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\n “text”: “Non. Beaucoup de personnes autistes traitent mieux l’information sans regarder leur interlocuteur ; exiger le regard consomme des ressources et d\u00e9tourne l’attention du message. Plut\u00f4t que d’imposer \u00ab regarde-moi \u00bb, on entre dans le champ visuel, on se met \u00e0 la hauteur de la personne, on utilise une id\u00e9e par phrase avec des mots simples, et l’on ajoute un support visuel \u2014 geste, pictogramme, image. De m\u00eame, on n’exige pas une r\u00e9ponse verbale imm\u00e9diate : on laisse un temps de traitement et l’on accepte d’autres canaux d’expression, comme un outil de communication augment\u00e9e partag\u00e9 par toute l’\u00e9quipe.”
\n }
\n },
\n {
\n “@type”: “Question”,
\n “name”: “Comment pr\u00e9parer un changement d’emploi du temps impr\u00e9vu ?”,
\n “acceptedAnswer”: {
\n “@type”: “Answer”,
\n “text”: “En le rendant visible et concret le plus t\u00f4t possible. Un impr\u00e9vu annonc\u00e9 oralement, \u00e0 la vol\u00e9e, arrive souvent trop vite pour \u00eatre trait\u00e9 et retire les rep\u00e8res qui s\u00e9curisent. On montre le changement sur l’emploi du temps, on nomme pr\u00e9cis\u00e9ment ce qui remplace l’activit\u00e9 annul\u00e9e (\u00ab pas de sortie ; \u00e0 la place, atelier musique, puis go\u00fbter \u00bb), et l’on laisse un temps de traitement sans ajouter de mots. Pour les impr\u00e9vus r\u00e9currents, pr\u00e9parer \u00e0 l’avance un sc\u00e9nario social visuel expliquant \u00ab ce qui se passe quand \u00bb rend l’impr\u00e9vu lui-m\u00eame pr\u00e9visible et fait chuter les crises.”
\n }
\n },
\n {
\n “@type”: “Question”,
\n “name”: “Que noter dans une transmission utile pour un comportement-d\u00e9fi ?”,
\n “acceptedAnswer”: {
\n “@type”: “Answer”,
\n “text”: “Un fait dat\u00e9, situ\u00e9 et reproductible, jamais une interpr\u00e9tation. \u00ab S’est frapp\u00e9 la t\u00eate \u00e0 11 h, apr\u00e8s une consigne de rangement r\u00e9p\u00e9t\u00e9e, dans le hall bruyant ; \u00e9pisode calm\u00e9 apr\u00e8s retrait au calme \u00bb est exploitable : cela permet d’identifier un d\u00e9clencheur et d’agir en amont. \u00ab Agressif \u00bb ou \u00ab capricieux \u00bb n’est pas exploitable et suit la personne pendant des mois en orientant \u00e0 tort tous les coll\u00e8gues suivants. On note aussi le contexte sensoriel, ce qui a pr\u00e9c\u00e9d\u00e9, ce qui a apais\u00e9, et l’on signale tout comportement nouveau pour qu’une cause de sant\u00e9 soit recherch\u00e9e.”
\n }
\n },
\n {
\n “@type”: “Question”,
\n “name”: “Quels signes imposent d’alerter en urgence ou un professionnel de sant\u00e9 ?”,
\n “acceptedAnswer”: {
\n “@type”: “Answer”,
\n “text”: “Tout comportement-d\u00e9fi qui appara\u00eet ou s’aggrave brutalement chez une personne habituellement stable doit faire rechercher une cause de sant\u00e9 : douleur dentaire, otite, constipation, fi\u00e8vre, blessure. Devant des signes d’urgence vitale \u2014 d\u00e9tresse respiratoire, fausse route, perte de connaissance, convulsions, blessure grave, d\u00e9gradation brutale de l’\u00e9tat g\u00e9n\u00e9ral \u2014, on applique imm\u00e9diatement la proc\u00e9dure d’urgence de l’\u00e9tablissement et l’on contacte les services d’urgence de votre pays, sans chercher d’explication comportementale. Pour tout signe de souffrance durable, de retrait inhabituel ou de perte des acquis, on oriente vers le m\u00e9decin ou le psychologue : le diagnostic et le pronostic leur reviennent.”
\n }
\n }
\n ]
\n }
\n ]
\n}<\/p>\n

<\/p>\n
\n
\n Professionnels \u00b7 Autisme<\/span><\/p>\n

Autisme en \u00e9tablissement : 10 situations difficiles du quotidien et comment y r\u00e9pondre<\/h1>\nLes difficult\u00e9s d’accompagnement d’une personne autiste en \u00e9tablissement ne se logent presque jamais dans les grands principes. Elles surgissent dans des moments tr\u00e8s concrets : un r\u00e9fectoire trop bruyant, un planning modifi\u00e9 \u00e0 la derni\u00e8re minute, une transition entre deux activit\u00e9s, une question r\u00e9p\u00e9t\u00e9e pour la dixi\u00e8me fois, un rempla\u00e7ant qui ne conna\u00eet pas les rep\u00e8res. La vraie question, sur le terrain, n’est pas th\u00e9orique \u2014 c’est \u00ab autisme en \u00e9tablissement : que faire<\/strong>, l\u00e0, maintenant, face \u00e0 cette sc\u00e8ne pr\u00e9cise ? \u00bb.<\/pee>\n