Social Work Case Study

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Sean is an active nonverbal 25-year-old man with a diagnosis of autism, OCD, seizure disorder and obesity. He currently is in an out of state residential placement due to a history of high intensity challenging behavior for the last 2 years and 3 months. He has received ABA services school and program as well as home based and residential programs. Sean is from a high metropolitan area due to his history of eloping from buildings it was deemed necessary that he live in a campus setting. Sean attends day program all on the campus where he continues to receive 1:1 staffing 24 hours a day. Sean does not have a formal mode of communication, currently the way that he communicates with others is by grabbing others by their hand or arms and leading …show more content…

Due to the high rate of occurrence of SIB in Sean’s program room his desk, chair and the wall surrounding him is padded with gym mats. His desk and chair are weighted so that they are not easily moveable. Sean has a history of high intensity aggression directed toward his peers and staff, he will quickly dart around his desk and engage in aggression and peer aggression. Sean does not like loud environments or if someone if the environment coughs or sneezes and will engage sudden and intense challenging behavior. Staff are quick to responds and redirect him back to his desk or away from the individual who coughed. Due to the history of unsafe behavior that Sean engages in he is intensively staff 24 hours a day as a 1:1, when he is common areas or transition from one location to another staff walk in close contact with him, the staff walk with their hands shadowing Sean’s arms as he is walking around. He is walking outside and there are no other vulnerable peers around he will usually run slightly ahead of the staff because he enjoys running

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