Brick's Foundation
For parents

Therapies and support at home

The main therapies families meet, what each one helps with, how strong the research is, and how you can make therapy work much harder at home.

Too much information? Make your own summaryTick only what you need and get one PDF to read, print or share.

This is information, not medical advice. Every child is different. Talk to your child's doctor or therapist before starting, changing or stopping any therapy.

Start early

The earlier support starts, the better

A young child's brain is learning faster than it ever will again. Support that starts in the toddler and pre-school years can help communication, play and everyday skills grow when they grow most easily.

  • Don't wait for a diagnosis. Waiting lists can be long. You can ask for speech and language or occupational therapy, and start a parent programme, while you wait.
  • You are the most important "therapist". Therapy is a few hours a week. Your child spends the rest of the week with you. What you do at home multiplies what happens in sessions.
  • It is never too late. Older children, teenagers and adults keep learning too. The goals simply change.
Wondering or diagnosed? Start here

The therapies, in three groups

Most children do best with a combination, chosen with a professional who knows them. Tap a therapy to read more. The labels show how strong the research is today:

  • Strong evidence several good-quality trials
  • Good evidence many studies, some of mixed quality
  • Some evidence smaller or fewer studies
  • Limited evidence little good research yet; may still help some children

1. Core therapies

Applied Behaviour Analysis (ABA)Good evidence

What it is: a structured way of teaching skills in small steps, using lots of practice and rewards that motivate the child. A Board Certified Behavior Analyst (BCBA) designs the programme and therapists deliver it, often for many hours a week.

Helps with: communication, play, self-care, learning at school, and reducing behaviours that are harmful or get in the way.

Good to know: early, intensive ABA has helped many children, including Lucca. Research reviews find benefits but call for better-quality studies. Some autistic adults criticise older, rigid forms of ABA. Good modern ABA is play-based, follows your child's interests, never uses punishment, respects distress, and works on goals that matter to your child and family.

Usually private in the UK and Portugal; widely covered by insurance in the US; covered by health plans in Brazil.

Speech and language therapy (SaLT)Good evidence

What it is: a speech and language therapist helps your child understand and use communication: words, gestures, pictures or a device.

Helps with: talking and understanding, back-and-forth conversation, social communication, and alternative ways to communicate (AAC), such as picture exchange (PECS) or a speech app on a tablet.

Good to know: using pictures or a device does not stop a child learning to speak. For many children it helps speech develop.

Occupational therapy (OT)Good evidence

What it is: an occupational therapist helps your child manage everyday life: dressing, eating, toileting, writing, play and coping with the world around them.

Helps with: fine motor skills, independence, and sensory differences (sounds, textures, movement). OTs can suggest changes at home and school that make the day easier.

Good to know: practical OT for daily skills is well supported. "Sensory integration" programmes on their own have less research behind them, so ask what the goals are and how progress will be measured.

PhysiotherapySome evidence

What it is: a physiotherapist works on movement, balance, strength and coordination.

Helps with: children with low muscle tone, clumsiness, delayed walking or difficulty with sport and playground games.

Good to know: not every autistic child needs it. Ask for an assessment if movement seems hard for your child.

2. Programmes that coach parents

These programmes teach parents to use play and daily routines to build communication. They are among the best-researched approaches for young children, and they keep working between sessions because you are the one using them.

PACT (Paediatric Autism Communication Therapy)Strong evidence

What it is: a UK programme for parents of young autistic children. A therapist films you playing with your child and helps you notice and respond to your child's communication.

Good to know: in a UK trial of 152 young children, those whose parents did PACT still had less severe autism symptoms about six years later. It is not a cure, and children still needed other support.

ESDM, JASPER and other play-based programmesStrong evidence

What it is: the Early Start Denver Model (ESDM), JASPER and similar programmes mix behavioural teaching with play and everyday routines. They are often called NDBIs (naturalistic developmental behavioural interventions).

Good to know: a large review of 130 studies found these approaches have strong support, especially for language, social communication and play. Many modern ABA services now use the same style.

Hanen More Than WordsSome evidence

What it is: a group course for parents of young autistic children, run by speech and language therapists, with video feedback at home.

Good to know: studies are encouraging, though most are small.

EarlyBird (UK)Some evidence

What it is: a National Autistic Society course for parents of children aged 5 or under, often offered free by councils after diagnosis. Typically 8 group sessions and home visits over 12 weeks.

Good to know: parents value it for understanding their child and feeling more confident. There are also versions for older children.

Floortime (DIR)Limited evidence

What it is: a relationship-based approach where parents join their child's play on the floor and follow their lead to build connection and back-and-forth interaction.

Good to know: many families enjoy it, but there are few good-quality studies. Experts advise using it alongside better-researched approaches, not on its own.

3. Other supports

Psychology and CBTGood evidence

What it is: a psychologist helps with emotions, anxiety, low mood, sleep and behaviour. Cognitive behavioural therapy (CBT) adapted for autistic children and teenagers helps many with anxiety.

Good to know: anxiety is very common in autistic children. Ask for help early, especially around school changes and the teenage years.

Feeding therapySome evidence

What it is: help from a speech therapist, OT, dietitian or psychologist for children who eat a very small range of foods.

Good to know: small, calm steps work best. Never force food. Ask your doctor to check growth and nutrition.

Social skills groupsSome evidence

What it is: small groups where children or teenagers practise conversation, friendship and teamwork with a trained leader.

Good to know: the best groups build on your child's interests and teach real-life skills, rather than asking them to hide who they are.

TEACCH (structured teaching)Limited evidence

What it is: organising spaces, tasks and the day visually so a child knows what to do, for how long, and what comes next. Widely used in schools.

Good to know: research on TEACCH as a full programme is limited, but its visual supports (schedules, Now and Next, clear routines) are useful for most children. Our free app has some of these.

Music therapyLimited evidence

What it is: a qualified music therapist uses songs, rhythm and instruments to build interaction and communication.

Good to know: study results are mixed. Many children love it, and it can be a joyful extra alongside core therapies.

Animal-assisted therapy (including horse riding)Limited evidence

What it is: therapy sessions involving dogs, horses or other animals, such as therapeutic riding.

Good to know: there is little good research so far. Some children become calmer and more motivated around animals. Treat it as an enjoyable extra, not a replacement for core therapy.

Our story

What worked for Lucca

For Lucca, ABA made the biggest difference. For seven years in London, Jo Westley, his BCBA, designed his programme, and Valentina Battistoni, his behavioural therapist, worked with him day after day. In Dubai, Small Steps continued that work at school, with his in-school therapist Mrs Mukovhe Makhwedzha, alongside The Speech Clinic Dubai.

We watched him grow in speech, focus, independence, confidence and joy. He went from finding a new classroom overwhelming to finishing his exams first and making his teachers laugh.

What we believe made the difference: starting early, a programme built around Lucca, everyone at home, school and therapy working the same way, and people who saw him as a person, not a diagnosis.

Every child is different. What worked for Lucca may not be right for every child, and that is why we describe all the options on this page.

Read Lucca's story
Everyday life Sleep, meltdowns, toileting, eating and safety Practical tips for the everyday, looking after yourself, and when to get urgent help.

What's usually available where you live

Services, rules and funding change. Checked October 2026; please confirm with your doctor, insurer or local service.

United Kingdom

Through the NHS and council (free): speech and language therapy and occupational therapy after a referral from your GP, health visitor or school, often as short blocks or advice for parents and teachers. After diagnosis, many areas offer the EarlyBird parent course. PACT is available in some areas; ask your child's team.

At school: many schools use Attention Autism ("bucket time"), Intensive Interaction, SCERTS and TEACCH-style visual support. In England, an Education, Health and Care Plan (EHCP) can set out the therapy a child needs for their education.

Private: ABA is mostly private. Check that speech, occupational and physiotherapists are registered with the HCPC.

Funding: NHS therapy is free. Families can apply for Disability Living Allowance (DLA) for children.

United Arab Emirates

Where to start: your child's paediatrician can refer you for a developmental assessment. Most therapy (ABA, speech, OT, physio, feeding) is offered by private multidisciplinary centres. In Abu Dhabi, the Department of Health issued autism care guidelines focused on ABA in 2024 and has designated specialised diagnostic centres.

Non-profit: the Dubai Autism Center offers education, therapy and family support, including free assessments for Emirati children.

At school: ask the inclusion team about an individual education plan, and whether a learning support assistant (shadow teacher) can support your child.

Funding: basic health insurance plans usually do not cover ABA. Higher-tier plans sometimes do, often under "developmental" or "rehabilitation" cover with yearly limits. Check your policy's table of benefits and get pre-approval in writing.

United States

Under 3: every state runs free or low-cost Early Intervention (IDEA Part C), often at home. You can contact them yourself.

From 3: your school district must evaluate your child and provide special education and related services (speech, OT) through an IEP.

ABA and private therapy: widely available through BCBAs. All 50 states require many private insurance plans to cover autism treatment (some employer plans are exempt), and Medicaid covers medically necessary autism treatment, including ABA, for children under 21.

Brazil

Through the SUS (free): start at your UBS. Specialised Rehabilitation Centres (CER) and child mental health services (CAPSi) offer psychology, speech therapy (fonoaudiologia), OT and family guidance.

Health plans: since 2021 and 2022, ANS rules (RN 469/2021, RN 539/2022 and RN 541/2022) require plans to cover unlimited sessions with psychologists, speech therapists, OTs and physiotherapists for autistic beneficiaries, using any method the doctor prescribes, including ABA. Sessions at home or school are not mandatory. If a plan refuses, complain to the ANS or Procon.

Portugal

Under 6: the National Early Childhood Intervention System (SNIPI) supports children through local teams (ELI) of health, education and social professionals, who agree an individual plan (PIIP) with the family. Ask your family doctor, paediatrician, nursery or Segurança Social, or contact your ELI yourself.

At school: ask for the multidisciplinary team (EMAEI) and support measures under Decreto-Lei 54/2018.

Private and funding: ABA is mostly private. Segurança Social benefits such as the Bonificação por Deficiência and the Subsídio de Educação Especial can help families; many require an "atestado multiusos".

Therapy at home: multiply what happens in sessions

Children learn a skill in therapy, but they own it when they use it everywhere: at the table, in the bath, at the shops, with grandparents. Professionals call this "generalisation". Here is how to make it happen.

Do

  • Ask for 1 to 3 home goals each week, written down, so you know exactly what to practise.
  • Watch or join sessions, or ask for a short video, and copy what works.
  • Use the same words, signs, pictures and rewards as the therapist and school.
  • Practise in everyday routines: meals, dressing, bath time, play, the car, the supermarket.
  • Keep it short and often: a few minutes, many times a day, beats one long session.
  • Follow your child's interests. Use the things they love to build communication.
  • Wait. Give your child time to respond, slowly counting to ten in your head.
  • Praise the effort, specifically: "Great asking for juice!"
  • Use visual supports: a daily schedule and Now and Next board. Our free app has both.
  • Keep a simple log of what worked and what didn't, and share it with the therapist.
  • Get everyone on the same page: partner, grandparents, nanny, school.
  • Look after yourself. Rest, ask for help, and connect with other parents.

Don't

  • Don't turn home into a clinic. Hours of drills tire everyone. Home should feel safe and loving.
  • Don't use punishment, shouting or withdrawing affection. They raise anxiety and block learning.
  • Don't force eye contact, or stop harmless self-soothing such as rocking or hand-flapping.
  • Don't change many things at once. Introduce one new goal or routine at a time.
  • Don't give up after a bad day. Give a new approach two to three weeks before judging it.
  • Don't compare your child with others. Compare them with themselves a month ago.
  • Don't talk about your child as if they aren't there. They often understand more than they can say.
  • Don't try new treatments without checking with your child's doctor first.
Free download

Therapy at home (2 pages, PDF)

The dos and don'ts, questions for therapists and a weekly practice log, to print and keep on the fridge.

Free app

Home practice in the app

A tip for every day and a simple practice log you can show your child's therapist. Free, no account, works offline.

Open the app

Questions to ask a therapy provider

  • What are your qualifications, and are you registered or licensed? (For example BCBA, HCPC in the UK, DHA or DoH in the UAE.)
  • What goals will you set for my child, and how will you measure progress?
  • How do you involve parents? Can I watch sessions?
  • How do you follow my child's interests and keep sessions fun?
  • What do you do when my child is upset or says no?
  • How many hours do you recommend, and why?
  • How do you work with my child's school and other therapists?

Warning signs

  • Promises to "cure" or "recover" your child
  • Large payments up front or long contracts
  • You are not allowed to watch or ask questions
  • Your child is often distressed and it is ignored
  • Punishment, restraint or withholding food or comfort
  • The same programme for every child
  • Goals that only make your child look less autistic, rather than happier and more independent
  • Pressure to stop other therapies or medical care

Treatments to avoid

Autism cannot be cured, and some products sold as "cures" are dangerous. The UK's NICE guidance says these should not be used for autism, and the US FDA has warned families about several of them:

  • Chlorine dioxide (MMS, "CD"): industrial bleach sold as a cure. Drinking it or using it as an enema can cause serious harm.
  • Chelation: drugs that remove metals from the body. It has caused deaths.
  • Hyperbaric oxygen therapy marketed for autism.
  • Unproven stem cell treatments, often sold at clinics abroad.
  • Secretin, neurofeedback and auditory integration training sold to treat autism.
  • Gluten-free or casein-free diets to treat autism itself. A diet is only right if a doctor finds a medical reason, such as coeliac disease.

If someone offers you any of these, please talk to your child's doctor first.

Glossary

AAC
Augmentative and alternative communication: pictures, signs or devices that help a person communicate.
ABA
Applied Behaviour Analysis, a structured way of teaching skills.
BCBA
Board Certified Behavior Analyst, the professional who designs and supervises an ABA programme.
RBT
Registered Behavior Technician, a therapist who delivers ABA sessions under a BCBA.
SaLT / SLP
Speech and language therapist (UK) or speech-language pathologist (US). In Brazil, fonoaudiólogo; in Portugal, terapeuta da fala.
OT
Occupational therapist, who helps with everyday skills and sensory needs.
NDBI
Naturalistic developmental behavioural intervention: play-based programmes such as ESDM and JASPER.
ESDM
Early Start Denver Model, a play-based programme for young children.
PACT
Paediatric Autism Communication Therapy, a UK parent-coaching programme.
PECS
Picture Exchange Communication System: a child hands over a picture to ask for something.
Generalisation
Using a skill everywhere, not just in the therapy room.
EHCP
Education, Health and Care Plan, a legal plan for children with greater needs in England.
SENCo
Special educational needs coordinator at a UK school.
IEP
Individual education plan (in the US, a legal Individualized Education Program).
LSA
Learning support assistant, sometimes called a shadow teacher in the UAE.
CER / CAPSi
Brazil's specialised rehabilitation centres and child mental health centres in the SUS.
SNIPI / ELI
Portugal's early childhood intervention system and its local teams.

Evidence labels summarise research reviews including a 2020 review of 130 studies (Sandbank and colleagues, Psychological Bulletin), the Cochrane review of early intensive behavioural intervention (2018) and the UK NICE autism guideline (CG170). This page is general information and does not replace advice from professionals who know your child. Checked October 2026.