Our son Jacob is 18 and just graduated from HS. I will share a few ideas we used, take what might work and feel free to leave the rest. When he was small I brought sand box toys that all the kids could play with in the pea rock around the playground equipment. The playground aids brought the bag of toys out daily and one was tasked to stay close to Jacob to help him up if he fell down. Jacob liked to play with army men and tanks etc in the sand at ome and the pea rock at school. I was told the other kids layed with the toys more than he did but it was always an option for him. At first the school was worried hey might lose some of the toys I said no problem they were inexpensive toys. The kids did not ask where they came from...they thought it was the schools. Likewise, when he got older I brought in a bunch of board games (my mom found a bunch at garage sales) they set out in the lunch room for all to play with, the teachers also allowed Jacob to stay in at recess and work on his school work or read. He did not have any behavior issues and I know we were very fortunate to have such cooperatvie teachers. Jacob did not want an aid and in elem it was fine as each teacher was very good with accomadations. At the end of 6th grade we had our IEP meeting preparing for 7th grade and 6 new teachers. Jacob was very firm..he did not want a middleaged woman (aid) following him around HS. The 6th grade teacher wrote a great letter to the HS teachers, one that brought tears to my eyes about the accomadations they would need to make and how after a short while one doesn't see Jacob's disability but a student with creativity and insight like no other. The case manager put that in all the new teachers mailbox that spring and again in the fall before we had the fall into meeting with the previous years teachers to give the new teachers insight. At these mtgs we always had the PT to help with desk modifications etc. We did this each year he had new teachers. The previous teachers would update the letter. We were lucky to have the same adaptive PE teacher as the school only had one, there were years she was schedule else where but when I pointed out they were not in compliance with his IEP they would put her back to Jacob class. In HS as PE was more difficult and he did not want to do the accomadations he chose to have an extra study hall. He is off to college in August and we are setting up as he would say "hired help" at home in the am to help prepare for college this fall where he will have help in the am and pm. I do not know what is the best way to do these things but we tried our best to accomadate what Jacob wanted...ie to be like the other kids. It did help that he has an older brother and younger sister on the bus etc to let me know where there was an issue as Jacob like his brother was not one to tell me but his sister has always told me sometimes more than I want to hear. I will not tell you it has been an easy journey but he is looking forward to college. Our local paper interviews the HS graduating class and when Jacob was asked what was he looking forward to it was, "going to college, women and getting out of Dodge". Good Luck Cheri