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Service Notes

Service Note Details
Frederick (Tom) Walker, Jr.
jaiken09@gmail.com
2022-04-20
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 taking his medication when I arrived. Tom had breakfast and watched the morning news. Tom made a few phone calls and then went into his bedroom to lay down. Tom returned back to the kitchen after some time to eat lunch and watch tv. Tom played a game on his tablet for most of the afternoon and watched tv. Tom and I talked for a while until my shift ended.
07:00 AM
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