Case Study Of Mr. X

Mr. X is a 22-year-old Autistic man, non-verbal and has a history of intermittent Self Injurious Behaviour (SIB). He would communicate his distress by SIB (flicking ears, self-hitting, biting hands, scratching, punching his nose, hard enough to sustain an open wound), running into doors, walls, glass partitions, pulling at staff members arms. The writer wishes to assess his main target behaviours. However, these behaviours have been previously being related to sensory needs, self-stimulation and expression of distress through extreme agitation and aggression. Mr. X’s activities and situations in the afternoon, which coincided with his behaviours were waiting for lunch or at meal times, possible factors leading to distress, most likely related

X is considered to benefit from a living environment that can be wholly tailored to his needs to limit his agitation experienced due to the needs of other residents. It would be a challenge to consider Mr. X living alone with staff support or identifying other residents with sensory or environmental needs like Mr. X and placing them in residence together.

The following EAD topics are reflected in this episode of care:
Modes of engagement is considered as an alternative approach towards Mr. X, from the interdisciplinary team, based on a model of ID that sees it as an interaction between a person, the support they provide to and the environment they are in. (Hogg J, Langa A (2005).
A structured holistic framework of various assessments, used to enhance the existing skills, to gain a picture of the needs of Mr. X, within the principles of person centeredness and that will help and guide in decision making in the health care practise.
Team based decision making related to the best interest of Mr. X completed by all the relevant members of the interdisciplinary team in conjunction with the family members.

The writer would like to discuss about ‘Engagement’ and why it has been used in this case