CASE study 2
sensory processing
Est time - 15 min
start
subject
nAME: GHage: 9
Main areas of concern:
Biting hand, banging head, high frequency of repetitive behaivours, eating non-food items
GH
Outline
GH would harm himself by biting his hand and banging his head on walls, and also harm towards others, such as hitting and biting his parents and school staff. These behaviours increased outside the home eg. in the park and shops. He would hit or bite visitors in the house
There were additional concerns that he may also harm himself by eating non-food item
Outline
GH appeared to be calmer when engaged in solitary or one-to-one activities, but even at these times, he would be constantly active and engaged in repetitive behaviours. Examples included flapping his hands in front of his eyes, pacing up and down the room, opening/closing doors and rocking in his chair. He often made a loud humming noise while engaging in these behaviours.
GH was non-verbal and used photographs to request objects he needed. He was able to follow a visual schedule using photographs and would transition independently around the classroom.
To understand these behaviours, an assesment (Sensory Profile) was run with EF.
Assessment & Analysis
Observations were carried out in home and school, information was gathered through specialist teacher, speech and language therapist and behaviour intervention specialist
next
Assessment Report
The assessment team has made some deductions. Before we hop onto that,
Assessment Report
Sensory Seeking
Sensory underresponsiveness
Sensory overresponsivenessss
GH is overresponsive to noise.
GH sought range of sensory input for enjoyment, exploration of his envirnment and regulation of his over-responsiveness.
There were no patterns of sensory under-responsiveness
next
Explore the possible causes that explain GH's behaivour by clicking 'NEXT'
Hitting and biting adults
Biting hand and banging head
Humming loudly
Causes and Interventions
Eating non-food item
Click the behaviours (shapes) to explore the possible causes and interventions.
Pacing/rocking in a chair
Flapping hands in front of eyes
Causes and Interventions
Behaviour
Think of some intervention strategies for this situation before revealing the one that was applied.
Biting hand and banging head
Possible Cause
Interventions
- Seeking deep pressure to calm
himself.
- Seeking tactile and proprioceptive input to block out unwanted noise
- Predictable input to block out presictable around him
- Method of communicating that he wanted to leave the room
show
Causes and Interventions
Behaviour
Think of some interveion strategies for this situation before revealing the one that was applied.
Biting hand and banging head
Interventions
Possible Cause
- Photographs of calming choices were attached to the communication board so GH could request a calming activity instead of hitting/biting to communicate
- Calming choices included a chewy tube, vibrating cushion and calm room
- Seeking deep pressure to calm
himself.
- Seeking tactile and proprioceptive input to block out unwanted noise
- Predictable input to block out presictable around him
- Method of communicating that he wanted to leave the room
Next Behaviour
Causes and Interventions
Behaviour
Think of some intervention strategies for this situation before revealing the one that was applied.
Hitting and biting adults
Interventions
Possible Cause
- Method of communicating that he is distressed (due to noisy environment) and wants to be taken to a quiet area
- Provides some deep pressure input to calm and regulate
show
Causes and Interventions
Leaving school during day
Seeking time out time in the SENCOs office
Avoidance of the interaction with others
Behaviour
Think of some intervention strategies for this situation before revealing the one that was applied.
Hitting and biting adults
Intervention
Possible Cause
Causes and Interventions
- Communication cards with calming choices were gradually used at school, assembly, and other contexts.
- He was allowed to go to the car when in shops and restaurants and quiet room at home and other people's house.
- Method of communicating that he is distressed (due to noisy environment) and wants to be taken to a quiet area
- Provides some deep pressure input to calm and regulate
Refusing to go to school
Click the behaviours (shapes) to explore the possible causes and interventions.
Difficulty attending youth clubs,sports clubs
Reluctance to shower and brush teeth
Next Behaviour
Causes and Interventions
Behaviour
Humming Loudly
Think of some intervention strategies for this situation before revealing the one that was applied.
Interventions
Possible Cause
- Seeking auditory input to block out unwanted noises
- Predictable, repetitive behaviour which calms and regulates
show
Causes and Interventions
Behaviour
Humming loudly
Think of some intervention strategies for this situation before revealing the one that was applied.
Possible Cause
Intervention
- Messy play activities including water play, sand play, finger painting etc were integrated into GH's daily schedule which gave him foundation for motor skill development and meet his need for tactile input
- Space hopper was used in the playground to provide movement and proprioceptive input
- Seeking auditory input to block out unwanted noises
- Predictable, repetitive behaviour which calms and regulates
show
Next Behaviour
Causes and Interventions
Behaviour
Packing/rocking in chair
Think of some intervention strategies for this situation before revealing the one that was applied.
Interventions
Possible Cause
- Seeking movement input to keep himself alert
- Seeking rhythmical movement to keep himself calm and regulated
show
Causes and Interventions
Behaviour
Packing/rocking in a chair
Think of some intervention strategies for this situation before revealing the one that was applied.
Possible Cause
Intervention
- Activities like : lifting benches and setting out mats for PE were integrated into GH's daily schedule which gave him heavy muscle work to meet his sensory needs
- He was also given a weighted blanket to be used at scheduled time in calm room after group activities as anxiety is heightened.
- Seeking movement input to keep himself alert
- Seeking rhythmical movement to keep himself calm and regulated
show
Next Behaviour
Causes and Interventions
Behaviour
Flapping hands in front of eyes
Think of some intervention strategies for this situation before revealing the one that was applied.
Interventions
Possible Cause
- Sometimes seeking visual input to keep himself alert
- Sometimes seeking visual input to block out unwanted sensory input around him
- Predictable input which is calming and regulating
show
Causes and Interventions
Behaviour
Flapping hands in front of eyes
Think of some intervention strategies for this situation before revealing the one that was applied.
Possible Cause
Intervention
Activities like taking messages to the school office and taking towels etc to the laundry were integrated into GH's daily schedule This gave him movement input and heavy muscle work to meet his sensory needs and to ensure he maintained a regulated state throughout the day.
- Sometimes seeking visual input to keep himself alert
- Sometimes seeking visual input to block out unwanted sensory input around him
- Predictable input which is calming and regulating
show
Next Behaviour
Causes and Interventions
Behaviour
Eating non-food items
Think of some intervention strategies for this situation before revealing the one that was applied.
Interventions
Possible Cause
- Seeking tactile and taste input
- Exploring objects and environments
show
Causes and Interventions
Behaviour
Eating non-food items
Think of some intervention strategies for this situation before revealing the one that was applied.
Possible Cause
Intervention
- EF was directed to red and green boxes indicating food and non food items each time he attempted to put a non-food item in his mouth, he was encouraged to pick chewy tube, cheerios from the green box
- Oral motor activities like blowing bubbles, blowing pieces of cotton wool along table/floor were introduced
- Seeking tactile and taste input
- Exploring objects and environments
show
Next Behaviour
THANK YOU
Sensory underresponsiveness
YOU HAVE REACHED THE END OF CASE STUDY 2
Case Study 2 - Sensory Processing
TEDI-London
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Transcript
CASE study 2
sensory processing
Est time - 15 min
start
subject
nAME: GHage: 9
Main areas of concern:
Biting hand, banging head, high frequency of repetitive behaivours, eating non-food items
GH
Outline
GH would harm himself by biting his hand and banging his head on walls, and also harm towards others, such as hitting and biting his parents and school staff. These behaviours increased outside the home eg. in the park and shops. He would hit or bite visitors in the house
There were additional concerns that he may also harm himself by eating non-food item
Outline
GH appeared to be calmer when engaged in solitary or one-to-one activities, but even at these times, he would be constantly active and engaged in repetitive behaviours. Examples included flapping his hands in front of his eyes, pacing up and down the room, opening/closing doors and rocking in his chair. He often made a loud humming noise while engaging in these behaviours.
GH was non-verbal and used photographs to request objects he needed. He was able to follow a visual schedule using photographs and would transition independently around the classroom.
To understand these behaviours, an assesment (Sensory Profile) was run with EF.
Assessment & Analysis
Observations were carried out in home and school, information was gathered through specialist teacher, speech and language therapist and behaviour intervention specialist
next
Assessment Report
The assessment team has made some deductions. Before we hop onto that,
Assessment Report
Sensory Seeking
Sensory underresponsiveness
Sensory overresponsivenessss
GH is overresponsive to noise.
GH sought range of sensory input for enjoyment, exploration of his envirnment and regulation of his over-responsiveness.
There were no patterns of sensory under-responsiveness
next
Explore the possible causes that explain GH's behaivour by clicking 'NEXT'
Hitting and biting adults
Biting hand and banging head
Humming loudly
Causes and Interventions
Eating non-food item
Click the behaviours (shapes) to explore the possible causes and interventions.
Pacing/rocking in a chair
Flapping hands in front of eyes
Causes and Interventions
Behaviour
Think of some intervention strategies for this situation before revealing the one that was applied.
Biting hand and banging head
Possible Cause
Interventions
- Seeking deep pressure to calm
himself.show
Causes and Interventions
Behaviour
Think of some interveion strategies for this situation before revealing the one that was applied.
Biting hand and banging head
Interventions
Possible Cause
- Seeking deep pressure to calm
himself.Next Behaviour
Causes and Interventions
Behaviour
Think of some intervention strategies for this situation before revealing the one that was applied.
Hitting and biting adults
Interventions
Possible Cause
show
Causes and Interventions
Leaving school during day
Seeking time out time in the SENCOs office
Avoidance of the interaction with others
Behaviour
Think of some intervention strategies for this situation before revealing the one that was applied.
Hitting and biting adults
Intervention
Possible Cause
Causes and Interventions
Refusing to go to school
Click the behaviours (shapes) to explore the possible causes and interventions.
Difficulty attending youth clubs,sports clubs
Reluctance to shower and brush teeth
Next Behaviour
Causes and Interventions
Behaviour
Humming Loudly
Think of some intervention strategies for this situation before revealing the one that was applied.
Interventions
Possible Cause
show
Causes and Interventions
Behaviour
Humming loudly
Think of some intervention strategies for this situation before revealing the one that was applied.
Possible Cause
Intervention
show
Next Behaviour
Causes and Interventions
Behaviour
Packing/rocking in chair
Think of some intervention strategies for this situation before revealing the one that was applied.
Interventions
Possible Cause
show
Causes and Interventions
Behaviour
Packing/rocking in a chair
Think of some intervention strategies for this situation before revealing the one that was applied.
Possible Cause
Intervention
show
Next Behaviour
Causes and Interventions
Behaviour
Flapping hands in front of eyes
Think of some intervention strategies for this situation before revealing the one that was applied.
Interventions
Possible Cause
show
Causes and Interventions
Behaviour
Flapping hands in front of eyes
Think of some intervention strategies for this situation before revealing the one that was applied.
Possible Cause
Intervention
Activities like taking messages to the school office and taking towels etc to the laundry were integrated into GH's daily schedule This gave him movement input and heavy muscle work to meet his sensory needs and to ensure he maintained a regulated state throughout the day.
show
Next Behaviour
Causes and Interventions
Behaviour
Eating non-food items
Think of some intervention strategies for this situation before revealing the one that was applied.
Interventions
Possible Cause
show
Causes and Interventions
Behaviour
Eating non-food items
Think of some intervention strategies for this situation before revealing the one that was applied.
Possible Cause
Intervention
show
Next Behaviour
THANK YOU
Sensory underresponsiveness
YOU HAVE REACHED THE END OF CASE STUDY 2