Cornerstone Services Residential Group Homes

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Problem Cornerstone Services residential group homes currently house 65 intellectually disabled individuals who are being tracked for self-harm and have been resistant to treatment (Behavioral Tracking). Several behavioral and medication therapies have been implemented, however, the detrimental behavior has persisted. This leads to the need for one to one supervision and other restricting interventions. Self-injurious behavior (SIB) is a persistent problem in the intellectually disabled community that can have an enormous negative effect on the quality of life for the individual including more restrictive housing, less outings in the community, and extreme physical harm or death (Cooper et al., 2009; Embrants, Didden, Huitink, & Schreuder, 2009; Pelios, Morren, Tesch, & Axelrod, 1999; Symons, Thompson, & Rodriguez, 2004; Taylor, Oliver, & Murphy, 2011). Evidence of Issue Around 50% of individuals diagnosed with Autism Spectrum Disorder (ASD) present with SIB, the same percentage is found in individuals with Intellectual Disabilities (ID) (Minshawi, Hurwitz, Morriss, & McDougle, 2015). Co-occurring AD and IDD has been shown to increase the frequency of the presentation of symptoms (Dosen, 2007; Minshawi, 2015). All clients residing in the Cornerstone Services group homes have Intellectual Disabilities and many are on the Autism spectrum, showing the prevalence of the issue for the microsystem and the effect on the residents’ quality of life. SIB can display as a
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