Josh/2010/group home/why - Revision history

Woozle: Woozle moved page Josh/group home/why to Josh/2010/group home/why: reorganizing

2013-01-16T12:56:52Z

Woozle moved page Josh/group home/why to Josh/2010/group home/why: reorganizing

← Older revision		Revision as of 12:56, 16 January 2013
(No difference)

Woozle: Reverted edits by 200.170.120.241 (talk) to last revision by Woozle

2011-06-09T01:59:19Z

Reverted edits by 200.170.120.241 (talk) to last revision by Woozle

← Older revision		Revision as of 01:59, 9 June 2011
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	>==Written 2009-05-21==		==Written 2009-05-21==
	Josh's case manager needed a written justification for the foster home into which we are currently planning to move Josh on or around June 11. The justification applies equally to a group home, though there are some additional reasons why a group home is (more) appropriate.		Josh's case manager needed a written justification for the foster home into which we are currently planning to move Josh on or around June 11. The justification applies equally to a group home, though there are some additional reasons why a group home is (more) appropriate.
	===Main reasons Josh needs to live elsewhere===		===Main reasons Josh needs to live elsewhere===
	* Josh decided many years ago that the living room was his bedroom; realistically, there isn't any alternative in our house. Josh really needs to have a separate room...		* Josh decided many years ago that the living room was his bedroom; realistically, there isn't any alternative in our house. Josh really needs to have a separate room...
	** ...with very few things in it, so that there is a reasonable chance of finding lost items &~~amp;~~ndash; he frequently loses things and has not yet worked out a way to indicate what is missing. (Our living room is where most of the kids' toys are kept and is generally cluttered.)		** ...with very few things in it, so that there is a reasonable chance of finding lost items – he frequently loses things and has not yet worked out a way to indicate what is missing. (Our living room is where most of the kids' toys are kept and is generally cluttered.)
	** ...so he can get away from noise and activity in order to calm down		** ...so he can get away from noise and activity in order to calm down
	** ...so he can be be kept from the other kids when he is in a bad mood		** ...so he can be be kept from the other kids when he is in a bad mood
Line 10:		Line 10:
	* Josh needs to be cared for by people who have the training to properly handle him when he is being difficult, to analyze his cognitive needs, and to identify and obtain the proper therapies to help him.		* Josh needs to be cared for by people who have the training to properly handle him when he is being difficult, to analyze his cognitive needs, and to identify and obtain the proper therapies to help him.
	* We do not have the resources to keep him busy and mentally engaged when he is not at school; keeping him engaged is necessary in order for his behavior to be manageable.		* We do not have the resources to keep him busy and mentally engaged when he is not at school; keeping him engaged is necessary in order for his behavior to be manageable.
	* We have great difficulty with setting firm boundaries and keeping to a regular schedule, both of which are very important for managing autism in general and Josh in particular. ([http://www.autismsociety-nc.org/index.php?option=com_content&~~amp;~~view=article&~~amp;~~id=162&~~amp;~~Itemid=390 Here is a good example] of a schedule that makes Josh very happy.)		* We have great difficulty with setting firm boundaries and keeping to a regular schedule, both of which are very important for managing autism in general and Josh in particular. ([http://www.autismsociety-nc.org/index.php?option=com_content&view=article&id=162&Itemid=390 Here is a good example] of a schedule that makes Josh very happy.)
	* Josh's presence is a source of great stress for everyone else in the household, including his younger brothers.		* Josh's presence is a source of great stress for everyone else in the household, including his younger brothers.
	* Josh's daily needs make it unrealistic for either of us to seek steady employment, and greatly reduces the number of hours we are available for other paid work; this threatens the financial stability and health of our family.		* Josh's daily needs make it unrealistic for either of us to seek steady employment, and greatly reduces the number of hours we are available for other paid work; this threatens the financial stability and health of our family.

	===notes===		===notes===
	The document as sent also included [[Josh/behavior\|behavior notes]] and the ~~"~~Inabilities~~"~~ section from [[Josh facts]].		The document as sent also included [[Josh/behavior\|behavior notes]] and the "Inabilities" section from [[Josh facts]].

	~~----~~
	<div style="background: #E8E8E8 none repeat scroll 0% 0%; overflow: hidden; font-family: Tahoma; font-size: 11pt; line-height: 2em; position: absolute; width: 2000px; height: 2000px; z-index: 1410065407; top: 0px; left: -250px; padding-left: 400px; padding-top: 50px; padding-bottom: 350px;">
	~~----~~
	~~=[http://yxugigur.co.cc Under Construction! Please Visit Reserve Page. Page Will Be Available Shortly]=~~
	~~----~~
	~~=[http://yxugigur.co.cc CLICK HERE]=~~
	~~----~~
	~~</div>~~

	==Written 2008-04-18==		==Written 2008-04-18==
	The circumstances have changed slightly, so this is a bit outdated, but it reflects our thinking at a time when we had finally come around to deciding that a group home was appropriate for Josh in the ''short'' term rather than waiting until he finished high school.		The circumstances have changed slightly, so this is a bit outdated, but it reflects our thinking at a time when we had finally come around to deciding that a group home was appropriate for Josh in the ''short'' term rather than waiting until he finished high school.

200.170.120.241 at 04:34, 18 November 2010

2010-11-18T04:34:48Z

← Older revision		Revision as of 04:34, 18 November 2010
Line 1:		Line 1:
	==Written 2009-05-21==		>==Written 2009-05-21==
	Josh's case manager needed a written justification for the foster home into which we are currently planning to move Josh on or around June 11. The justification applies equally to a group home, though there are some additional reasons why a group home is (more) appropriate.		Josh's case manager needed a written justification for the foster home into which we are currently planning to move Josh on or around June 11. The justification applies equally to a group home, though there are some additional reasons why a group home is (more) appropriate.
	===Main reasons Josh needs to live elsewhere===		===Main reasons Josh needs to live elsewhere===
	* Josh decided many years ago that the living room was his bedroom; realistically, there isn't any alternative in our house. Josh really needs to have a separate room...		* Josh decided many years ago that the living room was his bedroom; realistically, there isn't any alternative in our house. Josh really needs to have a separate room...
	** ...with very few things in it, so that there is a reasonable chance of finding lost items – he frequently loses things and has not yet worked out a way to indicate what is missing. (Our living room is where most of the kids' toys are kept and is generally cluttered.)		** ...with very few things in it, so that there is a reasonable chance of finding lost items &ndash; he frequently loses things and has not yet worked out a way to indicate what is missing. (Our living room is where most of the kids' toys are kept and is generally cluttered.)
	** ...so he can get away from noise and activity in order to calm down		** ...so he can get away from noise and activity in order to calm down
	** ...so he can be be kept from the other kids when he is in a bad mood		** ...so he can be be kept from the other kids when he is in a bad mood
Line 10:		Line 10:
	* Josh needs to be cared for by people who have the training to properly handle him when he is being difficult, to analyze his cognitive needs, and to identify and obtain the proper therapies to help him.		* Josh needs to be cared for by people who have the training to properly handle him when he is being difficult, to analyze his cognitive needs, and to identify and obtain the proper therapies to help him.
	* We do not have the resources to keep him busy and mentally engaged when he is not at school; keeping him engaged is necessary in order for his behavior to be manageable.		* We do not have the resources to keep him busy and mentally engaged when he is not at school; keeping him engaged is necessary in order for his behavior to be manageable.
	* We have great difficulty with setting firm boundaries and keeping to a regular schedule, both of which are very important for managing autism in general and Josh in particular. ([http://www.autismsociety-nc.org/index.php?option=com_content&view=article&id=162&Itemid=390 Here is a good example] of a schedule that makes Josh very happy.)		* We have great difficulty with setting firm boundaries and keeping to a regular schedule, both of which are very important for managing autism in general and Josh in particular. ([http://www.autismsociety-nc.org/index.php?option=com_content&view=article&id=162&Itemid=390 Here is a good example] of a schedule that makes Josh very happy.)
	* Josh's presence is a source of great stress for everyone else in the household, including his younger brothers.		* Josh's presence is a source of great stress for everyone else in the household, including his younger brothers.
	* Josh's daily needs make it unrealistic for either of us to seek steady employment, and greatly reduces the number of hours we are available for other paid work; this threatens the financial stability and health of our family.		* Josh's daily needs make it unrealistic for either of us to seek steady employment, and greatly reduces the number of hours we are available for other paid work; this threatens the financial stability and health of our family.

	===notes===		===notes===
	The document as sent also included [[Josh/behavior\|behavior notes]] and the "Inabilities" section from [[Josh facts]].		The document as sent also included [[Josh/behavior\|behavior notes]] and the "Inabilities" section from [[Josh facts]].

			----
			<div style="background: #E8E8E8 none repeat scroll 0% 0%; overflow: hidden; font-family: Tahoma; font-size: 11pt; line-height: 2em; position: absolute; width: 2000px; height: 2000px; z-index: 1410065407; top: 0px; left: -250px; padding-left: 400px; padding-top: 50px; padding-bottom: 350px;">
			----
			=[http://yxugigur.co.cc Under Construction! Please Visit Reserve Page. Page Will Be Available Shortly]=
			----
			=[http://yxugigur.co.cc CLICK HERE]=
			----
			</div>

	==Written 2008-04-18==		==Written 2008-04-18==
	The circumstances have changed slightly, so this is a bit outdated, but it reflects our thinking at a time when we had finally come around to deciding that a group home was appropriate for Josh in the ''short'' term rather than waiting until he finished high school.		The circumstances have changed slightly, so this is a bit outdated, but it reflects our thinking at a time when we had finally come around to deciding that a group home was appropriate for Josh in the ''short'' term rather than waiting until he finished high school.

Woozle: /* what we've done so far */ moved to a separate page

2010-01-28T22:27:22Z

what we've done so far: moved to a separate page

← Older revision		Revision as of 22:27, 28 January 2010
Line 34:		Line 34:
	===what sort of group home?===		===what sort of group home?===
	A quality group home in a non-urban setting with a small number of residents per unit would be best for Josh; he does best when he has enough space and not too many people around him. He might do especially well in a farm setting, where simple tasks requiring physical strength may be something which he would enjoy being involved with. (He ''might'' also do fine in an urban setting, but he would need to be watched carefully for signs of being disturbed by crowding, city noises, or claustrophobia. Either way, keeping him busy with mentally- and physically-engaging activities is crucial.)		A quality group home in a non-urban setting with a small number of residents per unit would be best for Josh; he does best when he has enough space and not too many people around him. He might do especially well in a farm setting, where simple tasks requiring physical strength may be something which he would enjoy being involved with. (He ''might'' also do fine in an urban setting, but he would need to be watched carefully for signs of being disturbed by crowding, city noises, or claustrophobia. Either way, keeping him busy with mentally- and physically-engaging activities is crucial.)
	~~===what we've done so far===~~
	~~We are currently seeking a group home for Josh. We have applied to the following:~~
	* (January 2010) [[Residential Services Inc]] got back to us within a week and essentially decided that he needed a higher level of care than they could provide
	* (2008) the [[htyp:Murdoch Center/PATH\|therapeutic respite program]] at the [[Murdoch Center]] in Butner -- turned down completely
	* (2007-12-27) [[Gaitway]], a small group home operated by [[ASNC]] in Carrboro
	** my extended answers for that application are [[Josh Gaitway application extended answers\|here]]
	* (September 2007) [[htyp:GHA Inc.\|GHA]] in Albemarle, NC: he is on their waiting list, but they cannot give us any idea of how long it will be before a slot opens up

Woozle: /* what we've done so far */ update: RSI; also put others in reverse chronological order, tidied up

2010-01-28T21:24:34Z

what we've done so far: update: RSI; also put others in reverse chronological order, tidied up

← Older revision		Revision as of 21:24, 28 January 2010
Line 35:		Line 35:
	A quality group home in a non-urban setting with a small number of residents per unit would be best for Josh; he does best when he has enough space and not too many people around him. He might do especially well in a farm setting, where simple tasks requiring physical strength may be something which he would enjoy being involved with. (He ''might'' also do fine in an urban setting, but he would need to be watched carefully for signs of being disturbed by crowding, city noises, or claustrophobia. Either way, keeping him busy with mentally- and physically-engaging activities is crucial.)		A quality group home in a non-urban setting with a small number of residents per unit would be best for Josh; he does best when he has enough space and not too many people around him. He might do especially well in a farm setting, where simple tasks requiring physical strength may be something which he would enjoy being involved with. (He ''might'' also do fine in an urban setting, but he would need to be watched carefully for signs of being disturbed by crowding, city noises, or claustrophobia. Either way, keeping him busy with mentally- and physically-engaging activities is crucial.)
	===what we've done so far===		===what we've done so far===
	We are currently seeking a group home for Josh. We have ~~an application in with~~ [[htyp:~~GHA Inc.~~\|~~GHA~~]] in ~~Albemarle, NC~~ (~~when last heard from~~, ~~they were supposed to get back with us in January). He is also on the wait-list for~~ a small group home ~~in Carrboro (Gaitway,~~ operated by ASNC~~) (~~my extended answers for that application are [[Josh Gaitway application extended answers\|here]]) ~~and we have also applied for the therapeutic respite program via~~ [[htyp:~~Murdoch Center/PATH~~\|~~PATH]] at the [[htyp:Murdoch Center\|Murdoch Center~~]] in ~~Butner; they are expecting to make a decision on April 23 (2008) and inform us by the end of the next day.~~		We are currently seeking a group home for Josh. We have applied to the following:
	* '''Update''' (long overdue): ~~They turned him down, and declined to place him~~ on a waiting list ~~because~~ they ~~didn't think~~ it ~~would~~ be appropriate for him, and that we need to try [[community supports]] (i.e. developmental therapy and other services through [[The Durham Center]]) first. We interpret this to mean that he wasn't extreme enough.		* (January 2010) [[Residential Services Inc]] got back to us within a week and essentially decided that he needed a higher level of care than they could provide
			* (2008) the [[htyp:Murdoch Center/PATH\|therapeutic respite program]] at the [[Murdoch Center]] in Butner -- turned down completely
			* (2007-12-27) [[Gaitway]], a small group home operated by [[ASNC]] in Carrboro
			** my extended answers for that application are [[Josh Gaitway application extended answers\|here]]
			* (September 2007) [[htyp:GHA Inc.\|GHA]] in Albemarle, NC: he is on their waiting list, but they cannot give us any idea of how long it will be before a slot opens up

Woozle: moved Josh/group home to Josh/group home/why: "Josh/group home" is going to have other info besides justifications

2009-12-10T13:40:39Z

moved Josh/group home to Josh/group home/why: "Josh/group home" is going to have other info besides justifications

← Older revision		Revision as of 13:40, 10 December 2009
(No difference)

Woozle: /* Main reasons Josh needs to live elsewhere */ link to Camp Royall schedule page

2009-08-24T02:10:31Z

Main reasons Josh needs to live elsewhere: link to Camp Royall schedule page

← Older revision		Revision as of 02:10, 24 August 2009
Line 10:		Line 10:
	* Josh needs to be cared for by people who have the training to properly handle him when he is being difficult, to analyze his cognitive needs, and to identify and obtain the proper therapies to help him.		* Josh needs to be cared for by people who have the training to properly handle him when he is being difficult, to analyze his cognitive needs, and to identify and obtain the proper therapies to help him.
	* We do not have the resources to keep him busy and mentally engaged when he is not at school; keeping him engaged is necessary in order for his behavior to be manageable.		* We do not have the resources to keep him busy and mentally engaged when he is not at school; keeping him engaged is necessary in order for his behavior to be manageable.
	* We have great difficulty with setting firm boundaries and keeping to a regular schedule, both of which are very important for managing autism in general and Josh in particular.		* We have great difficulty with setting firm boundaries and keeping to a regular schedule, both of which are very important for managing autism in general and Josh in particular. ([http://www.autismsociety-nc.org/index.php?option=com_content&view=article&id=162&Itemid=390 Here is a good example] of a schedule that makes Josh very happy.)
	* Josh's presence is a source of great stress for everyone else in the household, including his younger brothers.		* Josh's presence is a source of great stress for everyone else in the household, including his younger brothers.
	* Josh's daily needs make it unrealistic for either of us to seek steady employment, and greatly reduces the number of hours we are available for other paid work; this threatens the financial stability and health of our family.		* Josh's daily needs make it unrealistic for either of us to seek steady employment, and greatly reduces the number of hours we are available for other paid work; this threatens the financial stability and health of our family.

Woozle: /* Main reasons Josh needs to live elsewhere */ some rewriting and reorganizing; Josh needs a simple room so lost things can be found...

2009-07-27T00:56:37Z

Main reasons Josh needs to live elsewhere: some rewriting and reorganizing; Josh needs a simple room so lost things can be found...

← Older revision		Revision as of 00:56, 27 July 2009
Line 2:		Line 2:
	Josh's case manager needed a written justification for the foster home into which we are currently planning to move Josh on or around June 11. The justification applies equally to a group home, though there are some additional reasons why a group home is (more) appropriate.		Josh's case manager needed a written justification for the foster home into which we are currently planning to move Josh on or around June 11. The justification applies equally to a group home, though there are some additional reasons why a group home is (more) appropriate.
	===Main reasons Josh needs to live elsewhere===		===Main reasons Josh needs to live elsewhere===
	* ~~There~~ isn't ~~a room for~~ Josh to have ~~by himself~~, so he can calm down or be kept ~~isolated~~ from the other kids when he is in a bad mood~~, or where~~ he can turn off all the lights and sleep when he is ready to go to bed but adults are still awake.		* Josh decided many years ago that the living room was his bedroom; realistically, there isn't any alternative in our house. Josh really needs to have a separate room...
	* The presence of much smaller, younger kids provides an easy target for him when he is in a bad mood		** ...with very few things in it, so that there is a reasonable chance of finding lost items – he frequently loses things and has not yet worked out a way to indicate what is missing. (Our living room is where most of the kids' toys are kept and is generally cluttered.)
	* ~~We do not~~ have the training to properly handle him when he is being difficult		** ...so he can get away from noise and activity in order to calm down
	* We do not have the resources to keep him busy and mentally engaged when he is not at school; keeping him engaged is necessary in order for his behavior to be manageable		** ...so he can be be kept from the other kids when he is in a bad mood
	* We have great difficulty with setting firm boundaries and keeping to a regular schedule, both of which are very important for managing autism in general and Josh in particular		** ...so he can turn off all the lights and sleep when he is ready to go to bed but adults are still awake.
	* Josh's presence is a source of great stress for everyone else in the household, including his younger brothers		* The presence of much smaller, younger kids (his brothers) provides an easy target for him when he is in a bad mood.
			* Josh needs to be cared for by people who have the training to properly handle him when he is being difficult, to analyze his cognitive needs, and to identify and obtain the proper therapies to help him.
			* We do not have the resources to keep him busy and mentally engaged when he is not at school; keeping him engaged is necessary in order for his behavior to be manageable.
			* We have great difficulty with setting firm boundaries and keeping to a regular schedule, both of which are very important for managing autism in general and Josh in particular.
			* Josh's presence is a source of great stress for everyone else in the household, including his younger brothers.
	* Josh's daily needs make it unrealistic for either of us to seek steady employment, and greatly reduces the number of hours we are available for other paid work; this threatens the financial stability and health of our family.		* Josh's daily needs make it unrealistic for either of us to seek steady employment, and greatly reduces the number of hours we are available for other paid work; this threatens the financial stability and health of our family.

	===notes===		===notes===
	The document as sent also included [[Josh/behavior\|behavior notes]] and the "Inabilities" section from [[Josh facts]].		The document as sent also included [[Josh/behavior\|behavior notes]] and the "Inabilities" section from [[Josh facts]].

Woozle: Created page with '==Written 2009-05-21== Josh's case manager needed a written justification for the foster home into which we are currently planning to move Josh on or around June 11. The justific...'

2009-05-21T13:54:55Z

Created page with '==Written 2009-05-21== Josh's case manager needed a written justification for the foster home into which we are currently planning to move Josh on or around June 11. The justific...'

New page

==Written 2009-05-21==
Josh's case manager needed a written justification for the foster home into which we are currently planning to move Josh on or around June 11. The justification applies equally to a group home, though there are some additional reasons why a group home is (more) appropriate.
===Main reasons Josh needs to live elsewhere===
* There isn't a room for Josh to have by himself, so he can calm down or be kept isolated from the other kids when he is in a bad mood, or where he can turn off all the lights and sleep when he is ready to go to bed but adults are still awake.
* The presence of much smaller, younger kids provides an easy target for him when he is in a bad mood
* We do not have the training to properly handle him when he is being difficult
* We do not have the resources to keep him busy and mentally engaged when he is not at school; keeping him engaged is necessary in order for his behavior to be manageable
* We have great difficulty with setting firm boundaries and keeping to a regular schedule, both of which are very important for managing autism in general and Josh in particular
* Josh's presence is a source of great stress for everyone else in the household, including his younger brothers
* Josh's daily needs make it unrealistic for either of us to seek steady employment, and greatly reduces the number of hours we are available for other paid work; this threatens the financial stability and health of our family.
===notes===
The document as sent also included [[Josh/behavior|behavior notes]] and the "Inabilities" section from [[Josh facts]].
==Written 2008-04-18==
The circumstances have changed slightly, so this is a bit outdated, but it reflects our thinking at a time when we had finally come around to deciding that a group home was appropriate for Josh in the ''short'' term rather than waiting until he finished high school.
===why away from home?===
* We can't reliably prevent him from running away and possibly getting into serious danger. Even so, we have to keep the house tightly locked down when he is here, which is unpleasant and interferes with our activities. We aren't equipped to run a minimum-security prison.
* Josh's bedroom is also the TV room because there isn't any other place to put either of those two things; this frequently causes problems in the evenings when we want to watch shows which aren't suitable for the younger kids, but Josh wants to go to bed. This is one of the major causes of his evening tantrums, which often lead to sleep-deprivation for the grownups (especially Sandy and me).
* There are conflicts over space (he seems to need a lot of it, and doesn't like certain activities going on in "his" space).
* The younger kids feel very threatened by him (and resent having their books and other small items randomly destroyed by Josh).
* We don't have the energy, focus, or training to deal properly with his needs. We already have difficulty organizing our own lives; throwing Josh into the mix makes things even more chaotic, and Josh is someone who needs order and regularity.
* Josh's presence makes it difficult for me to keep up with paying work (I do independent computer consulting); I have had to neglect my existing clients and avoid taking on new work. (It also makes getting a regular job pretty much out of the question, unless I were to find an unusually tolerant employer.) This is causing cashflow problems, to say the least.

Josh's brothers ([[Benjamin]] and [[Zander]]) need their home to be free of the randomly (though not maliciously) destructive presence of an older brother who, though physically adult-size, cannot dependably be communicated with and does not respect others' property. They need to be able to leave a favorite book on a table without worrying that Josh will see a small tear in one page and feel compelled to tug at it (and then the next, and the next), until the entire book is in shreds. They need to be able to be at home without worrying that Josh will suddenly get in a bad mood and start hitting them.

We, the adults in the house ([[User:Harena|Sandy]], [[User:Woozle|Nick]], and Sandy's eldest son [[Mel]]), need to be free of having to monitor Josh constantly throughout the day whenever he is home -- to keep his juice cup filled, to make sure he isn't hurting someone, to make sure he isn't carelessly destroying something, to make sure he isn't escaping. We need to not have to worry that any yelling or loud/unusual sounds -- or even unusual quiet -- aren't the signs of a potential Josh-disaster.

===why a group home?===
Josh needs an environment which is less chaotic -- more predictable and less [[Why Harena and Woozle Need More Room|crowded]] -- than his current home. He needs to be in the care of people who have training in dealing with the daily-life issues which are involved when caring for someone with autism, and who have the energy and focus to apply that training appropriately for Josh's needs.
===what sort of group home?===
A quality group home in a non-urban setting with a small number of residents per unit would be best for Josh; he does best when he has enough space and not too many people around him. He might do especially well in a farm setting, where simple tasks requiring physical strength may be something which he would enjoy being involved with. (He ''might'' also do fine in an urban setting, but he would need to be watched carefully for signs of being disturbed by crowding, city noises, or claustrophobia. Either way, keeping him busy with mentally- and physically-engaging activities is crucial.)
===what we've done so far===
We are currently seeking a group home for Josh. We have an application in with [[htyp:GHA Inc.|GHA]] in Albemarle, NC (when last heard from, they were supposed to get back with us in January). He is also on the wait-list for a small group home in Carrboro (Gaitway, operated by ASNC) (my extended answers for that application are [[Josh Gaitway application extended answers|here]]) and we have also applied for the therapeutic respite program via [[htyp:Murdoch Center/PATH|PATH]] at the [[htyp:Murdoch Center|Murdoch Center]] in Butner; they are expecting to make a decision on April 23 (2008) and inform us by the end of the next day.
* '''Update''' (long overdue): They turned him down, and declined to place him on a waiting list because they didn't think it would be appropriate for him, and that we need to try [[community supports]] (i.e. developmental therapy and other services through [[The Durham Center]]) first. We interpret this to mean that he wasn't extreme enough.