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| 5.4b Behaviour
management Case study B : Tim |
Case
scenario B - Tim
Personal details
Tim is a 21-year-old carpenter.
He lives alone in a house at Bankstown with his German Shepherd dog,
which he adores (his sister lives 15 minutes away and will only mind the dog until he is
discharged).
Tim denies having any hobbies, but reported that he used to play indoor
cricket on a regular basis. His other interests included rally cars and ‘clubbing’ with
his mates.
Details of injury
Tim was a passenger in a motor vehicle accident. The driver died.
Neuropsychological assessment indicated an overall lowering of
functioning. He had mild learning/memory problems, poor
planning and poor problem solving skills, and his attention and concentration were below average.
Goals within TLU
Tim spent some time in the acute rehabilitation ward in hospital
before transferring to a share house in the community
(a Transitional Living Unit or TLU) to continue rehabilitation.
The primary goal within the TLU is to assess his independence,
improve his fitness levels and returning him to independent living.
Problems arising
Staff find it hard to motivate Tim to participate in the program.
He frequently sits alone and appears lethargic.
He occasionally becomes argumentative when prompted by staff
to attend appointments and groups – and retreats to his room if allowed.
He does not understand why he needs to be at the TLU and would
prefer to lie in bed all day.
Questions
- What is the
main problem
- What do you
want the outcome to be?
- Is there anything
currently reinforcing this behaviour (Are staff making this worse?)
- What potential
reinforcers are available to you?
- Devise a way
to use this reinforcer to manage this behaviour.
- Are there other
issues you need to consider?
To
suggested answers for Case study B
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