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canned intro: Say the title again
Director of Research, Graduate School, Interdisciplinary Council on Developmental and Learning Disorders
Assistant Clinical Professor, Voluntary Dept of Psychiatry, University of California at San Diego School of Medicine
Outline
Remember Rosetta,PA
What do we want? Ethics Practicalities Organizing the approach Stuck at home Eventual Placement
& care
Practicalities
More on the white board:
What are the everyday things you worry about most?
participation and accommodations Activities/ Recreation critical importance of play / symbolic or presymbolic activity, friendships Drugs medications; health care; diet, activity, sleep, medical (seizures); Mental Health- anxiety, depression, etc. and their management. Sexuality intimacy, what to allow or encourage?
A general way to do support progress using a Developmental, Individualized, Relationship based approach (DIR).
People do things when they care about them. Leverage what the person is doing Become part of the persons world Leverage your relationship to help the person do more Take into account the persons individual profile
Developmental Approach
Developmental Calm enough to interact Truly connected in the moment Back and forth flow of communication Importance of repair of interactions Waiting for the other person to repair (respond)
Individual Differences
Sensory modulation and processing
Relationship based
Because we do things when we care about people
than the things Use the relationship to support the persons function Use the relationship to expand the persons function
Stuck at home
Most frequent concern
adaptive behavior
Eventual Placement
Back to the white board:
Eventual Placement
Why - we age, they get big, sometimes
aggressive When rarely soon enough when it is needed What - other relatives? group home? supported living? How Section 8? SSI?
Resources
www.circlestretch.com
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