Removing barriers to learning for children with mild to moderate disabilities in mainstream primary classrooms calls for creative approaches that exploit the cognitive and sensory strengths of each child. Although their efficacy has not been fully explored, pictorial, symbolic and written supports are often used with the intention of helping children access the curriculum by reducing anxiety, confusion and memory limitations both at school and at home. This paper reports a qualitative study carried out in New Zealand, which designed, delivered and evaluated a coordinated home and school visual supports programme for 23 children with moderate special education needs aged between 5 years and 7 months and 11 years and 10 months. Interview and questionnaire feedback from parents, teachers and the children themselves suggests the visual supports reduced anxiety and frustration, provided structured reminders of tasks and equipment needed, and permitted greater involvement in home and classroom routines. They also suggested a positive impact on distractibility, task completion, classroom independence and perseverance. It is suggested that while the visual supports were helpful, the attention to the child's needs across contexts contributed importantly to the success of the programme. Directions for further research are outlined.