Case Study 1: Supporting Steve with Complex Needs

Steve, a 25-year-old man with a genetic disorder, ADHD, Autism, physical disabilities, and learning difficulties, had not attended any day placements for three years. His previous placement was unable to meet his specific needs, leaving him without appropriate support.

When a suitable placement was identified, it was crucial for his success, as the risk of distressed and violent outbursts at home were high if his needs were not properly managed. This behavior was often triggered by his sensory processing issues, anxiety, and a need for structure. Any deviation from routine heightened his anxiety, increasing the likelihood of aggressive behavior.

The family sought my professional assistance to address these challenges.
I created a comprehensive Communication Passport using input from Steve, his family, and professional assessments. This document outlined the complexities of his physical, psychological, and executive functioning needs. In parallel, I developed a safe strategy for managing his distress, focusing on his sensory and anxiety-related challenges.

A structured schedule was introduced, carefully reviewed and adapted every week. There were many challenges to overcome, but my methodical and attention to detail-approach ensured these were not setbacks. This attention to detail was instrumental in helping staff identify triggers and how to avoid them. A schedule was intentionally paced to allow Steve to gradually transition into attending the day placement three days a week. Regular meetings with staff ensured that they understood Steve's thinking patterns and were able to interpret his behaviour effectively.

Outcome:

Steve is now permanently attending the day activity placement, providing him with a grounding which enabled the success and confidence to introduce him to other services leading him and his family to gain respite from each other, the family reported this was previously unimaginable and reported a significant improvements in his life and theirs, thanks to the success of the placement.
Very grateful parents.

Copyright Anne Robertson Coaching