Tuesday, September 30, 2003

Setting Up annual goals for another individual

We have been working on the annual goals of an individual we work for.  This individual makes vocalizations, but does not speak.  He is at a 4-5 year age level.  Sharing is hard for him, and he often says, "mi(ne), mi(ne)."  He is possessive of the Direct Support Person (DSP). 

This individual gains attention by laughing inappropriately, by not doing his work, by saying frequently "hey, hey!"  And, by disruptioning an agitated peer.  He is also very observant.  He picks up changes. 

First, the individual will receive positive attention for good work in process, and he will bring a timer to staff to gain her attention.  The staff will set the timer before a "visit" (graduating the intervals monthly from 1 to 12 minutes). 

Next, we will validate his communication.  He often says, "loo(k), loo(k)!"  For 5 minutes, twice a day, the DSP will narrate for him scenes she believe is catching his attention.  He will for each scene place a mark on paper (journaling).  Scenes are like someone sneezing, a pencil rolling of a table, or someone moving a book.  

Next, for 15 minutes of time each day, he will make his own symbols in squares on a grid.  To increase his attention span, at quarterly intervals of 3 months, the squares will multiply and get smaller.  At first, there will be 40 squares which are 125x75 pixels.  At the end, there will be 168 squares which are 50x45 pixels.  This is an 86% increase in attention.

Last, he will concentrate on a reading task for 1 minute.  Reading will be to "thumb" through a very colorful National Geographic book on the Universe.  Every two weeks another minute will be added.  At the end of the year, he will have adjusted to a 25 minute task. 

Hmm, sounds good!  

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