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Service Notes

Service Note Details
Frederick (Tom) Walker, Jr.
jaiken09@gmail.com
2022-04-28
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 asleep when I arrived. Tom woke up to take his medication and then went to his bedroom to lay back down for a while. Tom returned to dining room after the grocery store order was delivered. Tom had lunch and watched tv for a while Tom then went use the bathroom and shower before heading to the bowling alley. Tom returned from the bowling alley and had dinner and watched a movie. Around 10:15pm Tom went to his bedroom to rest and was still asleep at shift end.
07:00 AM
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