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Tier 1: 30-year-old client was diagnosed as a child with autism but did…

- - - - Specific mental functions
        
        Higher-level cognitive, attention, perception, and emotions are impaired (AOTA, 2014).
      - Global mental functions
        
        Orientation and temperament/personality are impaired (AOTA, 2014).
  - - - Cultural
        
        Cultural expectations to be socially integrated into the community and to have good hygiene (American Occupational Therapy Association [AOTA] 2014).
      - Personal
        
        Client is a 30 y.o. unemployed male living in a supported mental health community (AOTA, 2014).
      - Temporal
        
        Client is in the process of reintegrating into society from being isolated in the woods for 5 years (AOTA, 2014).
      - Virtual
        
        For the past 5 years, all social communication has been through the computer. Currently he uses video games as a way to distract from face-to-face social interaction. The client has an intense interest in technology in general (AOTA, 2014).
    - - Physical
        
        Client currently lives in a supported mental health community apartment (AOTA, 2014).
      - Social
        
        Client interacts with mental and other health professionals as well as other community dwellers around him and caregivers. Client does not have friends or family (AOTA, 2014).
  - - - Client plays video games to avoid conversations and constantly carries his laptop with him everywhere (AOTA, 2014).
    - - Client is a 30 year old male living a community mental health facility. He is a community member. He does not have many meaningful roles at the moment (AOTA, 2014).
- - - - Involve client in technology centered social groups & resources (Myers, Davis, Stobbe & Bjornson, 2015).
      - Outing with OT to a technology seminar & mock training to work on social communication (Myers, Davis, Stobbe & Bjornson, 2015).
  - - - OT will provide an education session about the available resources and opportunities that he has in his community that may interest him.
      - Provide client with possible assistive devices / technology to help him adapt to his new job.
      - Virtual reality job interview training (VR-JIT)
        
        This intervention will help our client improve job interview performance which will allow him to obtain a job in his interest.
        
        Improving job performance is important for individuals with ASD with social deficits (Smith et al., 2014).
        
        This intervention uses virtual reality to provide simulation and role playing to learn about behavioral learning principles by repetitive practice, active participation, unique training experiences, consistent in-the moment feedback, opportunities to problem solve, and access to web-based educational material (Smith et al., 2014).
  - - - Assist client in IADL tasks (e.g. grocery shopping, hair cut appointments, money management, meal preparation, community transportation) (Weaver, 2015).
      - A visual activity schedule (VAS) will be made to help with when to perform certain hygiene tasks (e.g. brushing teeth, showering, brushing hair, shaving, etc.)
        
        VAS increase, maintain, and generalize a variety of social skills. It will help the client to prepare for the next hygiene task in the morning and night time (Knight, Sartini, & Spriggs, 2015).
      - Resources of community places he will need to get to / how to use public transportation (Weaver, 2015).
      - Help client to explore expressive activities to help reduce social anxieties (art, dance, craft, etc.) (Weaver, 2015).
      - Verbalize and demonstrate hygiene activities with repetition. The therapist will provide verbal cues and physical assistance until he can do it independently. He will use the correct items to demonstrate showering, applying deodorant, brushing teeth, and washings hands.