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Service Notes

Service Note Details
Frederick (Tom) Walker, Jr.
chharris128@gmail.com
2022-04-09
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.
FYI: TW has a severe rash, fry , very red skin on his Right foot. He also has an open wound on the back/heel of his left foot. I believe he should have his feet checked by a physician. I expressed this concern to TW, he didn't seem willing to consider having them checked. He said "don't worry about it " and "it would be fine".
11:00 PM
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