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Originally Posted by Altair 
I'm a teacher and work with kids with ASDs in K who often have really high reading levels in terms of decoding... but *most* of the time in my experience a child reading quite a few grade levels above average (my general education kids also) are not comprehending at the same level a child at that age would be, if only that the social/emotional inferences get much more sophisticated and most 5 year olds don't understand those types on complex themes. Of course, I meet the exception every so often! (Note: the kids I'm talking about can usually comprehend non-fiction works at higher levels, but may miss some of the bigger themes... but NF isn't as much of a challenge since it is more fact based and doesn't have the social inferencing. They can also usually answer the majority of questions about a fiction text that shows a more surface understanding of the plot.)
So the question is-- what is your reading curriculum? Is it balanced literacy, do they read their own books, or in guided groups, or do they read from a set reader? Balanced literacy with a lot of independent reading time (mixed with strategy groups and guided groups) makes differentiation a non-issue, because everyone is working at their own level. In Strategy groups and guided groups with those kids I would push comprehension through making comic strips to draw out the character thought/speech bubbles, to work out together character motivation and problems brewing and solutions being found. I love acting out books in guided groups too with popsicle stick characters. If a student doesn't have any other readers at their level (which often happens) I'll keep them in strategy groups (when we just learn new strategies and level isn't as important) and we'll do more 1:1 guided reading work, and sometimes I'll do some guided with another student or 2 at the highest level other than that student and work on comprehension issues that they all need.
If the teacher is teaching one curriculum to the whole class, it gets a bit trickier.
Same goes with word study and if they are doing it as one whole group lesson or doing it in centers. Center work is easy to differentiate. If they aren't doing differentiated center work than he can do some extension work while others in the class are doing more basic work.
At the same time, I feel it is to gifted student's advantage to have *some* time where they can feel comfortable with the content being taught and just mentally wander a bit. At least that's what made school livable for me! ;-)
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The above post is a good post!

I have newly 5 yr olds that are reading late 2nd/early 3rd (one is slightly more advanced in terms of attention span and ability to take on harder level material) in terms of vocab/phonics/voice....the PreK teacher stated there is little they can't 'read'. One is suspected of an ASD for years.
BUT that said, both of my girls dont have the 'life experience' to understand some of the 3rd grade stuff in story lines. The social skills and events they have not experienced and therefore dont truly understand or relate to the characters. A lot of comprehension is built on a 'connection' to the text or basis on past knowledge.
They both read A LOT of non-fiction and enjoy it- they read simple Chapter books and we have found some that are age-appropriate (Strawberry Shortcake chapter books, Hello Kitty has come out with mid/late second grade chapter books) but most are simply at a different social level.
I would see what kind of differentiation they do for the whole class and if it is a group based or center based reading program. If it is center based, it will be much much easier to add-in material that is easy to differentiate for him. If it is group- you may have to set up an independent study type program.
For example: in PreK the teacher had my girls do some of the following:
1. read a story independently and tell it back or draw pictures
2. read a familiar book to a buddy
3. read a new book with the teacher and discuss the book- feelings of characters, predict what will happen next,
4.pick a topic and read a series of non-fiction books. Find specific information pre picked by the teacher.
5.Read a familiar story and then add to it (verbally).
They participated in class the whole time, but had different 'expectations' for reading and writing (they both were requested to write in journals---at first just words, but then one DD was asked to write a sentence describing her pic---if she did not comply it was ok, but she was encouraged to and did 9/10 times). It was nice that for reading & math the kids were grouped anyway so it was not hard to differentiate. Some kids were reading simple words, some were just learning letters or sounds.
At that age, it was not emotionally appropriate to place them in with older kids.
I would ask what the teacher had in mind and then try to have some set goals that you have for your DS and work together to blend them!
If possible, maybe have him work with maybe a 1st grader or two. BUt I would not mix an age group past 2 years at that age for social reasons.( as in sending a 4/5 yr old to a 3rd grade classroom for instruction). But one on one reading buddies (a 4th grader with one K) would be beneficial.