Amanda's Personalized Care Plan for Autism and Intellectual Disability

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[...] Regarding her intellectual disability, her lexicon remains underdeveloped, she can read and recognize simple words. She is sometimes unable to understand instructions, especially oral ones, to situate herself in time and the space around her, to concentrate on a task. We can assess her skills on scale 2 or the activity is sometimes compromised and assistance is sometimes necessary in certain circumstances. Amanda has motor, cognitive, and social abilities that need to be taken into account, evaluated and determine an objective to promote her social participation. [...]

[...] She is interested in various activities and asks the team to realize them. Her ambition is to be more autonomous and succeed in the realization of her daily tasks, such as personal care. However, the team of educators cannot always be available to accompany and help Amanda with her daily tasks. Also, her preferences are not really taken into account despite her many requests. The MDH-PPH conducted here provides a reference to understand the dynamic interaction between Amanda's personal factors and environmental factors and their impacts on the realization of her daily habits, particularly on her social participation. [...]

[...] It is therefore important to show that Amanda, with her autism spectrum disorder and intellectual defiance, requires individualized care, based on her abilities and interests, in order to optimize her social participation. The objective and interventions that will follow must focus on her strengths and improve her autonomy in various areas of daily life. The person's ability to flourish through the realization of their daily habits defines their level of social participation. In this regard, the purpose of the coordinated actions with the person is to enable them to achieve full social participation despite the presence of a disability and/or an autism spectrum disorder. [...]

[...] The initial reflection was focused on the next activity: organizing cooking workshops. We know that she has partial incapacities for tasks requiring fine motor skills, so we decided to rule out cooking workshops in the short term due to the danger it may pose to Amanda. Our attention then turned to hairdressing, a daily habit she enjoys and wishes to be able to do more independently. The specific objective "Enable Amanda to carry out one of her preferred personal care activities more independently" is achievable, feasible, and measurable over time. [...]

[...] Her social contacts are minimal but just as important to maintain a social balance and for better integration. The institute has a good relationship with the family, particularly her sister, meaning that communication between them is at its best and her family is satisfied with Amanda's accompaniment. In addition, points for improvement related to her environment, including the institute and educators, can be suggested. Amanda shows interest in several areas, such as cooking, French history, and snails. She often asks the teams to organize trips that include her interests. Amanda has the ability to evolve. [...]