Grasp and release is the evaluation criteria for ACL 3.0 for both stitching and coloring. Both of the screening activities are brief, on purpose. The value of a screening test is that it provides a quick way to get started. Within ACL 3.0, they often grasp and release the paper and a crayon, but coloring is usually limited to vague swipes at the paper. They may not pay any attention to the effect the crayon has on the paper.

The way people use their hands in ACLs 1 and 2 is confusing because someone moves for them or the automatic action does not reach the cortex. Conscious, intentional grasp and release enters the scale in ACL 3.0.

Sensory information types are quite individualized. Finding what sensory information is affirmative for each individual is detective work. When you find the right one it is like striking gold. Go back to level 1 for information on the types of sensory information. Ask their family members what types of sensory information were enjoyed by the person. You can put together an individualized sensory box that the person can use at scheduled times.

Lower level of information like movement information still captures the person's attention. The easiest form of movement information that you can produce with most people is to go for a walk with them. Going for a walk can be very affirmative, enjoyable and calming. A safe walking track where someone can wander around is very valuable for keeping someone happily occupied.

Children's toys have some gross eye-hand coordination items that people might enjoy between ACL 3.6 and 4.2.

When a visual design is added to manipulatives, it usually raises the ACL score because in ACL 3 attention is not captured by the shape or pattern.

A grid is provided in the download section on the website.

The use of a grid that has lots of lines helps the person organize where the stamps or stickers needs to go as they lack the ability to space things out. Use the grid for guiding stamping or sticker activities. You can use the grid to make an interesting greeting card.

When the concept of a line captures a person's attention, the person can fold items like cleaning cloths, face washers, socks, and napkins. The concept of a line helps the person organize their actions and thus sustain their attention. The person will like to keep folding until every item is folded. Then it is done and they are very happy with being done.

Functioning at ACL 3.8, the person may enjoy sorting. There are lots of things which may be sorted. You can sort buttons, beads, coins, Lego, rubber bands, cutlery and so on. The list is endless and objects may be found all over the place. Limit the amount of supplies to the length of time you want them to be happily occupied.

Affirmative activities are very helpful for keeping someone functioning at ACL 3.8 happily occupied and out of trouble. The person likes to keep busy until all the supplies are used up so caregivers would need to provide the just right amount of supplies based on how long they need the session to last. Having something left half done is not acceptable for someone functioning in ACL 3.8.

When the person can keep doing an action till all the supplies are used up or all spaces are filled, limiting what they can do becomes important too. Only supply the person with enough string to bead a set number of beads. Limit the size of the picture you want them to color in.