Examples

The following examples only provide guidance on scoring. They do not cover every possible situation.

Score of 4:

The customer is a 16-year-old male diagnosed with Autism and Oppositional Defiant Disorder. Once a week, he raises his fist, shakes it at his peers and yells, “I’ll beat the crap out of you.” This frightens his peers because the customer is taller and bigger than most of his peers. He also threatens and taunts his peers by saying he is going to hurt their mothers and sisters. These threats anger his peers. Three of the incidents in the last year resulted in peers attacking the customer. These incidents resulted in a black eye, broken arm, and a knocked-out tooth. Staff have had to intervene by stepping in the middle of the fights and breaking them up.

The behavior always generates fear, has resulted in aggression from others resulting in more than one serious incident, and requires physical interruption.

Score of 3:

The customer is a 17-year-old female who lives in a group home with 6 other females. She is diagnosed with Mild Intellectual Disability, ADHD, and Bipolar Disorder. Staff report that she is easily agitated by others in the group home and will yell and scream at them and say things like, “if you don’t shut your mouth, I will shut it for you.” Often the customer is in the other room when she makes this threat, but when she is in close proximity of others, they are afraid of her. Each day, the staff must stop what they are doing and ask her to calm down, and when the customer is extremely agitated, they will take her by the arm and escort her to her room.

The behavior occurs at least once a day, sometimes causes fear in others, and requires constant verbal redirection and sometimes physical interruption.

Score of 2:

The customer’s teacher reports that the customer threatens his peers by saying things like; “shut your mouth, or I’ll shut it for you!”, “I’m going to smash your face in with my boot.” The teacher reports that the customer is triggered by minor things, like someone standing too close to him. The customer is larger than most of his peers, and they are frightened by him. The teacher’s aide keeps a close eye on the customer and tells him he needs to take a time out and calm down. This happens every other day.

The behavior occurs every other day and requires close supervision and frequent verbal and physical redirection.

Score of 1:

The customer’s mother reports that once a month the customer raises her fists to start hitting whoever is nearby when she is angry. The behavior is not taken seriously and does not frighten others or result in aggression from others. Her parents ask her to cool down and keep a close eye on her.

The behavior occurs occasionally and requires some additional supervision and redirection.

Score of 0:

The customer is a 12-year-old female diagnosed with Epilepsy. Her mother reports that when the customer gets angry she shakes her fists at the rest of the family. Her siblings laugh, and her parents have to tell the siblings not to bother her.

There is no intervention for the customer, only for her siblings.