DD1 has a brain malformation, which gives her ADHD traits (and some ASD ones) but she has no official diagnosis of it.
Things that have helped us:
-Melatonin liquid for sleep - we know that no matter how hard she has been in the day, she WILL be asleep by 7pm, so we will have at least the evening with her asleep, and then the night seems easier.
-We have stair gates everywhere (kitchen, porch, top and bottom of stairs, her bedroom) so she can't get access to dangerous places easily.
-We have bolts on our bedroom door, her bedroom door and her younger sister's bedroom door, so that when the homestart lady comes, if she takes her to the bathroom DD1 can't escape into a bedroom and wreck it.
-We have an electromagnetic door lock on our internal front door so that she can't escape the house, because she can climb over the stair gate in the porch if she gets something to climb on, and we are near a main road.
-We have acrylic glass sheeting lining our bannisters so that she can't climb the bannisters (she has no sense of danger and ataxia, so loses balance easily), and a hardboard sheet lining the bottom stair gate on the stairs, so that she can't use it to 'vault' her leg over the bannister from there.
-We have no plants, ornaments, or any other trinkets at a low level.
-We mount shelving very high up on the wall, so that she can't reach anything (this isn't working so well since a growth spurt and realising she can climb on a chair onto a table.... you get the drift).
-We have to give her constant supervision and can't allow her to play in her bedroom because she is likely to injure herself
sorry, that won't be what you want to hear.
-We adapt. For example, when we see the paed consultant, we walk into his office, and lock the door behind us
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Sympathies. It is such hard work. No matter how much you think you have it covered, they discover something new, reach a bit higher, it is simply exhausting.
RE. the 1:1, that is frankly rubbish - name your LEA and I will find you a document that proves it - almost every LEA will have some mechanism for releasing funding at Early Years Action Plus - you are being spun a yarn.