The general public tends to look at their messy productions and think they are crazy. They need to see videos of the intense and sustained concentration that went into the process of producing those outcomes. Without observing the sustained attention, and just looking at the end product, the outcome of ACL 3.4 and 3.6 looks better. Caregivers who assist them with affirmative activities know better. Ability to function requires a cross-section of different activities, 24 hours a day, 7 days a week to get an adequate picture of the person's pattern of performance.

The burden of care can be reduced by their ability to learn routines. Taking the time to set up the routine can be worth the effort and learning how to do it is straightforward.

Staff members need to be warned that stopping a routine in progress is nearly impossible and probably combative. Most of the time, it is easier and quicker to wait for them to finish on their own terms.

In affirmative activity programs, there are a limited number of manual actions that sustain their attention. If they can recall actions in the person's activity history that the person did a lot, those activities may help preserve the person's identity. Engaging in those activities during visits maintains family connections with the person who is still here.

Very few people can talk and do manual actions at the same time. After they are finished, they may indicate that they are done and express surprise about making something. They can also say what they did and would like to do again.

You can expect them to express surprise, satisfaction, dissatisfaction, pleasure and dislike for different activities. Big expressions of joy and exhilaration are rare.

The person may fool you that everything is right when you first start speaking with the person until you realize that what they say may make no sense or does not verify with what is actually going on around them. They will have difficulty keeping on the same topic and answering questions about time and place.

Sensory information like sight, sound, taste, smell, touch, deep pressure and vestibular stimulation captures the person's attention. Sensory stimulation activities are used to provide pleasant sensations that keeps the person happily occupied. Use an activity like placing flowers in a vase. The person will likely to continue the task until all the supplies are used up.

Pictures may be used with the person but they can't be too busy. Just a subject on a pretty bland background may capture the person's attention.

The person can walk around on flat surfaces if they have no other physical limitations. They will enjoy walking freely and following flat clearly marked paths. Movement information is very calming especially for people who are unable to ambulate. Providing an outing while being pushed in a wheelchair can be very relaxing.

The concept of a line captures the person's attention. They will use the line to determine when they are all done. Being done involves filling all spaces within the shape formed by the line. You can control how long you want the activity to go on by adjusting the amount of supplies available. Larger pictures take longer to color in. We have provided some pictures to color in that you can download from www.acdmweb.com/downloads.

The concept of doing an activity is a classification of at least three steps or actions to complete a goal. Within ACL 3.8, the goal is partially understood by the idea of being done, but they do not really have an idea of what the finished project would look like. Without an idea of what the finished product ought to be, they lack a standard of performance and their completed projects are a mess of obvious random actions. The classification of doing an activity is incomplete.

The expected task performance revolves around the concept that all supplies must be used or all empty spaces are covered. Attention is not focused on the results of their actions but on the start and end of the activity which is when all supplies are used up or spaces are covered.

Assistance is required to remove all dangerous objects and the supplies limited to suite a desired duration.