I just finished the fifth week of school with a brand new class of 6 autistic students (ages 5 to 7.) One boy is often having major meltdowns during transitions. Sometimes they occur on the way to a less preferred activity, but most of the time that is not the trigger. He has his hand held by one of us (me or one of two paras) whenever we leave the classroom as he has a serious history of being "a runner." He will pull away and drop to the floor, making loud, angry noises. He is very strong and we can't physically keep him on his feet. Once on the ground, he becomes louder and more agitated. If we try to get him to stand, he just resists harder/louder. When we have to move him due to the setting (in another classes' way in the bathroom, will miss the bus if we don't, etc.) it takes two of us and even then is very difficult. That leaves one adult for the others, who then often become unmanageable. Twice so far I have gotten hurt (swelling where I had abdominal surgery a few years ago, from lifting him to walk.) If we do not try to move him he has a few times gotten back up and walked with us. But several times recently this has not been successful. He has tantrummed for prolonged periods, gotten up, taken a step or two in an attempt to run, then fallen back down when running was prevented and resumed even more agitated, long tantrums. The most recent cases have been on the way to activities he likes (lunch, going home.) so it doesn't seem like escape/avoidance issues. He gets teacher attention, but especially when we are out of the classroom, it is sometimes impossible to avoid. I was told by last year's teacher that as long as he had transition pictures, he was okay. We have provided pictures and food rewards for "good walking" for the last three weeks or so. They seemed to help for a few days, but not after the novelty wore off. I have had many young autistic students with these types of behaviors in the past, but I can't seem to find a way to help this child. I would appreciate ideas/advice.