Observation of adolescent behavior

‰ 1. Hyper vigilant                                       0                            1               2                        3

‰ 2. Difficulty settling at night                   0                            1                2                        3

‰ 3. Repetitive behaviors                            0                           1                2                        3

‰ 4. Nightmares/flashbacks                        0                           1                 2                       3

‰ 5. Low startle threshold                           0                           1                 2                        3

‰ 6. Panic attacks                                          0                           1                  2                        3

‰ 7. Grandiose                                               0                           1                 2                        3

Not Present    Mild       Moderate           Severe

‰ 8. Withdrawn                                                    0                1               2                         3

‰ 9. Sad affect                                                       0                1                2                          3

‰ 10. Flat affect                                                     0                1                2                         3

‰ 11. Crying spells                                                 0                1                2                         3

‰ 12. Tired/loss of energy                                     0               1                2                          3

‰ 13. Negative self-statements                             0              1                2                          3

‰ 14. Physical complaints                                       0              1               2                            3

‰ 15. Irritable                                                             0              1              2                           3

‰ 16. Self-harmful statements                                0             1               2                            3

‰ 17. Self-injurious behavior                                   0              1             2                           3

‰ 18. Loud/shouting                                                    0                     1             2                        3

‰ 19. Under-productive speech                                  0                     1            2                        3

‰ 20. Incoherent speech                                               0                     1            2                       3

‰ 21. Pressured speech                                                 0                     1            2                        3

‰ 22. Disorganized speech                                            0                     1             2                       3

‰ 23. Echolalia                                                                 0                     1             2                       3

‰ 24. Dizziness and/or difficulty standing                   0                1                    2                    3

‰ 25. Exaggerated mannerisms                                     0                1                     2                   3

‰ 26. Stereotypical movements                                    0                 1                     2                   3

‰ 27. Perseveration                                                          0                1                     2                   3

‰ 28. Tremors and tics                                                     0                1                     2                   3

‰ 29. Psychomotor retardation                                       0               1                     2                   3

‰ 30. Clumsiness                                                                0                1                     2                   3

‰ 31. Difficulty staying on task                                    0                      1              2                      3

‰ 32. Difficulty following directions                            0                      1              2                     3

‰ 33. Distracted by external stimuli                            0                       1              2                     3

‰ 34. Distracted by internal stimuli                              0                      1              2                     3

‰ 35. Fidgets/Restless                                                     0                     1                2                    3

‰ 36. Hyper-kinetic                                                         0                       1               2                     3

‰ 37. Cursing                                                                        0                     1            2                      3

‰ 38. Argumentative                                                          0                     1            2                      3

‰ 39. Frustration/Tantrums 0 1 2 3

‰ 40. Disobedient 0 1 2 3

‰ 41. Does not accept responsibility                             0                     1              2                       3

‰ 42. Rude                                                                          0                     1             2                        3

‰ 43. Manipulates others                                                0                     1              2                        3

‰ 44. Lies                                                                            0                     1              2                        3

‰ 45. Verbally threatens                                                  0                     1               2                       3

‰ 46. Physically intimating                                               0                     1               2                       3

‰ 47. Aggressive toward objects                                     0                      1              2                       3

‰ 48. Aggressive toward people                                      0                     1              2                        3

‰ 49. Demands must be met immediately                     0                     1              2                        3

‰ 50. Passively defiant                                                        0                     1             2                        3

‰ 51. Touches others when/where they don’t want           0                  1             2                       3

‰ 52. Teases others                                                                    0                  1             2                       3

‰ 53. Does not maintain appropriate social distance          0                   1             2                       3

‰ 54. Engages in attention seeking behaviors                       0                   1             2                       3

‰ 55. Interrupts or intrudes                                                       0                  1             2                        3

‰ 56. Difficulty waiting one’s turn                                            0                  1              2                       3

‰ 57. Difficulty picking up social cues                                       0                 1               2                       3

‰ 58. Sexually inappropriate – directed toward self               0                1               2                       3

‰ 59. Sexually inappropriate – directed toward others          0                 1              2                       3

‰ 60. Difficulty maintaining personal hygiene                          0                1               2                       3

‰ 61. Incontinence (including bedwetting)                               0                 1              2                        3

‰ 62. Bowel management problems 0 1 2 3

‰ 63.                          Ate most          Skipped most      Picky about what    Overeats or

of this meal     of this meal             he/she ate             gorges

Breakfast                           1                      2                                3                           4

Lunch                                  1                      2                                3                           4

Dinner                                 1                     2                                 3                           4

Snack                                   1                     2                                 3                           4

‰ 64

Sleeps thru the night               Difficulty falling        Awakens early          Restless sleep

1                                               2                                  3                                 4

Not Present        Mild           Moderate    Severe

‰ 65. ___________________________________ 0                         1                    2                       3

‰ 66. ___________________________________ 0                         1                     2                      3

was not observed.

voice or becomes excited

when speaking.

loudly or shouts when

communicating.

of communicating is by

speaking loudly or

shouting. Voice may be

hoarse from shouting

Speech

0

was not observed.

coaxing to speak. This is

different than speaking

softly or in a monotone.)

needs coaxing to speak.

Rarely initiates verbal

interactions.

entirely mute. Will not

respond when spoken to.

was not observed.

slurred, mumbled, and at

times difficult to

understand.

mutters often. Speech

very difficult to

understand.

make sense or speech is

so garbled that it not

understandable

was not observed.

.

pressured speech is

typically a moderate to

severe condition.

rapidly and has difficulty

slowing down speech,

even when prompted.

rapidly may be difficult to understand; has extreme difficulty trying to stop is unable to stop talking

was not observed.

topics during verbal

interactions, so that

sentences don’t always

make sense.

speech shifts from subject

to subject, in an apparent

random fashion. May

make up words as he/she

speaks.

converse with the

individual as the content

of their speech is

constantly shifting.

Individual may respond in totally irrelevant ways or reach illogical

conclusions.

was not observed.

repeat a word or phrase

spoken by another.

Happens once or twice a

day.

(several times a shift)

repeats words or phrases.

Speaks in a mechanical,

robot like speech pattern.

or phrases of others

several times an hour.

Has difficulty being

redirected from this

behavior.

Difficulty Standing

was not observed.

complains of dizziness or nausea, but able to

ambulate.

verbally complains of

dizziness or nausea, needs assistance to stand.

getting out of bed or may need to remain in bed. Needs physical assistance to ambulate.

Mannerisms

was not observed.

.

.

overstated gestures and

facial expressions when

communicating

movements, at virtually

all times appear

exaggerated.

Movements

was not observed.

repetitive motor activity,

appears repetitive and nonproductive

the day and may interfere with social communication with others.

was not observed.

.

appear to be stuck on a

thought or behavior

“is stuck” on the same

movement or thought,

behaviors interfere with

ability to engage in other

tasks, including activities

of daily living and social

interactions.

was not observed.

.

or spasm in face or hands noted once or twice in an

hour

utterances noted more

than twice an hour.

continuous, multiple

facial and hand spasms

and/or uncontrolled

utterances observed.

Muscles or limbs may be

severely contorted.

Retardation

was not observed.

,

psychomotor stiffness or

jerkiness.

psychomotor difficulties

including stiff or jerky

movements, pill-rolling,

grimacing,exaggerated

facial expression.

physical movement is

exaggerated or difficult

on Task

was not observed.

prompting to stay on task

several times a day.

frequently prompting and coaxing to attend to a task, but does not stay on task for more than 10 –15 minutes before needing

additional redirection.

focused on tasks for more than 5 – 10 minutes or cannot engage in the task

when directed. When not

on task the behaviors are

disruptive to others.

was not observed.

.

clumsy for age, such as a

teenager who frequently

falls while running

clumsy, such as falling

over objects or knocking

over objects several times

a day/shift.

awkward, frequently

bumping into things and

people throughout the

day/shift.

Directions

was not observed.

.

immediately focusing on

verbal prompts and

directions, but does return

to task or response within

a minute or two.

multiple prompts with

great difficulty and may

or may not respond to the

redirection. May require

physical touch to

establish contact

preoccupied and/or off

task that is unable to

respond to prompts and

redirection. Physical

touch used as primary

means of redirection.

May not be able to

complete a task.

external stimuli

was not observed.

interruptions or external

activities.

objects and activities in

immediate surroundings

without thinking.

external stimuli is

persistent and prevents

individual from

completing immediate

tasks.

internal stimuli

was not observed.

thought/self-absorbed,

with little awareness of

surroundings. May appear

surprised or startled when

addressed.

appear aware of

surroundings or others in

the environment. May

engage in behaviors in

response to thoughts

without awareness of

others.

preoccupied by thoughts

that he/she has difficulty

responding to others or

his/her environment.

May not respond even

when prompted. May

converse with self (in

response to voices).

was not observed.

.

still for much more than

15 minutes. Body in

frequent motion

has difficulty sitting still

for more than 5 minutes.

Body in frequent random

motion.

wriggles constantly.

Difficulty sitting still for

more than a few minutes. Body in constant, random

motion

was not observed.

energy, which interferes

with staying on task.

Needs verbal prompts to

reengage.

motion greatly interferes

with staying on task.

Needs constant verbal

prompts to help focus.

May at times need

physical prompts to

redirect.

task due to high levels of

physical activity, such as

running, jumping, and

climbing. Ignores verbal

prompts and may need

physical touch such as

holding to help refocus

was not observed.

.

appropriate and

inappropriate times, i.e.,

language is ‘peppered’

with sporadic cursing.

routine part of verbal

communication and may

interject curse words in

most statements.

not using curse words,

even when prompted.

Defends use of curse

words even when told by

others that it is offensive

was not observed.

over minor offenses or

when given simple

directions. Easily

becomes defensive.

contests directions and

feedback. May raise

voice, curse, or appear to

be excited.

frequently based on

conflict. Verbal

communication is

characterized by cursing,

shouting, “getting in your face,” and being highly defensive.

Tantrums

was not observed.

tasks when the task

appears to be demanding.

May express frustration

by cursing, stomping feet,

or leaving activity.

refuse and therefore

require encouragement to engage in a demanding activity. May externalize frustration through attempts to escape the

situation or through

acting-out/aggression

toward objects.

of demanding activities.

May externalize

frustration through

attempts to escape the

situation or through

acting-out/aggression

toward objects and/or

others.

was not observed.

.

refuses to do as asked,

which may be evidenced

by being argumentative,

cursing, and shouting

to do as asked or as

suggested and may do

exactly the opposite of

what was requested.

Appears to be reinforced

by this behavior.

rules and does not follow through with

expectations. Interactions

over disobedient

behaviors typically result

in conflict and may lead

to aggressive behaviors

Responsibility

was not observed.

poor or inadequate

decision, tends to refuse

to accept responsibility

and the consequences that  result from those choices.

poor decision making

skills and then minimizes

impact on self and others.

minimizing the effects of

poor choices, when

confronted about his/her

choices, is likely to blame

others for own behaviors

was not observed.

or does things to be

hurtful of others. For

example, may ridicule

another person.

engages others by saying

and doing things that are

hurtful. Demonstrates a

lack of sensitivity to the

feelings of others.

say or do things to illicit

negative behaviors from

others. Appears to be

reinforced when others

become irritated by these

behaviors.

was not observed.

do or say things to

influence others to engage

in negative behaviors.

be reinforced by ability to

manipulate others. Often

uses manipulation to

obtain personal gain.

gets in the way of

developing healthy

relationships with others.

May take advantage of

‘weaker’ peers who are

easily victimized. Seems

to enjoy ability to get

others into trouble.

was not observed.

defend a poor decision or

exaggerate a situation.

comfortable in telling

falsehoods and denies that

he/she is lying when

confronted.

or no remorse when

confronted with a

falsehood and will defend the lie in the face of overwhelming evidence

to the contrary.

was not observed.

.

frustration or anger, will

threaten aggression.

However, will usually

apologize later and can

acknowledge that the

threat was a response to

the situation

threats to intimate others.

Demonstrates little or no

contrition after the threat

is made. Threats are

often verbalized through

shouting and cursing

of harm is implied or

evident in the threat,

Threat

may be verbalized in a

steady, “steely” tone of

voice

Intimidating

was not observed.

.

used physical presence to

frighten or manipulate

another. May be used in

response to frustration or

anger.

individuals and tends to

repeatedly physically

intimate another person;

i.e., behavior is clearly

volitional. Tends to use

intimation with

individuals who are easily

victimized

intimidation as the

primary means of

connecting with and/or

obtaining gain from

another. Uses intimation

with whoever he/she

wants to take advantage

of regardless of age, size,

etc

objects

was not observed.

.

or hit objects out of

frustration or anger.

and intense aggression

toward objects, usually

accompanied by other

behaviors, such as

shouting, cursing, or

crying.

toward objects is

accompanied by loss of

self-control and may

result in self-injury, such

as from banging hands on the wall

people

was not observed.

frustrated may lash out at others, such as pushing or shoving.

aggression such as

punching, kicking, and

biting, which is often

targeted toward another.

bodily harm to another.

met immediately

was not observed.

feet, shake, and/or pout

when he/she doesn’t get

demand met immediately.

to physical expression,

repeats demands over and

over in a loud or shrill

tone of voice.

verbally threatening,

physically aggressive, or

may lose self-control in

response to not getting

demands met

immediately

was not observed.

.

refuse to follow directions

by ignoring the person

providing the guidance

directions and continues

with alternative activities

even when asked to stop.

Appears to enjoy the

frustration this engenders.

directions, engage in

scheduled activities or

participate as requested.

Ignores attempts at

redirection. These

behaviors often escalate

into power struggles and

heated arguments

when/ where they don’t

want

was not observed.

contact at inappropriate

times and does not appear

to recognize social cues

that the behavior is

unwanted. For example,

may use a hug as a

greeting.

another’s body in socially

unacceptable ways, such

as rubbing against a

person or grabbing a

woman’s breasts. Needs

verbal redirection to stop

the behaviors.

inappropriate touching

even when reminded and

may require physical

interaction to stop the

behavior, such as

extending a hand to keep

the individual at arm’s

length

was not observed.

teases others in a manner

that is not always age

appropriate. Is fairly

redirectable.

others in ways that are

clearly not age

appropriate. Needs

frequent redirection.

Teasing is usually not

tolerated by peers.

inappropriate teasing

even with frequent

prompts. May require

physical interaction to

stop the behavior, such as

use of time out. Peers

may respond in an

aggressive manner if

teasing does not desist.

social distance

was not observed.

close to another person

during interactions. The

other person may need to

step back or move from

the seat in response to the

close proximity.

frequent prompts

regarding being to close.

Does not appear to be

aware of another’s

discomfort.

intrude into another’s

personal space, even

when reminded and may

require physical

interaction to stop the

behavior, such as

extending a hand to keep

the individual at arm’s

length.

seeking behaviors

was not observed.

.

.

attention seeking requires

staff redirection, which

the individual accepts

without becoming

oppositional

seeking behavior

continues after several

prompts and may require

physical redirection, such

as time out. Behaviors

may be tolerated by peers

interfere with staying on

task and require

assistance from staff to

manage. Peers have

difficulty tolerating the

behaviors

intrudes

was not observed.

using appropriate social

skills, e.g., without

saying, “excuse me.”

Behaviors are generally

tolerated by others.

frequent verbal prompts

regarding interrupting or

intruding on others. Does  not appear to be aware of another’s discomfort.

intrude or interrupt even

when reminded and may

require physical removal

from the area/situation to

stop the behavior, such as using time out. Peers

have difficulty tolerating

the behaviors.

one’s turn

was not observed.

.

disrupts others when

speaking or breaks into an

activity. At times

requires redirection for

this behavior.

disrupts others when

speaking or breaks into an

activity. Requires

redirection for this

behavior

initiates without regard

for the feelings or needs

of others. Appears to

lack self-control over this behavior, even when

prompted.

up social cues

was not observed.

prompting regarding

social behaviors and

responding to social cues

from others.

misreads social cues,

resulting in need for

verbal and or physical

redirection, such as

separating from peers.

behaviors and inability to

respond to social cues

results in negative social

consequences.

Inappropriate: Directed

toward others

was not observed.

makes sexually

inappropriate comments

or initiates sexually

inappropriate touching of others, such as rubbing

against another person.

verbal redirection for

using sexually

inappropriate comments

during social interactions.

May require verbal and/or

physical redirection due

to attempting to touch

another’s private parts.

grope another person

requiring physical

separation from others.

May be hypersexual, with

these behaviors occurring

frequently throughout the

day/shift

personal hygiene

was not observed.

.

prompting to complete

daily hygiene. For

example, may need to

send back to the

bathroom to take a

shower or brush teeth

frequent prompting, on a

daily basis, to complete

personal hygiene, such as

bathing and brushing

teeth. Does not pick up

social cues that poor

hygiene is undesirable.

physical assistance and

direction in completing

personal hygiene. Cannot

complete daily hygiene

activities without this

assistance.

all or most of the portions

served with the meal.

Ate only one or two items

and/or did not eat all of

each portion served, so

that most of the food was

left on the plate.

he/she Eats: Has very

limited range of foods

that he or she will eat.

May eat snacks in lieu of

meals served or request

extra portions of a

particular item.

Eats quickly and often

asks for extra servings.

May ask for or take extra

portions from peers. May

ask for additional food

and snacks throughout the

day.

w/o incident: When 15

minute bed checks are

made, child usually

appears to be deeply

asleep. If awakens to use

the bathroom, typically

falls back to sleep

quickly.

Has difficulty falling

asleep. May be up an

hour or two after lights

out. May result in being

sleepy and/or irritable

later in the day.

Awakens early and

cannot fall back to sleep.

May result in being

sleepy and/or irritable

later in the day.

Difficulty falling and

staying asleep. Is often

up and out of room during

the night and is awake

when bed checks are

made. May result in being

sleepy and/or irritable

later in the day.