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DLA LT re care/communication
I have a LT coming up re a client who is unable to grasp the following.
He does not grasp info passed on to him
He talks around A topic and links it very tenously to other info.
He does not have learning diif. according to GP, is a carer for his brother, no-one remains in contact for long enough to supervise him ( no realistic self harm) and is banned by all other agencies locally as regards contacting them. He has various physical health problems but none as
Any ideas as regards working his circs into either supervision or attention - this is the strongest feature of his behaviour to the exclusion of all else
Why is he banned for contacting other organizations and which ones?
He rings them repeatedly, shouting down the phone and is unable to accept that a worker will have more than one client. When the phone is put down on him he calls back adinfinitum
Sounds like he has a borderline personality disorder and is being manipulative more than anything else.
I doubt he has the capacity to understand that notion.To me someone who has a personality disorder can understand that their actions can be counterproductive and so limits their behaviour - this does not apply to him.
For example I can place the phone on the desk and when I come back 20 mins later he has not registered that in effect I’ve been ignoring him as he is repeating the same info as before
any suggestion of autism/ Asperger’s?
There’s no diAgnosis but his behaviour certainly fits with other clients I’ve dealt with who have had Aspergers.
He is of an age mid 50s when it probably wasn’t recognised
From memory of trying to get an Asperger’s diagnosis for a client, family history played a significant part and psychologist wanted to interview parents and siblings, etc., which may be difficult for someone of your client’s age.
http://www.westberks.gov.uk/CHttpHandler.ashx?id=19344&p=0 is about children & DLA and a bit old now but may give you some pointers as a lot of the stuff obviously crosses over to adults too.
How does your client react to being banned from other agencies, being ignored and hung up on by people, etc. Does he get angry, upset, think it funny, indifferent? It may be difficult to get this info from him but it may be helpful to indicate the sort of mental harm that is inflicted on him when he is not supervised. Lack of social and interpersonal skills also obviously put him at general risk when dealing with strangers/members of the public so it is worth trying to get out of him whether he has been threatened/shouted at/abused, etc., for nothing other than what he sees as normal behaviour.
THe fact tthat someoen is no longer talking to him does not seem to register with him. He has a certain strategy of talking at people but seems reluctant to acknowledge the help he has been given. He becomes v.upset when I will not call him back to acknowledge he has received monies owing.
He will not accept anyone elses point of view despite earlier saying he will