Autism Spectrum Disorder — Level 1 (requiring support)
Condition Summary: A neurodevelopmental difference
characterized by distinctive social communication, focused interests,
and unique sensory processing, in children who navigate mainstream
settings with support.
Care & Treatment: Naturalistic developmental approaches,
peer-mediated learning, executive-function scaffolding, and
self-advocacy and self-knowledge coaching — two to five hours
weekly of targeted intervention, the rest woven into natural routines,
with most learning happening in mainstream instruction.
At St. Margaret’s, we expand this by honoring special
interests as genuine gateways to learning, friendship, and vocation;
providing properly adapted CBT where anxiety co-occurs; and refusing,
on principle and evidence, to train masking: no suppression of
harmless stimming, no forced eye contact, ever — because
teaching children to hide who they are predicts poorer adult mental
health.
Autism Spectrum Disorder — Level 2 (requiring substantial support)
Condition Summary: Autism requiring substantial daily support,
typically including significant communication differences and a deep
need for predictability.
Care & Treatment: Functional Communication Training with
augmentative and alternative communication (AAC), structured teaching,
and naturalistic developmental intervention — speech-language
therapy at minimum two to three times weekly from clinicians with
dedicated AAC expertise.
At St. Margaret’s, we expand this by maintaining
picture-exchange communication boards across all campus buildings,
offering high-tech speech-generating tablets with dedicated
communication mapping, keeping every child’s device present,
charged, and honored every waking hour by every adult from the
housekeeper to the director, and providing predictable architectural
layouts with clear visual signage. AAC is never withheld while waiting
for speech — the evidence shows it supports speech development
rather than replacing it.
Autism Spectrum Disorder — Level 3 (requiring very substantial support)
Condition Summary: Autism requiring very substantial support,
often including minimal or no spoken language and significant
co-occurring medical needs.
Care & Treatment: Intensive AAC and Functional
Communication Training, comprehensive positive behavior support,
one-to-one or one-to-two staffing during programmed activity, and the
highest staff continuity in the house, with scheduled low-demand
recovery periods that are part of the plan rather than a concession.
At St. Margaret’s, we expand this with a standing
clinical rule that protects children who cannot report pain: when
behavior changes suddenly, we look for medical causes first —
dental pain, reflux, constipation, and seizures all speak through
behavior — and a medical workup precedes any behavioral
response. Sacramental participation is individually discerned with the
pastor, because no child’s place before God depends on
words.