One activity will sustain their attention during a 30 to 45-minute session, but they will probably be tired at the end. Two sessions per day may be satisfactory with a relaxing activity in the evening.

Their response time is slower than normal but less than 10 seconds. In the community, people tend to notice that they are slow, but most people will wait for them to respond.

The intended activity captures the person's attention and sustains it throughout the sequential process of doing the task. The completed task is compared to the individual's standard of performance, compared with similar activities that the person has done in the past, evaluated and errors are noted. The person then decides whether or not to correct the errors or leave them be. Within ACL 4.0, the person recognizes that activities are done according to a standard of performance and that one option is "I like it like that."

Automatic habits for doing activities are stored in the brain as procedural memories. When something unusual happens, normal people seem to pull out of automatic pilot and adjust to the unusual circumstances. People with a cognitive disability and operating within ACL 4.0 do not seem to be able to do that, and this is one of the times that their cognitive disability is apparent.

The ACLS-6 classifies a sequence of steps into an activity by doing three whip stitches. To do the whip stitch, they can group a set of three numbers into a complete set.

For the other activities, they are grouping a series of steps (actions) to do an activity.

Within the copying activity, the person can make a series of stripes to cover the surface. The stripes may be made without referring to the sample.

When completing a placement activity (e.g. flower pot), they have the concept of making a picture but the ability to follow the sample is vague and limited.

The person uses well established procedural memory to sequence themselves through the steps of doing an activity and to be oriented to the time of day. They are often looking for something to do and are easy to engage in an activity that they can still do. A daily schedule of activities is appreciated and nothing to do between meals is often dreaded.

Simple paint by number kits are available at art shops, eBay, or printed off the internet. Activities lasting between 30 to 90 minutes work well for people functioning in ACL 4.8.

Many kits are available online and some of the content is designed to appeal to men.

Try this website for snap tite: www.revell.com. Skill Level 1 models. No painting or gluing is required. They do need you to do cutting with special cutters. People will likely want to do a harder project. If they do, you may want to give them a go but be prepared to swap them back to the easier model before they get too frustrated. This site also ships internationally.

As soon as they can read words you can see if word finding would interest them. People who have an activity history involving reading and writing may enjoy it, but some may be insulted by the simplicity of what they can do now.

Family and friends may be appalled by their recognition of how much the cognitive disability has taken away from the person and you need to be prepared to help them with their grief.

The dollar stores have inexpensive books for word and number games and electronic games are a possibility. The hard part is finding games that are simple enough for them to have fun rather than frustration.