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Involving children
in choices (1)
A teacher helps a girl stick a card to a
                  board

Ascertaining the views of children with SLD/PMLD/CLDD can be challenging, but is a high priority if we are to place the children at the centre of planning and give them choice and control wherever possible.

The 'Involve Me' project (Mencap/British Institute of Learning Disabilities, 2011) and the Choice Initiative (Foundation for People with Learning Disabilities, 2000) give guidance on how to involve people with PMLD in choices, decisions and consultations.

Involving children in
choices (2)
A teacher helps a girl stick a card to
                  a board

Murray and Osborne (Department for Children, Families and Schools, 2009) advocate '...a strong culture of consulting with, listening to and encouraging the participation of disabled children amongst all services... In order for disabled children to participate in decisions about their safety and welfare, it is essential that resources and time are made available to allow their voice to be heard.'

For more information on communication, see the modules Communication and interaction and Communication: augmentative and assistive strategies.

Principles of empowerment
Laughing boy in a chair

...all disabled children can communicate, and the people working with them should find ways of enabling them to do so.

Lenehan et al, 2004

...disempowering disabled children in quite small, unintentional ways, may silence them.

PW Threlfall Training & Consultancy, 2010

Listening to pupils (1)

  • A headteacher
    0:55
    talks about listening to pupils
  • A teacher
    1:39
    talks about listening to pupils

Listen to the headteacher and teacher talking about listening to pupils and read the documents on the next slide.

Listening to pupils (2)
Laughing boy in a chair



Identify the key points about choice-making made in these documents and in the audio clips.

Compare your ideas with this sample answer.

The Mental Capacity Act 2005

The Mental Capacity Act 2005 is clear that everything that is done for or on behalf of a person who lacks capacity must be in that person's best interests.

British Institute of Learning Disabilities, 2008

In the past, people have been confused about when and how to make decisions for people with profound and multiple learning disabilities (PMLD). The Mental Capacity Act 2005 puts into law the rights of people who lack capacity to make their own decisions, as well as those who can make their own decisions.

Mencap, undated

Best interest
decision-making checklist
Two young adults cross a road
To make a best interest decision on behalf of someone who has been assessed specifically as not being able to make a particular informed decision (with stated exceptions), people must:
  • Consider relevant circumstances.
  • Make every effort to encourage the person to take part in the decision.
  • Consider if the person is likely to regain capacity.
  • Take the person's past and present wishes, feelings, beliefs and values into account.
  • Take into account the views of the people close to the person.
Fulton et al, 2009
Circles of support

It is becoming more and more apparent that using circles of support is one of the best ways of assisting a person with PMLD to get the right support and have control over their lives.

Many circles include family members, friends and, sometimes, staff who know the individual well... By using those people already known to the person as a resource, services and agencies are able to get a clearer, truer picture of who the individual is and what their goals and support needs are.

PMLD Network, 2002

Giving pupils choice

Watch the interactions in these clips, and consider what strategies staff are using to give pupils choice in their environment and personal care.

  • Clip 1
    1:53
    A teacher asks a pupil with PMLD to choose a snack and a drink using symbols.
  • Clip 2
    1:22
    A teacher and pupil converse about adults who provide personal care

Consider what strategies staff are using in these videos to give pupils choice in their environment and personal care.

Find out more
Open book

The 'Involve Me' project (Mencap/British Institute of Learning Disabilities, 2011) gives guidance on how to involve people with profound and multiple learning disabilities (PMLD) in decision-making and consultation.

For videos and a practical guide, visit:

Find out more
Open book

The Choice Initiative (Foundation for People with Learning Disabilities, 2000), a programme of five innovative projects, explored how people with severe, profound and multiple learning disabilities, can express choices and take more control over their own lives.

For information, visit:

Find out more
Open book

The projects on the previous pages, and others relating to people with PMLD, are listed on the PMLD Network website:

Find out more
Open book
British Institute of Learning Disabilities (BILD) (2008) Factsheet: chemical restraint.

Fulton, K., Woodley, K. and Sanderson, H. (2008) Supported Decision Making: A guide for supporters. Birkenhead: Paradigm.