{"id":943,"date":"2022-02-21T15:18:32","date_gmt":"2022-02-21T15:18:32","guid":{"rendered":"https:\/\/www.sense.org.uk\/?page_id=943"},"modified":"2026-05-15T11:56:49","modified_gmt":"2026-05-15T10:56:49","slug":"intensive-interaction","status":"publish","type":"page","link":"https:\/\/www.sense.org.uk\/information-and-advice\/ways-of-communicating\/intensive-interaction\/","title":{"rendered":"Intensive Interaction"},"content":{"rendered":"\n<p class=\"is-style-intro\">Learn what Intensive Interaction is, who uses it, how it works and what the benefits are. <\/p>\n\n\n\n  <div class=\"wp-block  box    is-style-textured-secondary-tint-10  align-right  size-medium\">    <div class=\"acf-innerblocks-container\">\n\n<h2 class=\"wp-block-heading\">How Sense can help<\/h2>\n\n\n\n<p class=\"is-style-default\">We offer free and impartial information about living with complex needs, including deafblindness.<\/p>\n\n\n\n<p class=\"is-style-default\">We also offer services all over the UK, including <a href=\"https:\/\/www.sense.org.uk\/our-services\/support-for-adults\/day-services\/\">day services<\/a>, <a href=\"https:\/\/www.sense.org.uk\/our-services\/support-for-adults\/community-support\/\">community support<\/a> and <a href=\"https:\/\/www.sense.org.uk\/our-services\/support-for-adults\/residential-care\/\">residential care<\/a>. Talk to our team to find out more.<\/p>\n\n\n\n<p class=\"is-style-default\"><a href=\"https:\/\/www.sense.org.uk\/information-and-advice\/ask-us-for-help\/\"><strong>Get in touch by phone, email, post or through a BSL interpreter<\/strong><\/a><strong>.<\/strong><\/p>\n\n<\/div>\n  <\/div>\n\n\n\n\n<h2 class=\"wp-block-heading\">What is Intensive Interaction?<\/h2>\n\n\n\n<p>Intensive Interaction is an approach to helping children and adults who are in the early stages of developing communication and social skills.<\/p>\n\n\n\n<p>The approach is based on the way we observe and respond to the actions and noises of babies, and interpret these as communication. It helps a person and their communication partner to connect and enjoy each other\u2019s company more.<\/p>\n\n\n\n<p>It\u2019s about watching closely how a child or adult responds to different situations through their body language, voice and facial expressions \u2013 and responding to this.<\/p>\n\n\n\n<p>Intensive Interaction is two-way communication and can be used at all times in all environments.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Who is Intensive Interaction for?<\/h2>\n\n\n\n<p>Intensive Interaction can be useful for children and adults with:<\/p>\n\n\n\n<ul class=\"wp-block-list is-style-primary-bullets\">\n<li>Severe and complex learning difficulties.<\/li>\n\n\n\n<li>Very severe learning difficulties.<\/li>\n\n\n\n<li>Profound and multiple learning difficulties.<\/li>\n\n\n\n<li>Multi-sensory impairments.<\/li>\n\n\n\n<li>A diagnosis of autism spectrum disorder.<\/li>\n\n\n\n<li>A range of self-stimulatory or socially isolating behaviours.<\/li>\n\n\n\n<li>A learning disability.<\/li>\n\n\n\n<li>Behaviour that challenges.<\/li>\n\n\n\n<li>Late-stage dementia.<\/li>\n<\/ul>\n\n\n\n<p>It can also be useful if a child or adult is highly social in many ways, but still needs to develop social skills in:<\/p>\n\n\n\n<ul class=\"wp-block-list is-style-secondary-bullets\">\n<li>Using and understanding eye contact and facial expressions.<\/li>\n\n\n\n<li>Taking turns in sequences of social behaviour.<\/li>\n\n\n\n<li>Developing use of vocalisations.<\/li>\n<\/ul>\n\n\n\n<p>Intensive Interaction is an approach that can be used by everyone involved in supporting a child or adult to interact with other people and develop communication skills in a natural, relaxed and enjoyable way.<\/p>\n\n\n\n<p>This includes:<\/p>\n\n\n\n<ul class=\"wp-block-list is-style-primary-bullets\">\n<li>Speech and language therapists.<\/li>\n\n\n\n<li>Care staff.<\/li>\n\n\n\n<li>Occupational therapists.<\/li>\n\n\n\n<li>Family members and friends.<\/li>\n\n\n\n<li>Anyone working for the wellbeing of people with communication needs.<\/li>\n<\/ul>\n\n\n\n  <div class=\"wp-block  box    is-style-textured-grey-tint-10\">    <div class=\"acf-innerblocks-container\">\n\n<h2 class=\"wp-block-heading\">Before you read on\u2026<\/h2>\n\n\n\n<ul class=\"wp-block-list is-style-secondary-bullets\">\n<li><strong>You can communicate using a mix of different ways (we all do!)<\/strong><\/li>\n\n\n\n<li><strong>At Sense, we use whatever combination of speech, touch, sign or visual language works best.<\/strong><\/li>\n\n\n\n<li><strong>It\u2019s never too late to start.<\/strong><\/li>\n\n\n\n<li><strong>Have a go and don\u2019t worry about getting it wrong.<\/strong><\/li>\n<\/ul>\n\n<\/div>\n  <\/div>\n\n\n\n\n<h2 class=\"wp-block-heading\">How does Intensive Interaction work?<\/h2>\n\n\n\n<p>Whether you are a health or social care professional, parent, family member or friend, it\u2019s important to understand the principles of Intensive Interaction:<\/p>\n\n\n\n<ul class=\"wp-block-list is-style-primary-bullets\">\n<li>Focus on&nbsp;the person you&#8217;re supporting and put aside any thoughts or preconceived ideas of your own.<\/li>\n\n\n\n<li>Adjust your own approaches\/behaviour\/voice to&nbsp;appear less threatening.<\/li>\n\n\n\n<li>Observe what their body language is telling you.<\/li>\n\n\n\n<li>Treat&nbsp;everything the person you&#8217;re supporting does as if it&#8217;s communication.<\/li>\n\n\n\n<li>Use timing and rhythm in the interactions, which can lead to games, anticipation and turn-taking.<\/li>\n\n\n\n<li>Rather than always mimicking exactly, use slight variations and have fun!<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Meet Megan<\/h3>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" width=\"446\" height=\"297\" src=\"https:\/\/www.sense.org.uk\/wp-content\/uploads\/2022\/02\/megan-1.jpg\" alt=\"A little girl sitting down holding onto someone's hands\" class=\"wp-image-947\" \/><\/figure>\n\n\n\n<blockquote class=\"wp-block-quote is-style-textured-primary-tint-10 is-layout-flow wp-block-quote-is-layout-flow\">\n<p>&#8220;This picture shows me using Intensive Interaction with Megan, who has complex disabilities, to have a conversation using hands and voice. I say, \u2018Megan\u2019 as I take her hands and place them on her chest. Megan nods and pushes her hands back to me.&#8221;<\/p>\n<cite><strong>Laura, Sense children and family support worker<\/strong><\/cite><\/blockquote>\n\n\n\n  <div class=\"wp-block  box    is-style-textured-blue-tint-10  align-center\">    <div class=\"acf-innerblocks-container\">\n\n<h2 class=\"wp-block-heading\">Other types of communication<\/h2>\n\n\n\n<p>These are the main ways of communicating that we use:<\/p>\n\n\n\t\n\t\t<ul class=\"iconList  iconList--columns  iconList--big\">\n\t\t\t\t\t\t\t<li class=\"\">\n\t\t\t\t\t<div class=\"iconList__item\">\n\t\t\t\t\t\t<i class=\"iconList__icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/www.sense.org.uk\/wp-content\/uploads\/2022\/12\/communication_touch_Orange_RGB-150x150.png\" class=\"attachment-thumbnail size-thumbnail\" alt=\"Touching an object\" srcset=\"https:\/\/www.sense.org.uk\/wp-content\/uploads\/2022\/12\/communication_touch_Orange_RGB-150x150.png 150w, https:\/\/www.sense.org.uk\/wp-content\/uploads\/2022\/12\/communication_touch_Orange_RGB-500x500.png 500w, https:\/\/www.sense.org.uk\/wp-content\/uploads\/2022\/12\/communication_touch_Orange_RGB-450x450.png 450w, https:\/\/www.sense.org.uk\/wp-content\/uploads\/2022\/12\/communication_touch_Orange_RGB-300x300.png 300w, https:\/\/www.sense.org.uk\/wp-content\/uploads\/2022\/12\/communication_touch_Orange_RGB-100x100.png 100w, https:\/\/www.sense.org.uk\/wp-content\/uploads\/2022\/12\/communication_touch_Orange_RGB.png 600w\" sizes=\"(max-width: 150px) 100vw, 150px\" \/> \t\t\t\t\t\t\t\t\t\t\t\t\t<\/i>\n\t\t\t\t\t\t<div class=\"iconList__content\"><p><b>Using touch<\/b><\/p>\n<ul class=\"is-style-primary-bullets\">\n<li><a href=\"https:\/\/www.sense.org.uk\/information-and-advice\/communication\/braille\/\">Braille<\/a>\u00a0uses raised dots to touch.<\/li>\n<li><a href=\"https:\/\/www.sense.org.uk\/information-and-advice\/communication\/deafblind-manual\/\">Deafblind Manual<\/a>\u00a0spells words on to your hand.<\/li>\n<li><a href=\"https:\/\/www.sense.org.uk\/information-and-advice\/communication\/block-alphabet\/\">Block alphabet<\/a>\u00a0spells letters on to your hand.<\/li>\n<li><a href=\"https:\/\/www.sense.org.uk\/information-and-advice\/communication\/moon\/\">Moon<\/a> uses raised lines, curves and dots to touch.<\/li>\n<li><a href=\"https:\/\/www.sense.org.uk\/information-and-advice\/communication\/tadoma\/\">Tadoma<\/a> uses lipreading by touch.<\/li>\n<li><a href=\"https:\/\/www.sense.org.uk\/information-and-advice\/communication\/hand-under-hand-signing\/\">Hand-under-hand signing<\/a>\u00a0using touch.<\/li>\n<\/ul>\n<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/li>\n\t\t\t\t\t\t\t<li class=\"\">\n\t\t\t\t\t<div class=\"iconList__item\">\n\t\t\t\t\t\t<i class=\"iconList__icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/www.sense.org.uk\/wp-content\/uploads\/2022\/12\/communication_sign_hands_Orange_RGB-150x150.png\" class=\"attachment-thumbnail size-thumbnail\" alt=\"Two hands signing\" srcset=\"https:\/\/www.sense.org.uk\/wp-content\/uploads\/2022\/12\/communication_sign_hands_Orange_RGB-150x150.png 150w, https:\/\/www.sense.org.uk\/wp-content\/uploads\/2022\/12\/communication_sign_hands_Orange_RGB-500x500.png 500w, https:\/\/www.sense.org.uk\/wp-content\/uploads\/2022\/12\/communication_sign_hands_Orange_RGB-450x450.png 450w, https:\/\/www.sense.org.uk\/wp-content\/uploads\/2022\/12\/communication_sign_hands_Orange_RGB-300x300.png 300w, https:\/\/www.sense.org.uk\/wp-content\/uploads\/2022\/12\/communication_sign_hands_Orange_RGB-100x100.png 100w, https:\/\/www.sense.org.uk\/wp-content\/uploads\/2022\/12\/communication_sign_hands_Orange_RGB.png 600w\" sizes=\"(max-width: 150px) 100vw, 150px\" \/> \t\t\t\t\t\t\t\t\t\t\t\t\t<\/i>\n\t\t\t\t\t\t<div class=\"iconList__content\"><p><b>Using signs<\/b><\/p>\n<ul class=\"is-style-primary-bullets\">\n<li><a href=\"https:\/\/www.sense.org.uk\/information-and-advice\/communication\/sign-language\/\">Sign language<\/a>.<\/li>\n<li><a href=\"https:\/\/www.sense.org.uk\/information-and-advice\/communication\/makaton\/\">Makaton<\/a>, a simpler version of sign language.<\/li>\n<li><a href=\"https:\/\/www.sense.org.uk\/information-and-advice\/communication\/visual-frame-signing\/\">Visual frame signing<\/a>\u00a0for people with reduced vision.<\/li>\n<li><a href=\"https:\/\/www.sense.org.uk\/information-and-advice\/communication\/objects-of-reference\/\">Objects of reference<\/a><\/li>\n<\/ul>\n<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/li>\n\t\t\t\t\t\t\t<li class=\"\">\n\t\t\t\t\t<div class=\"iconList__item\">\n\t\t\t\t\t\t<i class=\"iconList__icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/www.sense.org.uk\/wp-content\/uploads\/2022\/12\/voice_speech_bubble_2_Orange_RGB-150x150.png\" class=\"attachment-thumbnail size-thumbnail\" alt=\"Speech bubble\" srcset=\"https:\/\/www.sense.org.uk\/wp-content\/uploads\/2022\/12\/voice_speech_bubble_2_Orange_RGB-150x150.png 150w, https:\/\/www.sense.org.uk\/wp-content\/uploads\/2022\/12\/voice_speech_bubble_2_Orange_RGB-500x500.png 500w, https:\/\/www.sense.org.uk\/wp-content\/uploads\/2022\/12\/voice_speech_bubble_2_Orange_RGB-450x450.png 450w, https:\/\/www.sense.org.uk\/wp-content\/uploads\/2022\/12\/voice_speech_bubble_2_Orange_RGB-300x300.png 300w, https:\/\/www.sense.org.uk\/wp-content\/uploads\/2022\/12\/voice_speech_bubble_2_Orange_RGB-100x100.png 100w, https:\/\/www.sense.org.uk\/wp-content\/uploads\/2022\/12\/voice_speech_bubble_2_Orange_RGB.png 600w\" sizes=\"(max-width: 150px) 100vw, 150px\" \/> \t\t\t\t\t\t\t\t\t\t\t\t\t<\/i>\n\t\t\t\t\t\t<div class=\"iconList__content\"><p><b>Using speech<\/b><\/p>\n<ul class=\"is-style-primary-bullets\">\n<li><a href=\"https:\/\/www.sense.org.uk\/information-and-advice\/communication\/clear-speech\/\">Clear speech<\/a><\/li>\n<li><a href=\"https:\/\/www.sense.org.uk\/information-and-advice\/communication\/lipreading\/\">Lipreading<\/a><\/li>\n<\/ul>\n<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/li>\n\t\t\t\t\t\t\t<li class=\"\">\n\t\t\t\t\t<div class=\"iconList__item\">\n\t\t\t\t\t\t<i class=\"iconList__icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/www.sense.org.uk\/wp-content\/uploads\/2022\/12\/Choices-sign_Orange_PNG_RGB-150x150.png\" class=\"attachment-thumbnail size-thumbnail\" alt=\"An orange paint brush mark illustration of a sign post pointing in different directions, representing choices.\" srcset=\"https:\/\/www.sense.org.uk\/wp-content\/uploads\/2022\/12\/Choices-sign_Orange_PNG_RGB-150x150.png 150w, https:\/\/www.sense.org.uk\/wp-content\/uploads\/2022\/12\/Choices-sign_Orange_PNG_RGB-600x600.png 600w, https:\/\/www.sense.org.uk\/wp-content\/uploads\/2022\/12\/Choices-sign_Orange_PNG_RGB-1024x1024.png 1024w, https:\/\/www.sense.org.uk\/wp-content\/uploads\/2022\/12\/Choices-sign_Orange_PNG_RGB-768x768.png 768w, https:\/\/www.sense.org.uk\/wp-content\/uploads\/2022\/12\/Choices-sign_Orange_PNG_RGB-500x500.png 500w, https:\/\/www.sense.org.uk\/wp-content\/uploads\/2022\/12\/Choices-sign_Orange_PNG_RGB-450x450.png 450w, https:\/\/www.sense.org.uk\/wp-content\/uploads\/2022\/12\/Choices-sign_Orange_PNG_RGB-300x300.png 300w, https:\/\/www.sense.org.uk\/wp-content\/uploads\/2022\/12\/Choices-sign_Orange_PNG_RGB-100x100.png 100w, https:\/\/www.sense.org.uk\/wp-content\/uploads\/2022\/12\/Choices-sign_Orange_PNG_RGB.png 1201w\" sizes=\"(max-width: 150px) 100vw, 150px\" style=\"object-position: 50% 50%;\" \/> \t\t\t\t\t\t\t\t\t\t\t\t\t<\/i>\n\t\t\t\t\t\t<div class=\"iconList__content\"><p><b>Also<\/b><\/p>\n<ul class=\"is-style-primary-bullets\">\n<li><a href=\"https:\/\/www.sense.org.uk\/information-and-advice\/communication\/non-formal-communication\/\">Non-formal communication<\/a>\u00a0without speaking, writing or signing.<\/li>\n<\/ul>\n<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/li>\n\t\t\t\t\t<\/ul>\n\n\t\n<\/div>\n  <\/div>\n\n\n\n\n  <div class=\"wp-block  box    is-style-textured-pink-tint-10  size-medium\">    <div class=\"acf-innerblocks-container\">\n\n<h2 class=\"wp-block-heading\">Stay in touch<\/h2>\n\n\n\n<figure class=\"wp-block-image alignright size-large\"><img decoding=\"async\" width=\"1024\" height=\"683\" src=\"https:\/\/www.sense.org.uk\/wp-content\/uploads\/2022\/03\/ths-sense-harry-sarah-storyteller-13337-scaled-1024x683.jpg\" alt=\"A woman and her son lie on the floor, reading a book. The mother, Sarah, is smiling. The boy, Harry, who has blue glasses and an orange t-shirt on, is concentrating on the book.\" class=\"wp-image-1512\" \/ style=\"object-position: 49.95% 35.13%;\" srcset=\"https:\/\/www.sense.org.uk\/wp-content\/uploads\/2022\/03\/ths-sense-harry-sarah-storyteller-13337-scaled-1024x683.jpg 1024w, https:\/\/www.sense.org.uk\/wp-content\/uploads\/2022\/03\/ths-sense-harry-sarah-storyteller-13337-scaled-450x300.jpg 450w, https:\/\/www.sense.org.uk\/wp-content\/uploads\/2022\/03\/ths-sense-harry-sarah-storyteller-13337-scaled-768x512.jpg 768w, https:\/\/www.sense.org.uk\/wp-content\/uploads\/2022\/03\/ths-sense-harry-sarah-storyteller-13337-scaled-1536x1024.jpg 1536w, https:\/\/www.sense.org.uk\/wp-content\/uploads\/2022\/03\/ths-sense-harry-sarah-storyteller-13337-scaled-2048x1366.jpg 2048w, https:\/\/www.sense.org.uk\/wp-content\/uploads\/2022\/03\/ths-sense-harry-sarah-storyteller-13337-scaled-1050x700.jpg 1050w, https:\/\/www.sense.org.uk\/wp-content\/uploads\/2022\/03\/ths-sense-harry-sarah-storyteller-13337-scaled-900x600.jpg 900w, https:\/\/www.sense.org.uk\/wp-content\/uploads\/2022\/03\/ths-sense-harry-sarah-storyteller-13337-scaled-600x400.jpg 600w, https:\/\/www.sense.org.uk\/wp-content\/uploads\/2022\/03\/ths-sense-harry-sarah-storyteller-13337-scaled-350x233.jpg 350w, https:\/\/www.sense.org.uk\/wp-content\/uploads\/2022\/03\/ths-sense-harry-sarah-storyteller-13337-scaled-1600x1067.jpg 1600w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p>Get updates about our vital work, including volunteering, making a donation or supporting Sense campaigns.<\/p>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button is-style-primary\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/www.sense.org.uk\/sign-up-for-our-emails\/\">Sign up today<\/a><\/div>\n<\/div>\n\n<\/div>\n  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