important information. Theoretical background In the 1960s the prevailing approach to autism was psychotherapy. Children with autism were considered to be ineducable and were often removed from their parents. Schopler and Reichler worked with many children with autism and their families. The experience led them to believe that autism stemmed from some form of brain abnormality, rather than from refrigerator parenting.