All Things ACL in MHWP

Question 1

Level 2 Groups

Answer 1

• large, gross movement
• difficulty following directions; need more visual cues
• sensory experience, stimulation, exercise

Question 2

Level 3 Groups

Answer 2

• repetition and manipulation
• NOT goal-directed
• clients must be interested in activity
• more demand for timing and structure
• no more than 30 minutes (attention)
• all materials within arms reach
• 1 step at a time

Question 3

Level 4 Groups

Answer 3

• goal-directed
• no more than 1 hour (attention)
• sequencing; problem-solving
• environment is important: everything in the visual field is usable, anything not is not valuable
• demonstration & visual instruction required
• NO written instruction
• diagrams & pictures can be helpful
• ask leading questions to promote thought and sequencing

Question 4

Level 5 Groups

Answer 4

• focus is SAFETY
• impulsivity/ lack of planning/ anticipation
• able to make decisions
• several steps in the activity
• therapist observes when group is using dangerous items

Question 5

Level 6

Answer 5

• members may be placed in a level 5 group for observation or when possible decline is suspected