Developing Effective Pre-bedtime routines for kids with Autism

Developing Effective Pre-Bedtime Routines for Children with Autism

1.  Start the routine at about the same time each evening.

Beginning the pre-bedtime routine at the same time each evening will help your child’s body rhythms to get in sync. This will allow your child to feel less anxious, since he or she always knows what to expect.

2. Include enjoyable activities before and after more difficult tasks.

Your child may dislike certain pre-bedtime tasks, such as getting undressed or brushing teeth. He or she will be more likely to comply with non-preferred tasks if they are sandwiched between more enjoyable activities, like playing in the bathtub, reading a story or cuddling.

3. Help your child feel calm and confident by making use of books or social stories about going to sleep in his or her own bed; for a child with limited language skills, a visual schedule may serve the same purpose.

            Your child’s speech clinician can create a schedule with BoardMaker software; or you can design your own using the Visuals Engine at www.connectability.ca. 

 
 

4. Optimize the sensory environment – light, rhythm, sounds & voices, touch.

            □ Light – window blinds closed, curtains drawn, bedroom door closed or barely open.

            □ Light – a night-light or avery small desk lamp may reduce fear of the dark.

            □ Rhythm – a short period of cuddling and rocking often quiets toddlers/preschoolers.

            □ Touch – pajamas, slippers, sheets, pillowcase, stuffed animals should be clean and soft.

            □ Touch – for the child who can’t lie still, a weighted blanket might be the answer

            □ Sounds & Voices: No loud voices during the pre-bedtime routine.

            □ Sounds & Voices: Quiet music or “white noise” (a small table fan) can be calming.

            □ Sounds & Voices: After the door is closed, keep TV volume low and adult voices quiet.

            □ Sounds & Voices:  If alone in bedroom, child may talk or sing himself/herself to sleep.

            □ Sounds & Voices: If child calls out, parent may return to door - respond in soft voice.

 

5. Allow enough time (25-30 minutes) - keep the pace relaxed but steady.

Keep your words and tone of voice positive, even when dealing with resistance or stalling. Expect success.