Abstract
The service delivery model currently used with a large proportion of profoundly cognitively impaired (PCI) persons, results in the under-utilization of their potential and often contributes to social isolation. By providing communication and independence training the self-actualisation potential and the right to power and control, is recognised. This single case study describes the implementation of a communication intervention model with a PCI adolescent. His mother was trained in the use of picture symbol task analysis as well as positive reinforcement to promote change in the adolescent's communication skills and independence. Results indicated significant changes in the skills of both participants and highlighted the mother's need for support to meet the demands of change.
Highlights
Due to limited provision of services and facilities the needs of a significant proportion of cognitively impaired persons (CIP) are not being met (Alant & Emmett, 1995)
It is known that the clinical picture of a large proportion of these persons relates to the nature of service delivery and the intervention approach (Lea, 1990)
The profound cognitive impaired (PCI) population is distinguished by it's heterogenicity and differences are the rule rather than the exception (Yoder & Villarruel, 1988)
Summary
Due to limited provision of services and facilities the needs of a significant proportion of cognitively impaired persons (CIP) are not being met (Alant & Emmett, 1995). Apart from the individual's inability to communicate, the inability to respond to the interaction attempts of primary caregivers often results in the gradual reduction of primary caregiver attempts to interact with the impaired person This leads to low caregiver expectations regarding communication from the impaired person, reduced opportunities to support the development of language, communication and social skills and results in severe difficulty. Learned helplessness is seen in the anticipation of all needs of the impaired person and results in low demands for communication and low participation in domestic activities and household routines. These features result in reduced social environmental integration of the impaired person.
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