Behavioral/Psychiatric: Autism Spectrum, anxiety, She is non-verbal and has some difficulty expressing her wants and needs which can result in some aggressive behavior.Ê This is typically, slapping, pulling on caregiverÕs clothing, pinching, or grabbing caregiverÕs glasses or jewelry. Communication: as mentioned above, she is non-verbal.Ê She typically will lead her caregiver to what she wants or will point.Ê She can display some aggressive behaviors when she is not understood. She currently attends day programming 4 days per week.Ê She is able to spend up to 10 minutes alone in her room or another part of the house with visual checks every 10 minutes during her waking hours.Ê She always has a supervising person in the home with her, for safety.Ê When in the community it is important for her to have 1:1 staff at close proximity to ensure her safety outside of her home and in both familiar and unfamiliar areas. Communication and learning: she does not use words to communicate.Ê She uses vocalizations, gestures, and takes the hand of the person listening to her and will lead them to a place or item that she needs.Ê She gets frustrated easily when she is not readily understood by others.Ê She shows her frustration by pinching, scratching, or hitting the listener and in extreme cases, she will hot herself.Ê She can also use loud vocalizations to show her frustration.Ê She is unable to understand when others are speaking to her.Ê It is important to and for her to receive short, simple instructions given to her when asking to do a task.Ê It is important for her to receive instructions using first/then statements.Ê It is important for her to have staff and her family write how she is feeling or doing each day in her communication book.Ê She has used a variety of communication devices in hopes of increasing her ability to make independent choices about activities.Ê These have not been successful, as she has had little interest in them.Ê Her team continues to try to find ways to help her communicate her choices.Ê It is important for her to have her team continue to look for ways to help her communicate her choices.Ê WhatÕs working for her is working with staff that are patient and willing to try and understand what she is trying to communicate and to be encouraged to use Ònice handsÓ or play Òpatty cakeÓ instead of harming herself or others. Day to day: It is important for her to receive total support with showering or bathing.Ê She enjoys the feeling of the water and enjoys taking baths.Ê It is important for her to receive total assistance to dress.Ê She will help when prompted, but she is unable to initiate or complete any aspect of dressing herself.Ê It is important to her to stay clean and dry after using the restroom.Ê She wears two Serenity pads and two depends at all times.Ê She does not indicate to others that she needs to use the restroom, but recently her family and day service staff have started to notice trends and signs.ÊRoutine is very important to her.Ê She has a tendency to become frustrated and aggressive when her routine is interrupted.Ê It is important to her to encourage her to drink fluids as often as possible to help prevent UTIÕs.Ê It is important to her to be redirected to another area or another topic of interest to her when she is agitated and being aggressive to peers or caregivers.Ê It is important to her to have staff support her during times of transition by redirecting her to fun activities she enjoys.Ê It is important for her to be offered choices throughout her day, so that she can continue to communicate and exercise her choices. Getting around: it is important to her to have freedom to move around in all settings; particularly during transition times, as she need this movement to meet her sensory needs.Ê She enjoys twirling and spinning as a way to self-calm.Ê She is able to move/walk around her home without any physical assistance.Ê Inside her home, she is independent.Ê Outside of her home on the property, she is able to move about independent, however, it is important to her to receive close supervision as she does not posses any safety skills and can slip away from supervision into dangerous situations quickly.Ê It is important to receive close supervision as she does not posses safety skill especially around water.ÊAdaptive Equipment: She wears a gait belt that has been modified with various sensory accessories for her to touch and manipulate in an effort to self-calm.Ê She is able to put on and take off the sensory belt or will indicate to staff when she wants it on or off.ÊCommunity Life Engagement: community activities she enjoys are swimming and activities that involve water.Ê She especially likes to swim at New Bremen pool, as it is less crowded and has a gradual beach entry which makes it easier for her to enter the pool.Ê It is important for her to wear a floatation belt or buoyancy device when she is swimming.Ê She likes to go out to eat and seems to enjoy going to small stores such as AldiÕs, Dollar Store, or Topsy Turvey Toys in New Bremen.

Medication administration depending on hours when she is served. Assistance with using the restroom, and changing attends. Assistance with all ADL’s. Total assistance with all aspects of cooking and planning meals. She eats independently. Hygiene/ADL/Personal Care: she needs assistance using the restroom and changing attends. She needs assistance with all ADL’s. Mealtime/Cooking/Household Maintenance: she needs total assistance with all aspects of cooking, and planning meals.  She eats independently. Transportation: Typically, transportation will not be necessary; however, during the time when her mother is recovering transportation may be necessary to day services and outings.