EXHIBIT G
Johnny is a 14-year-old male with autism and profound intellectual/ developmental disabilities. He is non-verbal and utilizes a PECS/IPAD to communicate. Johnny weighs 225 lbs. and engages in the following maladaptive behaviors: self-injurious head banging; destruction of property, including furniture and glass; grabbing others, biting, and punching when he does not want to comply with a request. Johnny lives at home with his mother, who works outside of the home and is now his primary care giver; his father passed away about ten (10) months ago. In the past, Johnny’s father would escort him while both parents ran errands in order to prevent him from engaging in challenging behaviors when re-directed during community outings. Although rare, Johnny’s father would intervene whenever he engaged in these behaviors at home.
With the unfortunate passing of his father, the frequency of Johnny’s behaviors has dramatically increased. Immediately, his mother began struggling with him during community outings and increased incidents of challenging behavior have been reported at home. Johnny now pulls his mother’s shirt with force and scratches his arms until the skin is broken, requiring bandages. He specifically targets home electronics - pushing appliances to the floor or attempting to throw them out of the window. As the result, his mother is chronically late to work; the family home is in extreme disarray; and, his mother is exhibiting signs of declining health. In order to calm Johnny, his mother has been giving him treats in excess, thus his current weight. There have been several incidents of aggression, which have caused injury to his mother, resulting in police intervention.
In an effort to provide increased support to Johnny, his mother accessed CSOC Intensive In-Home (IIH) behavioral supports. IIH support services have been provided for the past six (6) months with no measurable improvement. In fact, he is now presenting with the additional challenge of elopement. It has been 10 months since his mother lost her husband and she is now feeling as if she is losing her son; she cannot safely maintain him in their family home. Reluctantly, Johnny’s mother worked with the CMO to complete an OOH referral and made it very clear that she wanted her son to return home as soon as his behavior stabilized. An Intensive IDD level of service was assigned and soon after Johnny was admitted into a treatment program, where he continues to engage in intense, challenging behaviors. His mother’s visits have become sporadic, and she now rejects the idea of her son returning home.