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Service Notes

Service Note Details
Frederick (Tom) Walker, Jr.
jaiken09@gmail.com
2022-04-15
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 awake and in the kitchen when I arrived. Tom took his medication. Tom watched the news for a while and then went into his bedroom to play a game on his tablet for a few hours, until he said he was going to get ready for his day out with James. James came for Tom at 11:30am and they returned shortly before 4:00pm. The locksmith was at the house when they returned and Tom asked why of course and asked if he could change the code to the lock on the garage door. I said no and I explained that the locksmith was only coming for the thermostat cover, and not to change any locks or codes. Tom and i went out to get him some cheddar crackers and stopped by rita’s for water ice on our way back to the house. Tom ate dinner and then watched tv for a while before we walked to check the mailbox. Tom then went to use the bathroom and shower. Afterwards Tom returned to living room to watch tv. Around 9:00pm I noticed Tom was in the spare bathroom so I asked what he was up to in there and that upset him. Tom says that I shouldn’t ask him questions and that it’s his house. Tom wanted the lysol spray which I told him that it was fine but that turned into him accusing staff of someone of stealing supplies. I assured him that i keep track of the supplies and nobody was taking them. Possibly the locksmith being there and not for him upset maybe. Tom finally calmed down and relaxed, and watched tv until shift end.
07:00 AM
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