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Autism Program Environment Rating Scale - Middle/High School (APERS-MH) Sensory Tools health education about childbirth andUser's Guide How well does your school support learning, development, and participation for students on the autism spectrum? Find out with the APERS MH, an in depth assessment that evaluates the quality of educational programs for middle and high school students with autism. Filling the need for a reliable tool focused specifically on the unique learning needs of autistic students, the APERS MH draws on observations, interviews, and reviews of student