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.


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