Professional Documents
Culture Documents
IDENTIFYING INFORMATION
NameDate of Birth: November 5, 1966
Address:
Referral Source: Sims and Sims Services, Inc.
that can be made available to him and to enable him to develop and to use his
capabilities for more independent, normal living and more productive activity
than his behavior problems presently permit. Accordingly, it was requested that
the evaluation focus on these behavior problems, which were characterized as
Physical Aggression, and the type(s) of behavioral services, support strategies,
programming, professional competencies and skills, and environments
required eliminating, minimizing, or managing them.
Specifically, Mike has engaged in hitting his peer at the work site with a
broom and has tried to hit his peer in the face by engaging in the action of
snapping a cloth at his peers face.
Interviews with Mike Jones (consumer) July 26, (20 min.). Micki
Smith (SSS Job Coach) July 26, (1.5 hours.), and Missy Allen
(Sr. Employment Specialist.) July 26, (45 minutes);
B.
C.
ii.)
iii.)
iv.)
D.
E.
(30
BACKGROUND INFORMATION
I.
B.
C.
-1
-1
-2
-2
-3
Performance Subtests
Picture Completion
-3
Picture Arrangement -4
Block Design
-4
Object Assembly
-3
Digit Symbol
-1
Performance IQ=59
Full Scale IQ=57
Mike can read his name and some safety words. He can print
single letters and his name legibly, although is inconsistent with
printing his name at times. Mike can recognize coins and bills
and knows that money is needed to purchase items, but cannot
typically make change or count out right amount to make a
purchase. Mike does not appear to have a solid concept of
measurement at this time. Mike can distinguish between day and
night and his concept of time is based upon the consistency of
his daily schedule. Mike can name the present day of the week
and can differentiate between today and tomorrow. He can state
his own birthday and knows the birthdays of those important to
him. Mike can also state the present year.
D.
Self Care Skills. Mike can eat with all eating utensils i.e.: spoon,
fork, knife although at times requires prompting to do so. He
drinks with ease from a glass and uses a napkin to wipe his
hands and face. Mike can independently dress himself and is
unable at this time to tie his shoelaces. Mike is independent at
toileting himself and washing up after elimination. Mike urinates
frequently at times, with the average being approximately 2x an
F.
G.
Recreation and Leisure Skills. Mike spends his indoor rec. and
leisure time watching TV shows and movies. He enjoys listening
to music and playing his Nintendo 64. He also enjoys
participating with the preparation of meals. Mike enjoys going out
to a show at the movie theatre and has gone to see professional
sporting events at community arenas ex: NHL hockey. He attends
the community center approximately once a week to access
exercises facility and enjoys going shopping.
H.
II.
Living Arrangement and Family History. Mike lives with his mom and
dad in a nice neighborhood in Ennytown, CA. The house is a two-story
house and Mike has his own room. They have a family pet, a Himalayan
cat that resides with them as well. Mike has lived with his parents his
entire life and has an older sister, Micki that he maintains regular contact
with. Micki is married and has a child and Mikes mother stated that
Mike enjoyed being an uncle. Mike maintains a very positive, caring
relationship with his parents and sister. At the time of this assessment, a
home visit was scheduled but was canceled by Mrs. Jones. It was not
rescheduled.
III.
III.
pragmatic use of language and the tendency to remain aloof and alone.
It is unknown as to whether Mike is receiving psychiatric services at this
time.
IV.
purpose here is to better understand Mike's learning history, and the historical
events that might have contributed to the problem(s). (3) Antecedent Analysis.
The antecedent analysis attempts to identify the conditions that control the
problem behaviors. Some of the specific antecedents explored include the
setting, specific persons, times of the day/week/month, and specific events that
may occur regularly in Mike's everyday life. (4) Consequence Analysis. The
consequence analysis attempts to identify the reactions and management
styles that might contribute to and/or ameliorate the presenting problems. It
also focuses on the effects that the behaviors might have on the immediate
social and physical environment, on the possible function(s) served by the
problem behaviors and on the possible events that might serve to maintain or
inhibit their occurrence. (5) Ecological Analysis . The ecological analysis
attempts to identify the critical mismatches that may exist between the physical,
interpersonal and programmatic environments and Mike's needs and
characteristics. (6) Analysis of Meaning. The analysis of meaning is the
culmination and synthesis of the above analyses and attempts to identify the
functions served by the problem behaviors. The functional analysis of
Aggression, organized around these headings, follows.
A.
2.
Cycle. The cycle of the behavior starts with the swinging of the
object and the snapping of a cloth at another persons body with
the intent to hit and the cycle stops when there has been a period
of two minutes without an occurrence of the above behaviors.
3.
the bus and kicking dirt. There may be one cycle of precursor
behaviors or there may be several cycles of precursor behaviors
with a period of calm in between. Mike then engages in one or
more of the target behaviors and is remorseful after, vocalizing to
self Why did I do that I shouldnt of done that.
4.
B.
Strength.
a.
b.
c.
C.
D.
E.
Ecological Analysis.
There are a number of ways in which
understanding the ecology surrounding and how it may conflict with
Mike's needs and characteristics, may be helpful in understanding the
meaning of his behavior and in understanding the ecological changes
that may be necessary to provide the necessary support for him. The
brief discussion addressing this ecological analysis is organized below
around the physical environment, the interpersonal environment and the
programmatic environment.
When Mike is at the work site, which is where the target behavior occurs
most often, he is easily distracted by settings and activities that are
going on around him. While working at The Steamer Bar and Grill, there
are several TVs that are on throughout the establishment and I noted
that Mike was easily distracted by the TVs and would frequently stop
working and watch. I also noted that when he was engaging in a job
duty that was near a window he would often become distracted by the
traffic and would stop working.
At this job site Mike is joined by two of his peers and at times is
distracted by their activities and what they are doing. As Mikes mood is
directly affected by their moods, I noted that Mike, at times, would cease
working to seek them out. The Steamer Bar and Grill is closed while
Mike and his peers are working there as it is in the morning. Mike does
have an opportunity to interact with the manager and other employees
as others are in the environment doing their daily prep work.
Mikes routine at the job site consists of work, break, work, and break
which aides him in completing the various tasks that he has at this site. I
did observe that Mike would try to move on to the next task before the
current task at hand was completed.
F.
Another function of the target behavior is that he is unable to maintain selfcontrol. After Mike becomes upset and engages in the target behavior, he is
remorseful and talks to himself stating Why did I do that and I shouldnt have
done that. He is unable to maintain self-control over his feelings and the target
behavior is, I feel, is a way of expressing that inability to self regulate.
MOTIVATIONAL ANALYSIS
A motivational analysis was carried out to identify those events,
opportunities and activities that Mike enjoys and that may be used to enhance
his quality of life and provide him with incentives to improve his behavior and to
enhance his academic progress. The results of the analysis showed a number
of events that could be used effectively as positive reinforcement in a well
designed support plan to reduce the identified behavior problems. These
events include, but are not limited to wrestling, baseball, miniature golf, and
football. Other potential reinforcers include fire station, police stations, planes
and watching TV and movies. Mikes favorite foods are burgers, fries, hot dogs,
cake, popcorn and tacos. He also enjoys shopping. These reinforcers, and
others, should be used in a variety of ways, the least of which would be through
the contingencies of formal reinforcement schedules.
MEDIATOR ANALYSIS
A "Mediator Analysis" was conducted for the purposes of identifying
those persons who might be responsible for providing behavioral support for
Mike, their abilities to carry out the recommended support plan, given the
demands on time, energy, and the constraints imposed by the specific settings,
and motivation and interest in implementing behavioral services as
recommended. This analysis showed the following:
Mikes parents and SSS staff are those who will be responsible for
carrying out the recommended support plan. While I was unable to assess the
level of motivation or cooperation directly with Mikes parents, staff advised me
that his parents are very involved with Mike and his program and that SSS staff
have received high levels of cooperation and motivation from them before. The
support staff at SSS has positive interactions with Mike and I feel that this
interaction could promote an atmosphere and conditions under which a
recommended support plan could be implemented. Factors addressed that
may constrain staffs ability to carry out the recommended support plan are
lack of training in area of the recommended support strategies. It is my
observation that the staff at SSS are motivated to carry out a recommended
support plan.
B.
Operational Definition(s).
Physical Aggression.
1.
2.
C.
D.
2.
Methods.
Behavior Physical Aggression the SSS job coach will
observe Mike for each hour of the program day. Each
incident of the target behavior as defined in topography
shall be recorded on an A.B.C form (See A.B.C. Form)
indicating the following:
1.) Date of incident
2.) Start and stop time of incident (Duration)
2.
Observational Reliability.
Behavior Physical Aggression
Once a week, at weekly contact meeting, the SSS
manager will do a Records Check to make sure that all
occurring incidents have been recorded on all required
forms i.e.: A.B.C. form, Daily Progress Notes, and if
applicable Incident Report. If Observational reliability is
less than 100% then action should be taken to review the
Plan and method of data collection.
E.
2.
a.
General Skills.
1)
2)
3)
b.
2)
3)
b)
c)
c.
Identifying Feelings
d.
1)
2)
3)
2)
3)
b)
c)
d)
5.
Procedural Protocols.
Each strategy and procedure
described above should be broken down into teachable
steps.
b.
2)
3)
2.
3.
4.
5.
_______________________________________
Writer
_______________________________________
Clinical Director
_______________________________________
Associate Director
SSS
IDENTIFYING FEELINGS PROTOCOL
MIKE JONES
j) Ask Mike to show you the different feeling word cards. Use verbatim
Show me the angry card Show me the frustrated card Show me
the sad card.
k) Allow Mike the opportunity to chose on his own. Give him 10-15
seconds then move the right feeling word card closer to him and ask
him again to Show me the sad card.
l) Praise Mike for a job well done.
m) Place one face feeling cards in front of Mike and the 3 word feeling
cards directly above the face card. Ask Mike to place the face feeling
card on top of the matching word card.
n) Allow Mike the opportunity to match on his own. Give him 10-15
seconds the move the correct word card closer to the face card and
ask him again to place the face card on the correct word card.
o) Praise Mike for a job well done. Keep the session positive, upbeat
and fun!
p) Complete one full trial 3x a week for approximately 15 minutes each
session.
2.
Once a month, a management staff from SSS will go out and observe
the Job Coach carrying out this trial and will document on a Procedural
Reliability form whether or not it is being carried out according to the
protocol.
3.
If the Procedural Reliability is less than 85% then action should be taken
to review the protocol and the method of deliver.
4.
5.
6.
Once a week, during weekly contact meeting, the SSS manager will
review the records of the Identifying Feeling Chart and the Individual
summary chart
7.
Once a month, a management staff from SSS will go out and observe
the Job Coach carrying out this trial and will document on an Identifying
Feeling Chart what is observed.
8.
9.
10.
A Pass criteria is scored when Mike can identify and match 3 out of 3
feeling cards for 3 consecutive trials/sessions. Once the Pass criteria
has been meet, the next step is to add more feelings one at a time.
11.
A Fail criteria is when the Pass criteria has not been met within 3
months. If a Fail criteria has been met, then review method and
decrease the number of feeling cards in the trial to two.
12.
Date:
Approved by:
MIKE JONES
IDENTIFYING FEELINGS CHART
SCORING CRITERIA
Score a + for independently, with no prompting or staff assistance
Score a 0 for required prompting from staff
DATE;
IDENTIFIED
FACE
CARD
FEELING
WORD
CARD
MATCHED