Good Practice & Insight
Found 40 listings
Local position statements on PDA
Some local areas have found it helpful to state their position on the use of terminology around PDA.
Two examples are Surrey and Alder Hey Children's NHS Foundation Trust. Both position statements clearly illustrate how it is possible for local authorities, and supporting organisations, to acknowledge and flag up the [...]
Sources of further understanding
In addition to the information signposted throughout our website, we’d like to draw your attention to these additional sources of information, topics or fields of study which we feel are helpful in furthering understanding about PDA. This is a living list which we'll add to over time - if [...]
EHCP guide
Education, Health and Care Plans to support a PDA profile of autism.
An Education, Health and Care Plan (EHCP) is a document used in England and Wales to outline a child or young person’s special educational needs (SEN) and the provision that should be made to meet those needs.
Not every [...]
What is PDA? booklet
This booklet is designed to be an introductory guide to the Pathological Demand Avoidance profile of autism for individuals, families and professionals.
The booklet covers an overview of PDA, how PDA can feel, an insight into what demands are and how they’re avoided, info about identifying PDA, helpful approaches and [...]
Tool to support diagnosis of ASD / PDA / Attachment disorders
Modification of the Coventry Grid Interview to include the Pathological Demand Avoidant profile
The Coventry Grid Interview was designed to be used by clinicians as part of a comprehensive assessment process and not as a stand-alone diagnostic tool.
There is often diagnostic confusion over the differences between children presenting with autism [...]
PDA tools and resources – tes online
The following PDA-related resources are available to purchase or download for free from www.tes.com ...
Managing Demand Avoidance Toolkit
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The Demand Avoidance Toolkit, is an adapted framework of collaborative approaches used in education to teach pupils with PDA (Pathological Demand Avoidance). This pack works alongside the Zones of Regulation [...]
Articles
The most recent PDA articles published in professional publications and on national support websites.
Providing PDA support - Aileen Hosty - nasen Connect www.nasen.org.uk (shared with kind permission) May 2020
Understanding PDA – Ruth Fidler & Libby Hill - The Link (speech and language magazine for schools) January 2020
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Helpful approaches infographic: PANDA strategies
This infographic illustrates the key strategies which are helpful in working with and understanding someone with a PDA profile of autism.
Conventional support strategies, including those often recommended for ASD, are often ineffective and counter-productive with a PDA profile of autism.
In place of structure, routine, firm boundaries, praise, rewards/consequences, is [...]
Keys to care
A single page help sheet for supporting and helping someone with a PDA profile. Ideal for those working with individuals whose care-needs have been identified as relating to demand avoidance. Useful as a grab-sheet for members of staff - a regular reminder of what can help.
Also helpful for family [...]
Practice Guidance for Professionals – Ireland
The 'Mapping Experiences of PDA in Ireland Study', Doyle and Kenny, was published in 2020.
A report describes the research and findings in detail.
In addition, the study resulted in the development of a series of seven practical and appealing advice sheets for professionals and parents. They have been published by PRISM [...]
Pathological Demand Avoidance: summary sheet
A one-page explanation of the PDA profile, produced by the PDA Development Group and published in June 2016. It describes the main features and the key approaches to supporting a PDA person.
The PDA Development Group comprises a group of clinical and professional experts, and includes representation from the NAS [...]
Good diagnostic assessment – children
This information has been produced by the PDA Development Group, August 2017. The PDA Development Group is an informal group comprised of representatives from the NAS and PDA Society and individual practitioners with an interest in PDA from a range of disciplines (education, paediatrics, psychology, research) working in both [...]
AET National Autism Standards
This extensive paper entitled 'The Distinctive Clinical and Educational Needs of Children with Pathological Demand Avoidance Syndrome: Guidelines for Good Practice' was written by Phil Christie and originally published in the Good Autism Practice Journal. It is reprinted by the Autism Education Trust (AET) to accompany their National Autism [...]
Education Provision and Support – Guidance
Children and Young People with PDA: Guidelines for Educational Provision and Support
This guidance was prepared by the PDA Development Group and published in December 2019. It provides and introduction to the topic, describing key principles and how to put the principles into practice.
The PDA Development Group comprises a group [...]
DHSC statement on PDA
The Department of Health and Social Care (DHSC) does not take a position on matters of clinical debate, but does recognise that there is a valid debate on the PDA profile, and highlights the need for specific support for individuals.
Extract from published ministerial statement “…When assessing how best to [...]
Evidence for use of PDA terminology
Evidence for Professional Consideration of Demand Avoidance in Autism Assessments
The continued debate around the use of PDA as a diagnostic term has led to polarisation amongst professionals, and the potential for friction between families and clinicians.
This document presents some of the evidence, including Government statements, which demonstrate that it [...]
PDA: Why social workers need to know
Pathological demand avoidance: what is it and why do social workers need to know?
Cathleen Long explains how an understanding of this part of the autism spectrum can help support parents.
This article was published in Community Care - a leading online resource for social workers, in May 2019. It describes [...]
Workplace adjustments: employers’ guide
Businesses and employers are increasingly recognising the benefits of employing autistic people, but much more still needs to be done. The Chief Executive of the National Autistic Society recently said “most autistic people who want to work aren’t able to work” because conventional roles and workplaces can present many [...]
Tim’s Top Tips: ideas for adults
Tim Collins is an adult who was recently diagnosed with PDA. Along with sharing his story with us (please see his case study) he has kindly created a list of Top Tips designed to help adults navigate their way through life.
Daily life
Keep a notepad and pencil handy at [...]
Self-help, coping strategies and therapies for adult PDAers
Here we have included a downloadable PDF version of the Self-help, coping strategies and therapies for adult PDAers page, found in the Adult Life section.
It includes suggestions for self-help, coping strategies and therapies which were assembled from a variety of first-hand accounts shared by adults, diagnosed or self-identifying as [...]
Challenging school exclusions
Children and young people with PDA or other forms of autism, or indeed other special educational needs, can struggle with behaviour which challenges. Our Being Misunderstood survey showed that almost 1 in 10 had experienced permanent exclusion at some stage.
This has been possible because schools have said that the [...]
School refusal guide
This extensive guide was written by a doctoral student and her co-founder of 'Not Fine in School'. There is a summary guide and a guide for schools also available from their website alongside many other sources of information and support.
It describes in detail what parents can do to support [...]
Mind Map for schools
This 'Mind Map' is a useful resource for teachers, and anyone involved in providing support to a young person.
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Good educational practice
Examples of good educational practice for PDA pupils
These extracts showing good practice in education for pupils with a PDA Profile are shared with kind permission from the authors of these two books:
Fidler, R. and Christie, P. (2019) Collaborative Approaches to Learning for Pupils with PDA: Strategies for Education [...]
Bill Nason’s PDA insights
Bill Nason is a mental health professional with a masters degree in clinical psychology and more than 30 years of experience in treating individuals with developmental disabilities.
He regularly shares helpful posts relating to PDA on his autism discussion page on Facebook:
Anxiety, Opposition and Demand Avoidance
The Anxiety of [...]
New Approach to FII
The Need for a New Approach to the Identification of Fabricated and Induced Illness
This discussion paper lays out some of the difficulties with the current approach to identifying Fabricated and Induced Illness (FII) and calls upon the Royal College of Paediatrics and Child Health (RCPCH) to review the evidence [...]
Coping with Christmas
A description of approaches that can be helpful for managing Christmas and other family celebrations.
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Adults: PDA & mental health
The following is a summary of Dr Judy Eaton's talk at the PDA Society Conference in Birmingham on 18th April 2018
Judy opened by sayings that people often ask her “what is this PDA? There was never this PDA when we were younger. Where were all these people?”. Her response [...]
Supporting a move in education
Supporting the transition phase and early stages of the placement
This article offers some practical suggestions on how you might support pupils who have a PDA profile through a school transition phase, and how you can start to build up their educational confidence during the early stages of their placement. [...]
Simple Strategies for Supporting Children at School
'Simple Strategies for Supporting Children with Pathological Demand Avoidance at School'
At school these children often struggle to reach their full potential because of their need to be in control. The invisible barrier of anxiety and avoidance is often forgotten and the child appears to be choosing to not engage [...]