Health conditions:

Martin has been diagnosed with ADHD, Autism, and learning disabilities. Martin has challenging behaviours.

Medication:

• Risperidone 0.5mg 1xtablet 8:00am and 20:00pm
• Medikinet XL 40mg 1xtablet 8:00am
• Methylphenidate 10mg 1xtablet 16:30pm

Managing behaviours:

Behaviours:

• Swearing
• Shouting
• Banging his head against objects
• Throwing himself in to walls and objects
• Aggressive hand gestures
• Closing the door to his bedroom
• Growling
• Talking to himself aggressively
• Self-harm eg punching himself in the face
• Head butting, kicking and punching objects/walls
• Pulling at his hair
• Squeezing at his head
• Throwing objects towards staff
• Pushing staff
• Slapping staff and himself
• Grabbing staff aggressively
• Speaking with gritted teeth
• Wiping snot on others

Known triggers:

• Other tenants behaviours/ stimming/ mimicking.
• Being unable to do something immediately.
• Being advised against something that he wishes to do/ Being supported away from a particular choice or action.
• Finances
• Task evasion
• Medication
• Room management
• Trying to please everyone
• Knocking on his bedroom door (use doorbell)

Warning signs:

• Change in tone of voice/ attitude
• His body language can come across as intimidating, aggressive, agitated and patronising.
• verbal noises such as ‘tutting’ or clearly his throat
• physically shake his head
• Cracking his hands or neck
• Folding his arms in a confrontational way
• Making a fist
• Walking away or closing his door
• Eye rolling

With early intervention and knowledge of known triggers, martin’s behaviour can be managed. Planning techniques can be effective when preventing the likelihood of martin presenting behaviour.

Martin should be asked to go to his room when warning signs of impending behaviour occurs as this is a safety measure for other tenants and staff. To go through what he needs to do during the day/ 1-1, so he is aware of what tasks needs to be completed that day.

It will need to be explained that the less appealing activities such as room management must be completed before desired activities such as ordering something he wishes to buy.

Martin to be supported to in maintaining routine and advice and guidance to be given to Martin so he can make an informed decision. To encourage Martin to express any concerns or worries so staff can help manage this.