Tuesday, March 3, 2009

2nd post-behavioral strengths & challenges and communication strengths


Adam's behavioral strengths are that he responds well to reinforcement, the token system, prompting, and peer mediated intervention from his brother. He displays good perseverance when he engages in an activity he is interested in. He is able to follow simple 2-3 step directions depending on the request, displaying functional receptive language, has a good attention span, and cooperates approximately 75% of the time. He follows the rules unless over stimulated by therapy requests. In addition, Adam's verbal behavior from an OT perspective is that he has basic motor imitation, can mand for essential needs, intact echoic ability, able to tact, and has intraverbal skills on a concrete level of function. His behavioral challenges include inability to regulate between bothered and highly irate. He tends to become irritated and is unable to find the middle ground, resulting in a melt down. Adam is challenged by transitions and changes. These verbal behavior terms are from the the classroom lecture April 21, 2009.

Adam's communications strengths are that he is verbal, fluent, and articulate. He can express his basic needs. Adam often repeats phrases from the TV or video games even if they don't pertain to the current conversation. He does not require PECS or sign language to communicate his desires. He varies his intonation only when he is frustrated or really excited.

4 comments:

  1. Kirsten,
    Nice posting. How could you use a token system in a novel way to help improve his transition abilities?
    Amy

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  2. ps: that is great you figured out how to add a picture to your profile! Amy

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  3. Adam is one of the patients I tried the token system with, but it wasn't for transitions. Mom emailed me and told me that it was successful! I could use the token system when transitioning from one activity to the next and provide an immediate token each time we change activities without breakdowns. It would be good for me to write down each activity we are doing for that day and review that with him. He is able to read simple words.

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  4. Kirsten,
    Yes, sounds like he is a kid who would do well with a visual picture strip to complement the tokens. You can even put a little circle on each schedule option so he can see the "place" where his token would go, or attach the token for him to take off at the end and put it in his token holder...
    Amy L

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