MIC Handbook - Appendix 2 Overview of Targeted approaches (four broad area of need)

Published: 27 September 2025

Cognition and Learning Strands

Aspect Presenting Barriers & challenges
Reading

Reading Fluency: Reading slowly and finding reading difficult and tiring  

Comprehension:  Child or young person has difficulties with understanding and interpreting texts.

Memory: Child or young person finds it difficult to remember what they have read or frequently loses their place. 

Dictionary Skills: Child or young person finds it hard to use a dictionary, glossary, or index. 

Visual processing: Child or young person finds black print on white paper difficult to see clearly. 

Phonic decoding: Child or young person is making limited progress in the school’s chosen systematic synthetic phonics programme.

Accessing whole class texts: Child or young person has difficulties accessing whole class texts  

Writing

Writing fluency: Child or young person finds writing tiring or effortful/ organising ideas. 

Spelling: Child or young person makes frequent and inconsistent spelling errors.

Handwriting: Child or young person has uneven/incorrect letter formation/illegible or difficult to decipher.

Thinking of what to say: Child or young person has difficulties starting the task

Maths

Poorly developed number sense: Difficulty understanding and working with numbers, including estimating, comparing quantities, and recognising numerical patterns. Understanding mathematical vocabulary: Interpreting and using key terms and language specific to maths, which can hinder comprehension of instructions and problems. Instant recall of facts: Ability to quickly retrieve basic maths facts (e.g. times tables, number bonds), affecting fluency and confidence in calculations. Solving maths problems: Challenges in applying reasoning and strategies to tackle unfamiliar or multi-step problems, often due to gaps in understanding or planning skills.

Maths anxiety: Lacking confidence in their own mathematical ability.

Literacy difficulties in maths: Literacy difficulties impacting upon access to maths lessons

Executive Functioning

Flexibility of thinking / shift: Adapting to change, transitioning between activities, and or revising plans when faced with new information, obstacles, or setbacks.  

Emotional Regulation: Recognising and or communicating feelings and managing these when experiencing strong emotions.

Response Inhibition: Stopping and thinking before acting. 

Sustained Attention: Remaining focussed and on task in spite of distractions or lack of interest.  

Task Initiation: Beginning or starting a task. 

Working Memory: Holding information in mind whilst performing a complex task e.g. following multi-step instructions.

Planning and Prioritisation: Creating a plan, make decisions and prioritising for task completion.  

Time management: Estimating and using time effectively. Difficulty keeping track of time.

Goal directed persistence: Persevering, adapting and following a task through to completion. 

Metacognition: Stepping back to monitor and evaluate thinking and learning such as editing work

Organisation of materials: Maintaining systems for tracking information and having materials needed

Stress tolerance: Managing uncertainty, change and competing demands.

Communication & Interaction Strands

Aspect Presenting Barriers & challenges
Speech, Communication & Language

Early Communication: Looking, joint attention, taking turns and listening.

Attention and Listening: Processing and understanding spoken language in real-time, actively concentrating on auditory and visual stimuli in the environment.

Understanding of spoken language (receptive language): Comprehension of sentence structures, pronouns, negatives, plurals, tenses.

Expressive Language: the ability to express thoughts, needs, feelings, and ideas, use correct word order, grammar, plurals, tenses, etc.

Phonology: speech sound production skills

Non-fluency/ stammering: repeating words/sounds, stumbling, hesitating.

Quiet or reluctant speakers: including selective or situational mutism

Autism

Social Understanding & Communication

Supporting access to lessons requiring imaginative thinking: Engagement in activities that require imagination, flexible thinking, or creative problem-solving. 

Communicating own needs: Expressing needs, preferences, or discomfort 

Social interactions: Initiating, joining, or sustaining social interactions, participation in group work and peer relationships. 

Understanding and expressing emotions: Recognising, understanding, or expressing emotions, which can impact emotional regulation and communication with others. 

Understanding the thoughts, feelings, and actions of others: Interpreting or predicting the thoughts, feelings, or motivations of others 

Friendships & relationships: Forming and maintaining friendships and relationships

Autism

Flexibility, Information Processing & Understanding

 

Attention and listening: Hyperfocus/monotropic attention (linked to SCLN)

Engagement in activities or lessons: Supporting engagement in learning especially if the content is not of personal interest or is perceived as irrelevant, leading to reduced participation. 

Executive Functioning: Planning Including organizing, starting, and completing tasks, working memory and flexible thinking. 

Changes & transitions: Coping with changes in routine, environment, or expectations, leading to anxiety or distress during transitions between activities or settings. 

Emotional understanding: Regulation and self-advocacy Recognizing, understanding, and managing their own emotions, communicating emotional needs or advocating for themselves effectively. 

Demand Avoidance: Resistance or avoidance to everyday demands and requests impacting participation and cooperation.

Autism

Sensory Processing & Integration

Supporting children and young people to meet their sensory needs: Heightened or reduced sensitivity to sensory input (e.g., sounds, lights, textures), which can affect comfort, focus, and participation.

 

Social, Emotional and Mental Health Strands

Aspect Presenting Barriers & challenges
Dysregulation Managing or controlling emotions and behaviours, leading to outbursts, withdrawal, or unpredictable reactions.
Patterns of non-attendance Regular or repeated absences from school or activities, which may be linked to anxiety, emotional distress, or difficulties coping with the school environment.
Emotional Wellbeing Overall emotional health, including their ability to understand, express, and manage feelings, cope with challenges, and feel positive about themselves and their lives.
Making and Sustaining Healthy Relationships The ability to form positive, trusting, and respectful connections with peers and adults, and to maintain these relationships over time.
Bereavement & Loss Experiencing the death of someone close or other significant losses (e.g., family breakdown, moving home), which can deeply affect a CYP’s emotions and behaviour.
Trauma Emotional or psychological harm from distressing events (e.g., abuse, neglect).
Physical Symptoms (medically unexplained) Physical complaints (like headaches or stomach aches) that do not have a clear medical cause, often linked to emotional distress or anxiety.
Attention Difficulties Challenges with focusing, staying on task, or being easily distracted, which can affect learning and behaviour
Safeguarding Protecting CYP with SEND from harm, abuse, or neglect, and ensuring their safety and wellbeing in all settings.

Physical and/or sensory Strands

Aspect Presenting Barriers & challenges
Children and young people who are deaf or have a hearing impairment

Accessing the classroom environment: Environmental adjustments & adaptations

Access to the teacher & other children and young people in the lesson: Ensuring practitioners understand the learner’s needs and apply inclusive strategies.

Friendships & social situations: Support children in identifying their own wellbeing priorities.

Access to exams and assessments: stay informed on best practices and legal requirements.

Auditory fatigue: The increased effort required for listening.

Executive functioning: Deaf or hearing-impaired children and young people experience differences in executive functioning, creating obstacles in day-to-day life in a society that expects us to work a certain way such as meeting deadlines and perform tasks in a certain way.

Delayed literacy skills: Advice on suitable adaptations for reading instruction.

Children and young people with a significant difference between their verbal (BSL) and written answers: Advice on suitable adaptations

Frequent and inconsistent spelling errors: Advice on suitable adaptations and effective strategies

Children and young people with a visual impairment

 

Access to classroom environment: Environmental adjustments & adaptations

Moving around the setting: Environmental adjustments & adaptations

Access to text: Ensuring practitioners understand the learner’s needs and apply inclusive strategies.

Handwriting tasks: Adaptations & effective instruction

Accessing maths resources: adaptations and adjusted resources

IT lessons: Adaptations & effective instruction

Access to interactive whiteboards: adaptations 

Access to practical lessons (DT, Science, Food Tech) adaptations and adjusted resources

Making friends and social situations: Guidance and advice

Joining in PE & extra-curricular activities: Inclusive sport and adaptations

Accessing exams and assessments: Stay informed on best practices and legal requirements.

Independent dressing: Strategies and guidance

Independence in eating: Strategies, guidance and adapted resources

Independence in organising personal equipment: Strategies, guidance and adapted resources

Sensory

Tasting (gustatory) differences: Information and adjustments

Smelling (olfactory) differences: Information and adjustments

Tactile (touch) differences: Information and adjustments

Proprioceptive (sense of self-movement, force, and body position) differences: Information and adjustments

Vestibular differences (the vestibular system helps maintain your sense of balance): Information and adjustments

Interoceptive differences: (the internal sensory system that allows us to be aware of what is happening inside our bodies, such as feeling hunger, thirst, pain, or emotions like anxiety) Information and adjustments

Physical

 

Fine motor difficulties: Assessment, adaptations and intervention

Gross motor difficulties: Assessment, adaptations and intervention

Mobility: Adaptations and guidance

Severe and complex medical needs including a life-threatening diagnosis or condition: Guidance and advice