Comprehensive sexuality-related education (CSE) is likely first considered and delivered after a student with autism begins to engage in sexual behavior that is considered socially inappropriate (e.g., public masturbation rather than safe and appropriate masturbation in one's own bedroom). Beginning it earlier, however, is highly recommended. CSE emphasizes ongoing, developmentally appropriate education, beginning in childhood, focused on the following six key concepts: (1) human development, (2) relationships, (3) personal skills, (4) sexual behavior, (5) sexual health, and (6) society and culture (SIECUS, 2004). These six key con- cepts of CSE were identified by SIECUS (2004), each of which is composed of specific topics and related developmental messages for middle childhood (ages 5-8 years), preadolescence (ages 9-12 years), early adolescence (ages 12-15 years), and adolescence (ages 15-18 years). Professionals charged with providing CSE to learners with autism should develop a foundational understanding of what CSE is composed of and when specific topics are usually taught to (or indirectly learned by) typically developing children without disabilities. The SIECUS guidelines are the definitive and authoritative source for this information in the United States. The SIECUS concept of human development comprises six topics, one of which relates to reproductive anatomy and physiology. The developmental mes-
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Understanding the nuanced developmental stages of children with autism can significantly enhance how CSE is approached. For instance, building on children's curiosity in early childhood by introducing age-appropriate discussions about body parts and personal space helps foster a sense of body autonomy. This can empower them to express themselves and understand boundaries when they transition into later stages, providing them tools they need to navigate more complex social interactions regarding relationships and sexuality safely. Beyond CSE, consider incorporating engaging resources like interactive workshops or games that focus on personal safety, consent, and healthy relationships tailored for children with autism. Utilizing visual aids or social stories can also facilitate understanding in a fun manner. These techniques ensure that learning is not only educational but also enjoyable, ultimately encouraging a positive attitude toward discussions surrounding sexuality and personal interactions as they grow up.
