This book provides teachers and therapists with a user-friendly bank of practical ideas and suggestions to use in the MSE for pupils with profound and multiple learning difficulties. These include equipment and resources that can be used to engineer the environment to promote particular outcomes; a set of photocopiable, fast, easy to complete observation and assessment forms; a selection of practical strategies and methods that can be used in the MSE; and ideas to help teachers integrate environment, assessment and instruction to maximize individual programs.