Zones of Regulation Report
Zones of Regulation Report
Background
Autistic individuals experience disproportionately high rates of mental health challenges such as
anxiety and depression, which, coupled with inadequate professional support, has led to the current
mental health crisis in autism (Mandy, 2020). The increased occurrence of mental health challenges
has been partially attributed to emotion regulation difficulties often seen and reported by Autistic
children and adults.
Emotion regulation is a complex process of monitoring and modifying our emotional responses. The
stages of emotion regulation include:
1. being aware of one’s emotions and the context in which they are occurring
2. activating the goal to regulate and selecting the best strategy or strategies
3. implementing the strategy or strategies selected
4. monitoring the effectiveness of the strategy or strategies selected for regulating.
A recent systematic review found that Autistic children have poorer emotion regulation abilities
and use simpler and/or less effective emotion regulation strategies during times of distress than
typically developing children (Cibralic et al., 2019). Similar to the general population, emotion
regulation difficulties in Autistic individuals are related to a host of adverse outcomes across the
lifespan, including increased mental health difficulties, poorer social skills and engagement, and
lower academic performance (Berkovits et al., 2017; Cai et al., 2018; Cai et al., 2019; Konstantareas &
Stewart, 2006).
Exploring The Zones of Regulation in Aspect classrooms: understanding implementation and teacher perspectives, 2023
The Zones of Regulation
There is emerging evidence that emotion regulation difficulties in Autistic children can be reduced
through interventions. Reyes et al. (2019) stated that several components of Cognitive Behaviour
Therapy (CBT) and mindfulness interventions may promote emotion regulation skill development in
Autistic people. These include explicitly teaching about emotions while incorporating the ongoing
practice of emotion regulation skills. A curriculum that has been used in schools across Australia to
help children, including Autistic children, develop awareness of emotions and skills for regulation is
The Zones of Regulation® (The Zones).
The Zones is based on CBT and aims to promote emotional self-regulation skills. The curriculum
was designed to be implemented by anyone who supports a person who is experiencing difficulties
regulating their emotions (e.g. educator, allied health professional or parent). The Zones curriculum
has been created for children as young as four years of age up to adults, however the content and
discussions need to be individualised (e.g. simplifying for young children or matching the maturity
of older students/adults). The curriculum includes extension activities and suggestions for how
learning activities can be adapted for individual needs. The curriculum consists of 18 lessons (taught
over 17 weeks, minimum of 30–60 minutes per week) which include a range of group instruction,
games, videos, worksheets, handouts and independent activities.
The Zones uses four colours to help people become aware of their feelings, behaviours and
thoughts, and provides them with strategies/tools to self-regulate depending on their zone:
The Zones
Red Zone Yellow Zone
Extremely heightened Heightened state of
state of alertness or alertness and elevated
intense emotions emotions, but some control
The end goal of The Zones is to support learners in creating a toolbox of techniques, strategies
and/or sensory supports that can help them move between The Zones and ultimately self-
regulate.
Exploring The Zones of Regulation in Aspect classrooms: understanding implementation and teacher perspectives, 2023
Does teaching The Zones lead to better
student outcomes?
There are no peer-reviewed studies that have examined the feasibility or efficacy of The Zones
for supporting Autistic children. An unpublished study in 2015 of 46 US preschool children found
no significant benefits of participating in a modified Zones program (Kuypers, 2020). In Australia,
The Zones has been embedded into a school practice model (REWIRE) at one NSW Department
of Education school. The REWIRE practice model aims to facilitate a school environment that
can adequately support the needs of maltreated and traumatised children within the NSW public
education school. Although the school counsellor reported positive outcomes, no outcome measures
were used (Costa, 2017).
Staff receive informal training on The Zones related concepts and language as part
of their induction, and various Zones-based tools/emotional regulation supports are
available to all staff through the G drive (resources created by staff and non-licensed
material). Additionally, mentorship and support with resource development is accessible
through collaboration with colleagues including fellow teachers, Coordinators and the
Learning Support Team.
At the beginning of each year, The Zones check-in hubs are set up in each classroom,
with the complexity of tools and resources used individualised to each class cohort
(and teacher knowledge and experience). It is encouraged that teachers use The Zones
terminology, concepts and emotional regulation support tools with students on a daily
basis to maximise learning outcomes and social and emotional wellbeing. It is important
to note, however, that there is no standardised approach to The Zones implementation at
Aspect schools and, anecdotally, there is wide variation across schools and classroom at
Aspect.
* better understand how Zones is being used across Aspect classrooms (Preschool to Year 6),
including any accommodations that were being made by teachers
* to gather teacher perspectives as to the feasibility and usefulness of Zones with Aspect
students.
Exploring The Zones of Regulation in Aspect classrooms: understanding implementation and teacher perspectives, 2023
About the teachers and classroom students
We recruited teachers through communication with principals and expressions of interest. After
recruitment and The Zones training, we had 14 classrooms committed to implement The Zones
across five Aspect schools (Treetop, Central Coast, Hunter, South Coast, and South East Sydney).
Ten of the 14 classrooms were satellite classes, three were located in Main campuses, and one was
a distance education class. Classes consisted of 4 to 10 students across grades K to 6. A total of
96 students (ages 5 to 12; 23% girls) were in the classrooms during Term 2. Most classrooms had
at least one student diagnosed with an intellectual disability (27% in total). Five students were
described as having limited verbal communication. It is important to note that not all students
remained in the same classroom throughout the two terms as classroom groupings changed often,
students left the class or school, or teachers offered alternative activities to students on particular
days according to their judgement as to the suitability of The Zones content.
Ten classroom teachers continued teaching The Zones until the end of Term 3. Teachers of four
chose to discontinue the Zones curriculum due to the following reasons:
* student disengagement
* logistical difficulties of pulling students from different classrooms (this applied to only one class
where The Zones group was made up of students from different classrooms). H
Exploring The Zones of Regulation in Aspect classrooms: understanding implementation and teacher perspectives, 2023
Data collection
How The Zones is implemented at
Weekly interviews to Survey to measure
Aspect
gather feedback schools
on acceptability,
individual lessons within appropriateness, and
The Zones program feasibility
Focus groups to
Survey to gather reflect on teaching
demographic and The Zones across
classroom data Teachers deliver The two terms
Zones across two terms
Exploring The Zones of Regulation in Aspect classrooms: understanding implementation and teacher perspectives, 2023
Was The Zones effective in improving emotion regulation and
social skills for students on the autism spectrum?
Teachers were asked to rate (on a scale of 1 to 5 ranging from not effective at all to extremely
effective) the effectiveness of The Zones in improving emotion regulation abilities and social
skills.
92% of teachers (n=11) reported that The Zones was moderately to extremely effective in
improving emotion regulation skills (Figure 1). 75% of teachers (n=9) reported that The Zones
was moderately to extremely effective in improving social skills (Figure 2).
Figure 1
Figure 2
Exploring The Zones of Regulation in Aspect classrooms: understanding implementation and teacher perspectives, 2023
Were there any differences in student engagement across lessons
or classes?
Teachers provided engagement data for each student in their classes on a weekly basis. This
information was collected to determine whether student engagement varied across The Zones
lessons (which varied in terms of sophistication of content) or classrooms (which varied in terms of
student characteristics and abilities). No noticeable trends or patterns emerged across lessons or
classrooms.
Pace and groupings: Lessons were long and frequently needed to be broken up,
repeated across multiple weeks, or changed to individual or small group lessons.
Worksheets and writing activities: Worksheets and written activities were visually
overwhelming and required writing skills that were beyond many students’ abilities.
Relevancy: Needed to update the materials so that they were relevant to the students
and highlighted student strengths and interests.
Further details regarding these categories and examples of modifications are outlined in the
accompanying teacher guidelines.
Exploring The Zones of Regulation in Aspect classrooms: understanding implementation and teacher perspectives, 2023
Following qualitative analysis, we identified three themes that related to teacher perspectives of The
Zones:
Observable student growth Effort is needed to make “No program is going to suit
The Zones work our whole cohort”
Figure 3: Teachers’ experiences delivering The Zones to their classrooms across two terms: themes and
sub-themes
Teachers saw improvements in many of their students’ emotional language over two terms:
Descriptions of language improvement ranged from students using “more complex feelings, like
overjoyed, overwhelmed” (T9) to language that “helps the kids be self-advocates” for their own triggers
and feelings (T9). Teachers talked about how The Zones language is now “part of language that’s used
every day” (T7).
These improvements were largely observed in students with reasonable language skills. Students who
relied on augmentative and alternative communication (AAC) methods were observed to be “very
scripted …they tell me what I want to hear rather than actually expressing how they feel” (T10). Teachers
reflected that students with alternative communication methods may need a different program or may
need to learn The Zones at a different pace.
One teacher explained, “The boys in my class, they have, I guess, more social awareness and just
understanding of how their behaviours would affect others and their fluctuations and emotions too”
(T8). The teachers described how students were now able to identify “differences between one another
and how we’re all still very similar but everyone’s different” (T8). Students became more aware of the
“consequences of your actions and how other people have feelings as well” (T7) including increased
“perspective taking” (T9).
Although the general consensus was that there were positive outcomes for many students as a result
of the Zones, teachers also reported that in order for The Zones to be effective, considerable effort was
needed in terms of adaptation and most had needed support from colleagues.
Teachers described the importance of adaptations to make the program works, “It works, it just needs
to be differentiated” (T4). Only one teacher delivered the program without adaptations; however, she
Exploring The Zones of Regulation in Aspect classrooms: understanding implementation and teacher perspectives, 2023
recognised she had a cohort of students that had high verbal and social skills. Teachers frequently
praised the curriculum as a good “baseline program template for a teacher. They can pick it up and
have the aim for the lesson, the endpoint for the lesson” (T6); however, they also spoke of the need
to tailor the program for their particular students “… but we teach kids with autism and we know
that their special interests are important and how we deliver things are important” (T6). Adaptations
are described in more detail below.
Additionally, support and collaboration were required for The Zones to be effective:
The Zones manual was described by teachers as “effective and easy-to-ready, but extremely time
consuming” (T9) and collaboration was required to reduce this time burden. One teacher said “My
two co-teachers, they‘re brilliant as well, but having that support made me feel more positive about
delivering something new” (T7) and also made it “easier to think through how to modify and make
things work for our diverse students” (T8). Researchers checked in weekly with participants and one
teacher noted that the weekly calls “did hold you a bit accountable that we did have to make sure we
got our lessons in, it did make a difference” (T1).
Teachers acknowledged that “No program is going to suit our whole cohort” (T6) and described a
number of adverse or challenging student responses when they reflected on teaching The Zones
to their students across the two months. One teacher spoke of how some students “found it quite
boring and quite disengaged” (T10). Some students became “quite escalated” by The Zones (T9). The
worksheets and “paperwork side” (T1) was another challenging trigger for students as “anything that
involved them writing or doing any paperwork just went straight downhill” (T1). Also, the assumed
rigidity with the colours linked to the emotions (a core component to The Zones program) acted as a
trigger to students, as many teachers explained that students felt anxiety about each zone, such as
“the red zone, that means it’s a negative thing, so you must be doing something wrong” (T14).
* Minimise writing tasks – make sure to modify to make these activities more engaging through
role play, visual activities, drama etc.
* Move through The Zones slowly: the program should be run across a school year.
* More resources are needed, including a resource box for each lesson and a bank of videos or
books that could be used for each lesson.
“I think if you were going to do it, you would need ... I feel like myself
would probably need that explicit PD before we start so we are not
spending so much time teaching ourselves and that way we can be more
confident when we’re actually teaching the kids”
TX
Exploring The Zones of Regulation in Aspect classrooms: understanding implementation and teacher perspectives, 2023
* Teachers suggested a supportive professional development program for The Zones that encouraged
professional learning communities, shared resources, and a rundown of the lessons within the
program. The professional development could be spread out across the year, where the first group
of lessons are covered in Term 1 and 2, and the second group of lessons are covered in Term 3 and 4.
This would ensure that there was buy-in across all staff, shared knowledge of the program and the
benefits, and agreement on how it was delivered.
* Teachers recommended separating students into different groups and abilities across schools so
lessons could be tailored to a specific audience and cohort. Teachers recommended keeping these
groups small. Sharing resources in a clear and easy manner would also reduce the time burden.
* In future iterations, teachers recommend considering how to intentionally include family input. For
example, staff could send The Zones charts home or include it at the IP meeting. Parents could
receive a letter about the program and what was being taught each term. Most importantly, parents
could be informed about the modifications that were keeping the program individualised and
student-led.
* All teachers should have their own The Zones manual and access to shared resources to reduce
challenges accessing the curriculum.
* Finally, all teachers endorsed using the full Zones program, with modifications and suggested
recommendations rather than an ad hoc manner as has occurred previously. However, depending on
previous exposure to The Zones, academic abilities, and age, teachers recommended beginning with
the first five lessons, with repetition as needed before progressing on to subsequent lessons.
“The ‘full’ zones needs modifications, but is better than doing it randomly
and different across the board.”(T9)
Key takeaways
* The majority of teachers reported that The Zones is an acceptable and feasible
program with the caveat that considerable modifications need to be made in order
for Aspect students to engage with the content and that some students, particularly
those with an intellectual disability or students who use AAC, may not be suitable
candidates, even with modifications.
* For those students who were able to engage with The Zones, teachers had observed
improvements in social skills and emotion regulation which they attributed to their
participation. It is important to note that this is based on teacher perception only and
no objective measures were obtained in the course of this study.
Exploring The Zones of Regulation in Aspect classrooms: understanding implementation and teacher perspectives, 2023
References
Berkovits, L, Eisenhower, A., & Blacher, J. (2017). Emotion Regulation in Young
Children with Autism Spectrum Disorders. Journal of Autism and
Developmental Disorders, 47(1), 68-79. https://doi.org/10.1007/s10803-
016-2922-2
Cai, R. Y., Richdale, A. L., Dissanayake, C., & Uljarević, M. (2019). Resting heart
rate variability, emotion regulation, psychological wellbeing and autism
symptomatology in adults with and without autism. International
Journal of Psychophysiology, 137, 54–62. https://doi.org/10.1016/j.
ijpsycho.2018.12.010
Cai, R. Y., Richdale, A. L., Uljarević, M., Dissanayake, C., & Samson, A. C. (2018). Emotion regulation in autism
spectrum disorder: Where we are and where we need to go. Autism, 11(7), 962–978. https://doi.
org/10.1002/aur.1968
Cibralic, S., Kohlhoff, J., Wallance, N., McMahon, C., & Eapen, V. (2019). A systematic review of emotion
regulation in children with Autism Spectrum Disorder. Research in Autism Spectrum Disorders, 68,
101422. https://doi.org/10.1016/j.rasd.2019.101422
Costa, D. A. (2017). Transforming Traumatised Children within NSW Department of Education Schools: One
School Counsellor’s Model for Practise–REWIRE. Children Australia, 42(2), 113-126.
Konstantareas, M. M., & Stewart, K. (2006). Affect regulation and temperament in children with autism
spectrum disorder. Journal of Autism and Developmental Disorders, 36, 143–154. https://doi.
org/10.1007/s10803-005-0051-4
Kuypers, L. (2020). Research around The Zones of regulation. Retrieved from https://zonesofregulation.com/
research/
Mandy, W. (2022). Six ideas about how to address the autism mental health crisis. Autism, 26(2), 289–292.
https://doi.org/10.1177/13623613211067928
Reyes, N. M., Pickard, K., & Reaven, J. (2019). Emotion regulation: A treatment target for autism spectrum
disorder. Bulletin of the Menninger Clinic, 83(3), 205–234. https://doi.org/10.1521/bumc.2019.83.3.205
Exploring The Zones of Regulation in Aspect classrooms: understanding implementation and teacher perspectives, 2023
a different brilliant
®
understanding, engaging & celebrating the
strengths, interests & aspirations
of people on the autism spectrum