Individualized Respite Care Guide

• Any concerns related to spending time outside

Interacting • General communication level (check all that apply)  Verbal (can express self clearly) • If highly verbal, favorite topics to discuss  Limited verbal (small vocabulary or difficult to understand) • Unusual phrases (s)he might use  Nonverbal (no or extremely limited spoken vocabulary)  Uses PECS (Picture Exchange Communication System) • Location of book and how to use it

 Uses sign language

• Most frequently used signs

• Any modified signs  Uses an iPad or other device

• Location of device and charger • Specific instructions on how (s)he uses it

• Communication strategies that may be effective

• Communication strategies that are less likely to work • What (s)he calls others who live there (Mom/Mommy, siblings’ names, pets)

• Ability to follow directions  Independently

 Needs a reminder or cue  Needs significant assistance

 Independently but needs extra time

• Signs that (s)he is happy • Signs that (s)he is becoming upset • Signs that (s)he needs to use the bathroom • Signs that (s)he is hungry

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