See if the person is able to pay attention to where their body is in space. Does the person try to assist with self-care activities by rolling and moving with cues from attendant staff members?
To Verify
To verify ACL 1 High, interview a reliable staff member who assists with their daily care. Does the person assist with rolling when initiated by the staff member? Does the person pay attention to movements in their body position in space? If they are able to assist with moving their body, this confirms ACL 1 High.
To Rule Out
Does the person have enough mental energy to hold their head up for longer than 30 seconds? If they cannot hold their head up for longer than 30 seconds, this rules out ACL 2 Low.