Information for Professionals

PACT is an intervention for parents and caregivers of neurodiverse autistic children using a developmental orientation with long-term scientific evidence of significantly enhanced child social communication outcomes – and can radically improve services for autistic children. PACT is suitable for children aged 2-11 years with a range of language difficulties, from children who use sentences to those who use few or no words. PACT is available face-to-face in the home, clinic or nursery/ school setting and online.

PACT training consists of two levels:

PACT Level 1:

½ day e-learning programme contains approximately 90 minutes of video interactive tasks, a video demonstration of PACT and an introduction to the method, techniques and research behind PACT. Click here

PACT Level 2:

2 days of live training with practitioner presentations, demonstration videos of the six PACT stages with small group role-play and post-course supervised practice, complete with an ePACT practitioner manual and forms available to professionals. Click here.

PACT-accredited training is immediately available.

Who can train in PACT?

  • PACT Level 1 is suitable for a wide range of carers and professionals (teachers, learning assistants, service leads, health, education and social care professionals) staff wishing to gain awareness of PACT and required to progress to Level 2 PACT certification training. Click here
  • PACT Level 2 certified training is suitable for professionals (speech and language therapists, clinical and educational psychologists, psychiatrists, specialist teachers, therapists, social workers, specialist nurses, and health visitors) who have a minimum of 2 years of experience working with families of neurodiverse and autistic children.
  • PACT is now available for accredited clinical training. Please complete the online PACT training registration form or email info@pacttraining.co

Why PACT?

PACT is the first evidence-based intervention to demonstrate long-term improved child social communication sustained beyond the end of the intervention (Click here).  Please feel free to view and share the link to the PACT professional flyer (click here)

PACT is proven to improve child communication from first identification through a care pathway to post-diagnostic intervention and school support. It has been successfully tested in  NHS and education services, e.g. community clinics, centres, family, schools, social care centres and within the child's home. Click here.

Here is a PACT trainee testimony after completing PACT-certified training:

PACT training is an exceptional course for professional development but also inspiring and enlightening when it comes to gaining further insight in autism. Level 1 training was comprehensive, cost- and time-effective, and it provided the necessary knowledge to become familiar with the PACT ethos and subsequently attend Level 2.
Level 2, however, was outstanding. The relatively small sized group gave us the opportunity to express our own ideas, ask questions but also practice well enough on every section of the course. Our trainers managed to cover all our needs in a supportive, insightful and interactive way that made the whole process seem like a friendly meeting amongst professionals. I would highly recommend PACT both to professionals but also parents who wish to learn ways to connect with their children and support their development.

PACT is embedded in the new Autism Care Pathway, valuing the neurodiverse perspective and aligned to continuous support and care. PACT embodies a progressive strength-based approach that embraces autistic people's interests, style and attributes, realising individual potential by promoting a more supportive environment.  PACT is efficient and accessible and ideally adapted to online delivery. Click here for PACT online videoconference adaptations.

PACT practitioner skills and competencies:

Training in the PACT theory, practice and stages is complemented by small group workshops of 3-4 delegates starting with a gentle warm-up exercise followed by role-play activities with peer and trainer support to gain experience in practising PACT skills in the following areas:

  • Video observation and analysis techniques.
  • Video feedback and guided discovery techniques.
  • Implementing the 6 stages of PACT.
  • Setting stage-specific incremental goals.

A group meeting (8-10 weeks) and individual supervision (within 6 months) is provided after the live PACT training.

How do professionals implement PACT?

PACT involves alternate weekly 1½ hour sessions for six months (15 minutes video preview, 60 minutes feedback with a PACT therapist and parents/caregiver and 15 minutes programme writing) (a minimum of 12 sessions) and optional continued or maintenance PACT sessions with therapist and parent/caregiver.

Parents or caregivers also undertake 30 minutes of daily play-based practice. PACT is then generalised in the child's everyday natural interactions.

The need for PACT

  • NHS England recommends an integrated Autism Care Pathway combining PACT with early intervention and is funding NHS implementation. Click here.
  • NHS England and NHRI recommend that the PACT Lancet publication is relevant to UK decision-makers. Click here
  • European ESCAP Guideline recommends interventions that focus on early parent–child interactions. Click here
  • Parliament and national review recommend PACT in their proposed changes to practice for autistic children and young people. Click here.
  • Autistica charity recommends PACT implementation throughout the NHS. Click here.
  • PACT was highlighted as one of the few well-evidenced interventions for autism in the UK in the House of Commons' all-party parliamentary committee on autism. Click here.
  • PACT is the first autism evidence-based intervention successfully replicated in Low and Middle-income Countries (LMIC). It demonstrates its potential for incorporation into existing world health provision delivered in communities, focusing on culturally appropriate, feasible and scalable delivery. Global Health trials are digitising practitioner training to support worldwide reach. Click here.
  • An international survey of PACT training found strong parental endorsement of relevance and acceptability. Click here.
  • The symposium and webinar presentations discuss the impact of global PACT training in professional health and education services.
  • For a summary of PACT research, please visit the publications page. Click here.

Becoming a PACT associate

  • PACT associates support PACT training guided by our social enterprise, IMPACT.
  • PACT associates are PACT certified, have 12 months experience of delivering PACT with a minimum of 5 children, maintain current fidelity, and have co-trained a Level 2 PACT training course.
  • Professionals wishing to become PACT associates are asked to agree to confidentiality in the associate contract.

PACT associate roles include:

  • Dissemination of PACT to local health, education and social care services.
  • Engaging parent groups, networks, and autism advocates to raise awareness of PACT evidence and training. This may include webinars, talks to local autism services, conference presentations, sharing leaflets and posters in GP clinics, nurseries/ schools, inserts in local magazines, radio talks, or podcasts to explain the evidence and benefits of PACT.

Our social enterprise IMPACT provides a package of materials, flyers, testimonies, and video demonstrations of PACT. We value associate feedback on their local dissemination and PACT training to continually improve the quality of training (email info@pactraining.co.uk).

International franchise license.

Our international Franchise/ License is available for a limited number of professional leads to deliver PACT training in identified countries or contexts. The franchise comes complete with PACT training materials, a recommended pricing structure and discounted rates to reflect the social enterprise's mission and goals. International PACT trainers develop their own PACT training video clips in their language, including:

  • 6 video clips illustrating each of the PACT stages
  • Therapist feedback video clips
  • 1 PACT whole session video

IMPACT supports franchisees in translating and developing their PACT training materials. An IMPACT Franchise/ License incurs a 5% turnover paid to IMPACT (plus an optional 1% premium to subsidise less-advantaged areas, countries, and charities) and a three-yearly renewal fee. IMPACT asks for feedback and data on PACT training and supports franchisees in maintaining PACT fidelity.

PACT research

PACT Research Centres of accredited PACT professionals are encouraged to develop PACT implementation trials to test the acceptability, feasibility and adaptation of PACT in their cultural context. IMPACT senior leads provide research support, including advising on methods, measures/ assessment and outcomes, depending on individual requirements. Please get in touch with IMPACT to discuss your project/ trial proposal.