You may need to focus on family/caregiver education on the long term effects of this individual's behaviors. Hopefully, they will buy into a behavior type of program to help demish the out of controll behaviors. I have worked in simular settings and have seen many families in denial, which soo impacts treatment. Also, the SPL might be very helpful. Good Luck Peace, Pat
Jim Arceneaux <jimpalestinemaeed to really focus on famiy [EMAIL PROTECTED]> wrote: Unfortunately this is an outpatient setting, so multidisciplinary means OT, ST and PT. The other problem for this young fellow is poor carryover by his family and caregivers. He also gets a lot of encouragement from peers as they feel his behavior is funny. It does prevent any meaningful level of interaction though. Ron Carson wrote: Hello Jimmy: I don't have any significant experience with your setting. However, having worked with several patients with similar behavior I think the best approach you can offer is a multi-disciplinary approach to behavior management. Setting up a (+) reinforcement system that is both fair and consistently applied MAY go a long way in helping this man re-establish some self-control. Keep us informed. Ron ----- Original Message ----- From: Jim Arceneaux Sent: Sunday, September 10, 2006 To: OTlist@OTnow.com Subj: [OTlist] Hello JA> Hey everyone, JA> Does anyone have any information to share relative to JA> dealing with an individual with occupational performance JA> limitations in social participation due to executive function JA> dysfunction subsequent to TBI? Basically the young man I'm JA> working with has difficulty with social situations due to poor JA> impulse control and a tendency to speak his mind (i.e. non JA> filtered). JA> any help would be great. JA> Thanks JA> Jim JA> Ron Carson wrote: JA> Hello Jimmie: JA> Welcome back. As you can tell, the list is rather slow. Seems like we JA> go for weeks without any discussion and then there's a sudden flurry JA> of messages. JA> Ron JA> ----- Original Message ----- JA> From: Jim Arceneaux JA> Sent: Tuesday, August 08, 2006 JA> To: otlist@otnow.com JA> Subj: [OTlist] Hello JA>> Hey Ron, JA>> Well I'm back. How is the list coming along? I look JA>> forward to participating in future discussions. JA>> Jimmie Arceneaux JA>> --------------------------------- JA>> Do you Yahoo!? JA>> Everyone is raving about the all-new Yahoo! Mail Beta. JA> -- JA> Unsubscribe? JA> [EMAIL PROTECTED] JA> Change options? JA> www.otnow.com/mailman/options/otlist_otnow.com JA> Archive? JA> www.mail-archive.com/otlist@otnow.com JA> Help? JA> [EMAIL PROTECTED] JA> --------------------------------- JA> Do you Yahoo!? JA> Everyone is raving about the all-new Yahoo! Mail. Paid Ad-- Enroll in Boston University's post-professional Master of Science for OTs Online. Gain the skills and credentials to propel your career. www.otdegree.com/otnow -- Change options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com --------------------------------- Get your own web address for just $1.99/1st yr. We'll help. Yahoo! Small Business. -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com ****************************************************************** Enroll in Boston University's post-professional Master of Science for OTs Online. Gain the skills and credentials to propel your career. www.otdegree.com/otnow ****************************************************************** --------------------------------- Talk is cheap. Use Yahoo! Messenger to make PC-to-Phone calls. Great rates starting at 1ยข/min. -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/otlist@otnow.com ****************************************************************** Enroll in Boston University's post-professional Master of Science for OTs Online. Gain the skills and credentials to propel your career. www.otdegree.com/otnow ******************************************************************