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X Every 15 minutes Every hour Daily Weekly Monthly Daily Weekly Monthly Daily Weekly Monthly Daily Weekly Monthly Weekly 10 minutes Inappropriate touching of self in public Every two hours being rough with siblings and cats violent talk / self talk Every 15 minutes Every hour Every hour Every two hours becomes hostile and ends up with aggressive behavior 40 minutes Throws food, choking, malnutrition Every hour Daily 10 minutes Daily 30 mins Distresses neighbors and traffic driving by, danger of him being his hallucinations Destroys mailbox
X Every 15 minutes Every hour Daily Weekly Monthly Daily Weekly Monthly Daily Weekly Monthly Daily Weekly Monthly Weekly 10 minutes Inappropriate touching of self in public Every two hours being rough with siblings and cats violent talk / self talk Every 15 minutes Every hour Every hour Every two hours becomes hostile and ends up with aggressive behavior 40 minutes Throws food, choking, malnutrition Every hour Daily 10 minutes Daily 30 mins Distresses neighbors and traffic driving by, danger of him being his hallucinations Destroys mailbox
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X Every 15 minutes Every hour Daily Weekly Monthly Daily Weekly Monthly Daily Weekly Monthly Daily Weekly Monthly Weekly 10 minutes Inappropriate touching of self in public Every two hours being rough with siblings and cats violent talk / self talk Every 15 minutes Every hour Every hour Every two hours becomes hostile and ends up with aggressive behavior 40 minutes Throws food, choking, malnutrition Every hour Daily 10 minutes Daily 30 mins Distresses neighbors and traffic driving by, danger of him being his hallucinations Destroys mailbox
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Medical Frequency-how often does it occur Duration-How long Intensity-what is the injury to Intervention-See Condition or does it last self or others-consequence of Appendix B, enter Behavior no intervention code number of (see intervention here. Appendix A for examples) Self – X Every 15 Daily 10 minutes Inappropriate touching of self in 50,63,,65 stimulating minutes public Weekly behaviors Every hour Monthly Every two hours Hallucinations x Every 15 Daily 30 minutes Property damage, 50,54,55,57,76,79 minutes aggressiveness ,and escalating Weekly Every hour violent behavior Monthly Every two hours Being rough Every 15 Daily 20 minutes Injury to siblings, injury to cat 50,54,55,62,63,64, with siblings minutes 79 Weekly and cats x Every hour Monthly Every two hours Violent talk/ Every 15 Daily 20 minutes Self talk and violent talk 50,63,79 self talk minutes becomes increasingly louder, Weekly Every hour Monthly Becomes hostile and ends up Every two hours with aggressive behavior Overflows Weekly 20 minutes Flood bathroom/damage to 50,63.79 toiler toilet/bathroom Puts things in Every 15 Daily 5 minutes Choking, spitting, possible death 50,51,63,65,68,75, his mouth minutes 76,77 Weekly Every hour (dirt, sand, Monthly toys, rocks, x Every two leaves, hours weeds, and grass) Pacing, x Every 15 Daily 30 minutes Property damage, exhaustion, 50,51,52,55,63,65 jumping, minutes memory problems Weekly banging in the Every hour Monthly walls Every two hours Refusal to x Every 15 Daily 2 -30 minutes Becomes hostile and ends up 3,4,50,63,64,68 follow minutes with aggressive behavior Weekly directions Every hour Monthly Every two hours Picky eater- 3x day Daily 40 minutes Throws food, choking, 27,50,51,64,65,68, very limited malnutrition 79 on what food he will eat Grabbing Every two hours Daily 10 minutes Others do not want to work with 50, 65,66,79 others Harley or be near him, people inappropriatel are afraid of him y Digs holes in Every hour Daily 10 minutes Eating dirt,/leaves (PICA), 50,63,75,76,79 yard/beats/de destruction of property stroys trees/bushes Paces front Every 15 mins Daily 30 mins Distresses neighbors and traffic 50,51,52,63,76,79 yard, battling driving by, danger of him being his hit by a car hallucinations Destroys Every hour Daily 30 mins Property destruction 50,51,63,79 mailbox, removes siding from house Hides in van Every two hours Daily 60 minutes Flight risk, suffocation, lack of 50,54,63,75,79 safety awareness, property damage Cuts phone Every two hours Monthly 10 minutes Cuts, electrocution, property 50,51,52,63,79 cords/electric damage al cords (cell phone chargers, small appliances Tries to self Every two hours Daily 10 minutes Overdose, death 50,51,52,54,57,63, medicate 75,79 Throws chairs Monthly 3 hours Threatened suspension, injury 4,50,51,53,63,66,6 at school at to self/others 8,69 other students/teac hers Overturns Weekly 1 hour Injury to self/others, property 50,63,64,65 tables in the damage, public safety community Does not Every 15 minutes Daily 5 minutes (driver Injry to self others, safety of 80 parent pulls remain pulls over) public, driver distraction over, 63,74,51 seated in moving vehicle Rips and Every 30 minutes Daily Continuing, as Property damage, mold, insect / 50,51,54,55,79 removes replaced. animal infestations, weather screens from windows Overeats until Every 30 minutes Monthly 20 minutes Obesity, malnutrition, public 50,63,66,79 vomits safety/nuisance, health (community) concerns, choking Scratching Every 15 minutes Daily 15 minutes Skin infection, bodily fluids 50,65,80 frequenty eczema til leaking applying lotions bleeding
Nighttime Interventions-on a weekly average how many nights does intervention occur?__Multiple times every hour every night
Column 1 Column 2 Column 3 Column 4 Column 5
Medical Frequency-how often does it occur Duration-How long Intensity-what is the injury to self Intervention-See Condition or does it last or others-consequence of no page 5, enter Behavior (see intervention number of Appendix A for intervention here. examples) Stays awake/ Every 15 Daily 5- 7 hours Decreased learning ability, 50,51,53,54,55,57, Cyclic sleep minutes decreased attention span, 60,62,63,75,76,79 Weekly patterns Every hour irritability leading to Monthly aggressiveness, overnight Every two hours Five out of behavior (see below) disruption seven nights of sleep for siblings and parents Obsessive X Every 15 Daily 40 minutes Choking, constipation, diarrhea, 50,51,52,54,55,57, eating minutes ingestion of harmful substances/ 60,62,63,64 Weekly Every hour items, death (overnight), Monthly overeating Every two hours certain foods Obsession Every 15 Daily 20 minutes Cuts, bleeding, cutting off 21,22,50,51,57,62, with sharp minutes eyelashes/ eyebrows, 63,79 Weekly objects Every hour electrocution hazard( cuts power Monthly cords to appliances), injury to (scissors and, Every two hours self or others knifes, etc) pens/pencils Will try to Every 15 Daily 20 minutes Getting lost, injury to self, 52,54,55,57,62,63, escape the minutes unaware of danger, death if hit 79 Weekly house at night Every hour by a car Monthly Every two hours Flooding Every 15 Daily 20 minutes Property damage, slip and fall 57,63,75,79 bathroom, minutes hazard, ingestion of harmful Weekly dumping Every hour substances Monthly soap, making Every two hours messes in 2 x’sa night bathroom Dismantles Every 15 Daily 15 minutes Property damage 50,51,57,63 vacuum, minutes Weekly carpet Every hour Monthly cleaner, other Every two hours household appliances Turning off Every 15 Daily 10 minutes Rotten food, property damage 51,52,57,63,79 knobs on minutes Weekly fridge Every hour Monthly Every two hours 1-2 times per night Scratching Every 15 minutes Daily 15 minutes Skin infection, bodily fluids 50,65,80 frequenty eczema til leaking applying lotions bleeding Hallucinations Every 15 Daily 30 minutes Property damage, 50,54,55,57,76,79 / constant minutes aggressiveness ,and escalating Weekly vocalizations Every hour violent behavior Monthly Every two hours Pacing, Every 15 Daily 30 minutes Property damage, exhaustion, 50,51,52,55,63,65 jumping, minutes memory problems Weekly banging in the Every hour Monthly walls Every two hours Refusal to Every 15 Daily 2 -30 minutes Becomes hostile and ends up 3,4,50,63,64,68 follow minutes with aggressive behavior Weekly directions Every hour Monthly Every two hours Wets bed Every 3 hours Weekly 10 minutes Unsanitary conditions, disease, 60,66.79 (urine)/spits odor water on mattress
Agitation Every 2 hrs Weekly 20 minutes Property damage, injury to 4,50,52,54,57,63,
leads to self/others, spoiled foods 79 breaking refrigerator door Breaks faucet Monthly 10 minutes Property damage, mold 4, 50, from main 52,54,57,63,79 water valveq Steals and Every hr Daily 30 minutes Unsanitary conditions, choking 4, 50, Hides food in 52,54,57,63,79 his room Rips and Every 30 minutes Daily Continuing, as Property damage, mold, insect / 50,51,54,55,79 removes replaced. animal infestations, weather screens from windows
Perceptual Objective Listening Quality Assessment (POLQA), The Third Generation ITU-T Standard For End-to-End Speech Quality Measurement Part I-Temporal Alignment