Problem:
I would like these paragraphs to be rewritten into different words and expanded that have be to used as a justification for an ABA report. These are the areas and skills the client is lacking and needs to be worked on. Need Assignment Help?
Social Communication/Language Deficits:
To request for wanted items, Aiden will typically point, hand-lead, or physically guide his parents toward the item. If his parents are unable to identify or locate the item, Aiden will then engage in tantrum behavior. Aiden has limited ability to communicate physical sensations. While he may occasionally say "How" when hurt, he is unable to indicate what part of his body is in pain. Aiden's expressive language is limited. He can label some objects but not consistently and cannot always be understood. Aiden is currently unable to initiate or respond to joint attention, identify family members, indicate yes or no, or consistently imitate spoken words. Additionally, he does not usually show interest in what others are doing or saying around him.
Social Skills Deficits:
Aiden currently has a vocabulary of approximately 50 words. However, he is unable to engage in functional conversations or respond to questions appropriately. His interest in peers is limited and he is only usually interested in obtaining something they have, rather than for social interaction. Aiden may occasionally wave to greet others, though this often requires prompting, and he does not use verbal greetings. He demonstrates limited understanding of emotions, both in himself and others, and is not yet able to express his own. Additionally, Aiden has difficulty maintaining appropriate personal space and may at times stand too close to others or take items from them without seeking permission.
Play Skills Deficits:
When playing with toys, Aiden tends to engage in repetitive behaviors such as lining them up, sorting them, stepping on them, or dumping them out. If the toys fall over or are moved out of place, he will engage in tantrum behavior. When playing with toys, Aiden will move from one toy to another very quickly and has difficulty sustaining attention on a single activity. He shows limited interest in completing seatwork such as arts and crafts or coloring, largely due to challenges with remaining seated and maintaining focus. In social settings with peers, Aiden primarily engages in isolated play and does not typically interact with other children during play.
Restricted, Repetitive Patterns Of Behaviors, Stereotypy:
Aiden exhibits ritualistic behaviors, specifically the need to close all doors and gates in the home. If he is prevented from doing so, he often responds with tantrum behavior. He also engages in stereotypic behaviors, including hand flapping, rocking back and forth, touching his ears, spinning in circles, finger flicking, and finger posturing. According to his parents, these behaviors occur frequently and consistently throughout the day, approximately once per hour. Additionally, if Aiden hears his brother crying, he will begin to cry as well.
Maladaptive Behaviors:
Aiden engages in tantrum behavior that includes forcefully throwing himself to the floor, during which he may hit his head, as well as rolling, screaming, and crying. These episodes can last up to 20 minutes and typically occur in response to being denied access to a preferred item or activity, to escape task demands, or to seek attention. He also engages in self-injurious behaviors, scratching his cheeks and ears, sometimes to the point of bleeding. Although these incidents now occur infrequently (approximately once per month), they were previously much more frequent. Aiden has difficulty consistently following one-step instructions, often due to limited comprehension of what is being asked. Additionally, he engages in elopement behavior and may run away if a door or window is left open. Aiden struggles with transitions from preferred to non-preferred activities, accepting "no," and waiting for preferred items or activities.
Self-Help Skills Deficits:
Aiden is not yet toilet trained and requires full assistance with daily living skills. He is unable to independently wash his hands, brush his teeth appropriately, dress himself, put on his shoes, or drink from an open cup without spilling. He also demonstrates limited safety awareness and lacks understanding of stranger danger.
Parent Concerns:
Aiden's parents are concerned with his lack of communication, inability to express his needs, and ask for items that he wants.