ideas required

[paulmonk]

dear brothers and sisters!
i am a key-worker of a person who has obsession of going to toilet(not using it but going there).i suppose he uses it as a place to think ,to process information.he may go to toilet every 5-10 min.when we are in the community he does the same and if he doesnt find any toilet nearby he may just take his trousers down and stay like this untill being told its not appropriate.my guy is very intelligent,verbal,but it takes time for him to process information.i have tried many approaches nothing has worked.any ideas will be much appreciated.
yours sincerely
paulmonk

[nikkij]

Hello and welcome

Just a few questions to get this discussion started....Has the individual been checked for infections/medical conditions? Does he display any bizarre behavious such as smelling objects, looking at lights etc? (Could there be anything sensory he is obtaining from the toilet? such as the smells, echoes, quietness, the lighting?) What does he do once he is in the toilet and what response does he get? Are there any toilets he visits more than others? (or any he prefers not to go in?) Does he actually know when he needs the toilet or is it just 'pot luck' that if he's in there so much he's bound to get it right eventually? Has he been asked why he likes the toilet so much? Could he be directed into a different room if he needs to think or to be alone?

As i said just a few questions to start with!

[paulmonk]

thank you very much for your response.he is ok with his health and doesnot smell anything .while in a toilet he talks to himself and very angry when distracted.any attempts to encourage him to go to another room were not crowned with success. as i have said before he is very very inteligent and going to toilet is a part of his autistic routine.
difficult situation

[simonfinney]

hmmm, its like hunting for a neddle in the hay stack, a functional analisis would be good, if thats not possible key staff and best guesses are a good place to start to answer the questions. what is the client getting from the routeen or behaviour. What is the current bsp for dealing with the behaviour? Client history? have you tried things like belts and trouser on the wrong way to prevent dissrobing? do you think urination is the goal? what about medication? any side effects ( i know there are always side effects ) any specific diaretic effects? what about dual diagnosis any o,c,d's?
let us know how you get on and what you eliminate and how you focus your attention.
an add note: in my exspirence intelligence has nothing to do with compultions and routeens
Try and listen to Ros Blackburn in person.

[anon_e-mouse]

Functional analysis can come in different styles and it may be useful to use this thread as an example, template or guide to how the fact finding part is done.


Having a common framework can be useful, it acts as a guide to developing:


a shared vocabulary for the necessary conversations

a consistent approach for decision making and documenting those decisions

understanding across the organisation and to identify the tools and methods for staff to manage the situation within their own area of responsibility.
the clever bit is the ideas and the creativity that occur on the analysis of the information gathered.

As others will probably agree specific or confidential information should not be included on the site.

So challenge on
"what information would you gather or sugest that paulmonk gather and how should he organise that information on paper to allow others to contribute their thinking and ideas on the subject for the problem solving discussions"