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Service Notes

Service Note Details
Frederick (Tom) Walker, Jr.
jaiken09@gmail.com
2022-05-13
Supervision Outcome Statement: Supervision Outcome Statement:
PROACTIVE STRATEGIES:
. THOSE WHO SUPPORT TOM SHOULD PROVIDE HIM WITH DETAILS OF ACTIVITIES THAT WILL OCCUR DURING THAT SHIFT
. THOSE WHO SUPPORT TOM SHOULD VISIT PLACES HE ENJOYS.
(APPROVED OUTINGS ONLY CALL )
. TOM ENJOYS A CALM, QUIET ENVIRONMENT TO HELP WITH ANXIOUS BEHAVIORS OR THOUGHTS.
. HE RESPONDS BETTER WHEN STAFF SPEAK TO HIM IN A SLOW, CALM VOICE AND MAKE EYE CONTACT
. OFFER CHOICES OF HIS FAVORITE ACTIVITIES
. ENCOURAGE TOM TO KEEP A CONSISTENT DAILY ROUTINE ALLOW FREE TIME
. OFFER OPPORTUNITIES TO ASSIST IN CLEANING OF THE HOUSE TO FEEL THAT HE HAS CONTRIBUTED NO MORE THAT 3 OPTIONS TO HELP BUILD INDEPENDENC
. THOSE WHO SUPPORT TOM SHOULD HAVE A BACKGROUND KNOWLEDGE OF HIM
. WHEN MEETING TOM FOR THE FIRST TIME, THOSE WHO SUPPORT HIM SHOULD TAKE THE TIME TO EXPLAIN WHO THEY ARE AND BUILD RAPPORT.

COMMUNICATION:
. WHEN IT APPEARS THAT TOM WANTS TO OBTAIN AN ACTIVITY OR ITEM ENSURE HE UNDERSTANDS THE ANSWER BY REPEATING THE ANSWER.
. HELP TOM WITH ACCEPTING THE CONCEPT OF TWO-SIDED CONVERSATIONS.
REACTIVE/DE-ESCALATION STRATEGIES:
. SUGGEST TOM TAKES A WALK, WEATHER PERMITTING
. ASK TOM IF THERE IS A MOVIE HE WOULD ENJOY WATCHING
. REMINDERS OF WHAT ACTIVITIES ARE COMING UP THAT HE WILL ENJOY

THINGS TO AVOID/AND OR TRIGGERS:
. NOT HAVING HIS QUIET TIME AVAILABLE
- DRINKING HOT COFFEE IN THE KITCHEN (PLEASE ONLY DRINK IT IN THE STAFF OFFICE)
. LOUD NOISES AND BUSY CROWDS
. INSISTING THAT HE HAS TO COMPLETE A NEW TASK, OR NON-PREFERRED TASK.
-Tom will work with staff to document upcoming appointments by adding the appointments to the day planner with no more than 2 prompts from staff.

-Tom will contact the Program manager/Program Director by email or voicemail or to request transportation at least 24 hours in advance of the scheduled appointment with no more than 2 prompts from staff.

-Tom will further develop his social boundaries and appropriateness skills by increasing his ability to take turns with others during conversations with no more than 2 prompts to stop speaking and listen to the other speaker.
Tom was in the kitchen taking his medication when I arrived. Tom watched the morning news, and then made a few phone calls. Afterwards Tom went to get ready for his time out with James. Tom received a call shortly after 11:30am from James, saying he wouldn’t be able to make it. So Tom just relaxed in the living room and watched tv for a few hours. Tom then went to use the bathroom and shower. After his shower Tom got fully dressed and then tried to activate the smoke detector which Tom thought was funny and was laughing saying he wanted the monthly fire drill done before Jeopardy came on and then went back to try to activate the smoke detector a second time. I told Tom that it was not okay to try to activate the smoke detector and that fire drills are conducting by staff according to a schedule. Tom then asked me to lie and just say that the steam from the bathroom set off the smoke detector, because he knew I would have to document the incident. Also, I did ask Tom numerous times if he wanted to go to his storage unit to get his comic books and that I would provide transportation. Which Tom declined numerous times, saying he had others things to do and that it’s his responsibility and that he would get what he needs done when he has the time. Tom was watching a movie at my shifts end.
07:00 AM
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