{"report_id":219,"form_id":"23","user_id":81,"organization_id":10,"question_id":"98","question_type":"Free_Text","text_answer":"The individual was admitted to this home in 2015 directly from the hospital.  He is diagnosed with Autism Spectrum Disorder and Other Intellectual Disability.  At the time of his admission the individual was described as only communicating in 2-3 word utterances and by pointing.  Those debriefed made the comment he is very smart.  The individual was admitted directly from a psychiatric hospital discharge and described as very medicated.  The individual\u2019s parents are his guardians.\r\nAt the beginning, the individual had significant interfering behavioral issues including aggression towards others and significant property destruction.  The provider implemented positive behavioral support strategies and with a decrease in medications, notice the individual gained communication abilities.\r\nThere was a time period where the individual had a decrease in behavioral issues, was better able to express his wants and needs and advocate for himself, developed relationships with his peers in the home and became more independent and needing less support.   The provider described using the positive support strategies of using a punching bag and speed bag to provide the individual with needed physical activity he found rewarding, used white noise in his room to help with his sensitivity to sounds his housemates made and he was able to go to his favorite activity Comacon.  \r\nUnfortunately, a housemate the individual was very close to in the home, described more like a sibling, passed away.  A new resident was eventually admitted, who was smaller in stature, cognitively functioned lower and made loud verbalizations.  \r\nThe individual began aggressing towards the new peer and had an increase in behaviors, again including significant property destruction.  The provider enlisted the services of a Behavior Analyst who found clear antecedents to the individual\u2019s interfering behaviors which were his housemates waking earlier than he would like and making noise or peers doing an activity he did not want them to do. \r\nBeing aware the antecedents couldn\u2019t be changed; the provider advocated the individual have a Person-Centered Plan completed.  The individual was very clear that he wanted to live on his own where he could control the environment. The provider also agreed this would be an appropriate setting with supports and even offered a residential setting where this could happen.  The individual\u2019s guardians did not agree with this plan as they felt the individual required 24 hour support.\r\nThe provider decided to demit the individual as the setting he was in was not meeting his needs, nor was it the environment the client wanted to live in.","created_by":81,"updated_by":81,"updated_at":"5\/26\/2021 5:15:41 pm","created_at":"5\/26\/2021 5:15:41 pm","id":38017}