Age: 11
Gender: Male
Contract Duration: 36 Months
Diagnosis
- ASD
- ADHD
- Kidney Dysplasia
- Anxiety
Behaviours Displayed
- Controlling behaviours including some OCD Behaviours
- Demand Avoidance
- Physical aggression
Reason for referral
E was presented to ABL on 2019 with the formal diagnosis of Anxiety, ASD, ADHD, aggressive and challenging behaviour and kidney dysplasia. As parents where on verge of breakdown due to E’s aggressive behaviour towards them on a daily basis.
There was consideration for E to be placed into residential care.
Aims and objectives
Reduce both E and Parental anxiety, implement strategies to reduce and manage aggressive behaviour, introduce positive behaviour, improve communication skills, Build positive relations, psycho-educate parents on ASD, ADHD and Anxiety, reduce E’s level of control within the family home, Increase expressive language skills
What plans/strategies have been implemented?
A psychological formulation has been completed by Clinical Psychologist to inform ABL’s plans and activities.
Verbal and visual now, next and then, Visual timetables for both the day/week and month to reduce anxiety.
Parental consultations with clinical psychologist to complete psychoeducation.
Child-led special play, Physical activities to improve emotional regulation.
Social Stories to inform a transition to a new family home and new school.
What resources have been considered for use/used?
Sensory equipment, Playdoh, Balloons, Emotions Cards, Animal Cards, Clinical Psychologist, Visual timetables, PECS, social stories, community centres for sensory activities, BCBA Behaviour Analyst.
ABL have also supported parents to engage in a training course; NVR Training.
How effective has the intervention been?
Upon completion of standardised measures E’s parents reported a reduction in severity, frequency, and management difficulty in both violent outbursts/meltdowns and controlling behaviours.
E’s Parents also reported that their general wellbeing had improved, and their family quality of life had also improved.
ABL have supported the family & ED to a successful transition from Primary to Secondary SEN School, surrounding the home routine before and after school.
ABL have also supported the family to move into a new family home, which is now a safer and more secure environment for both family and ED.
ABL have supported parents and external professionals to support the diagnosis of a learning disability which has been accepted and diagnosed.
Future Plans
Build on E’s emotional recognition and understanding, this should allow E to recognise the emotions he’s feeling, once he is able to recognise these we can work on strategies on how to process these emotions, this will reduce the amount of episodes of behaviours of concern.
ED is currently undergoing a behavioural functional assessment with our BCBA Behaviour Analyst to understand the functions of behaviours and introduce new interventions.
Overall Outcome
Reduction in physical behaviours
Understanding by both parents and YP around behaviours and triggers
Supported family with LA to be rehoused in suitable accommodation
Transition to secondary school
Attendance at appointments
strategies to deal with behaviours
Fuller family life together
Feedback
“It has been a really good thing for us you continuing to come out through COVID-19, as its given E something to look forward to and helped with a routine, alongside helping and advising us with how to manage behaviours and prepare E for change”
Compliment ED Mum Verbal