To reassess sensory access after environment, equipment, or health changes, preserve Hye's earlier phase and version environmental features, equipment, hearing or vision access, communication, health and medication information within role, staff, tasks, schedules, supports, privacy, and priorities. Route urgent needs and restore access first. Compare focused natural events in dated phases without attributing change to health, medicine, equipment, or the person beyond the evidence.

Lock Hye's earlier phase

Preserve activity, direct report, preferences, communication, environmental conditions, equipment and settings, staff, supports, health information, safety route, privacy boundary, scoring, and outcome.

Version every meaningful change

Record sound, light, heat, smell, crowding, layout, equipment, hearing or vision access, AAC, staff, task, schedule, health, medication, pain, sleep, support, and priority changes with dates and sources.

Join all changes to each event

Attach every applicable flag to the same period so overlaps remain visible. Preserve invalidity, missingness, withdrawal, urgent routing, access failure, direct report, correction, and actual outcome.

Restore access and route health first

Repair communication, equipment, prescribed devices, protection, lighting, ventilation, breaks, route, staffing, and exit. Qualified health professionals address medical and medication concerns.

Use this sequence to reassess sensory access

Lock Hye's phases, version changes, join overlap-safe evidence, route urgency, restore access, sample comparable natural events, ask Hye, interpret narrowly, and close or refine the action.

Build Hye's sensory-access reassessment

Create one versioned sensory-access reassessment for the community greenhouse program. Include Hye's priority, activity and decision, direct sensory report and preference, accessible communication, observable context, environmental measurement when useful, proxy interpretation, health evidence within role, ordinary supports, partner response, safety route, eligible events, outcome, privacy, invalidity, missingness, withdrawal, alternatives, qualified owner, correction, action rule, and reassessment trigger. Store only purpose-needed information with role-limited access. Maintain a dated change register and attach every applicable flag to each event. Preserve earlier evidence, source, effective date, configuration, direct report, access status, health boundary, privacy, correction, outcome, and qualified owner.

Validate Hye's evidence

Reproduce 16/20 earlier, 7/20 later, six equipment flags, five environment flags, four health or medication flags, four two-way overlaps with no three-way overlap, 11 unique changed periods, and 9/12 after repair. Verify phase, environment, equipment, communication, health, medication, staff, task, support, privacy, and outcome.

Connect Hye's evidence to a decision

The greenhouse restores Hye's equipment and shade configuration, repairs the ventilation schedule, and routes health questions to the appropriate professional. The conclusion stays limited to current access fit.

Work through Hye's example

Hye rates 16 of 20 earlier greenhouse periods workable and seven of 20 after several changes. Six later periods include an equipment change, five an environmental change, and four a health or medication change. Three periods have equipment-environment overlaps and one different period has an environment-health overlap; no period has all three flags. This leaves 11 unique periods with at least one flag. After repairs and qualified review, nine of 12 new periods are workable. Preserve every planned and eligible event, source, activity, environmental and support version, communication and health state, direct report, partner response, invalid record, correction, unresolved item, and outcome. This fictional example demonstrates one assessment control. It supplies no diagnosis, treatment effect, medical conclusion, crisis clearance, legal conclusion, coverage decision, or outcome guarantee for Hye.

Address Hye's main interpretation risk

Adding six, five, and four change flags yields 15 even though four events overlap. Calling seven of 20 a medication effect or sensory regression exceeds the design. The later nine of 12 result follows several repairs and cannot isolate one cause. Review access, hearing, vision, pain, sleep, medication, skin, allergy, feeding and swallowing, trauma boundary, communication, environmental variability, task demand, relationships, partner behavior, privacy, observer effects, client priorities, and design strength separately. Quietness, endurance, compliance, or reduced visible behavior cannot establish comfort, consent, health, safety, or sensory accuracy.

Keep Hye's clinical scope explicit

For Hye's sensory-access reassessment, the CASP public summary supplies high-level ABA behavioral-health-treatment scope for autistic people, with licensed detail outside this page. The current BACB Ethics Code addresses competence, client involvement, consent and assent when applicable, medical needs, assessment, risk, data, documentation, and evaluation for covered people. The BACB outline is examination content. These sources do not authorize medical or occupational-therapy diagnosis, forced sensory exposure, emergency delay, or inference about Hye's experience.

Match sensory measures to their evidence for Hye

The systematic review of self- and caregiver-report sensory measures in autism reviewed 31 empirical papers across 20 tools. It found substantial construct differences, identified five assessments as appropriate with conditions, and found none with enough psychometric evidence for an unqualified appropriate recommendation. This supports careful method selection and direct participation; it supplies no universal sensory profile or result for Hye.

Keep proxy evidence attributed for Hye

A systematic review of proxy-reported sensory measures examined tools used with children and adolescents with neurodevelopmental conditions. Proxy report can add context from settings known to the informant, while remaining proxy evidence shaped by the tool, observer, period, and construct. It cannot become Hye's direct report, preference, consent, diagnosis, or medical conclusion.

Preserve participation, communication, and legal scope for Hye

The UK NICE NG11 recommendations address people with learning disabilities whose behavior challenges and include sensory profile, preferences, health, medication, communication, heat, light, noise, smell, choice, and environment. They organize questions for Hye but are not U.S. authority or a universal sensory protocol. The U.S. Department of Justice effective-communication guidance explains duties for covered Title II and Title III entities, with aids selected for communication context; exact legal scope and defenses require qualified review. ASHA's AAC portal says AAC users should always have access to their tools or devices.

Use feeding, assent, and emergency boundaries for Hye

For Hye's sensory-access reassessment, ASHA's pediatric feeding and swallowing portal covers children through age 21, distinguishes feeding and swallowing scope, favors interprofessional collaboration, treats food avoidance as communication, and notes limited high-quality evidence for isolated oral-motor or sensory techniques. Its pediatric SLP guidance does not authorize an ABA feeding plan or apply to every age. Breaux and Smith propose individualized assent and withdrawal practices in an evolving literature; their paper is practice guidance rather than a separate BACB mandate. For danger or a medical emergency in the United States, SAMHSA directs people to call 911 or go to the nearest emergency room; routine assessment must not delay emergency or mandated action.

Choose Hye's next bounded action

Hye reviews the restored setup and can reject earlier preferences. Reassessment closes when current access, partner response, and activity fit are clear. Record the qualified owner, evidence, effective date, environmental and support version, communication and health state, safety route, implementation check, accessible explanation, disagreement path, and reassessment trigger. Preserve the earlier record when activities, environments, equipment, access, relationships, health, safety, or priorities change.

Close Hye's assessment

Review the sensory-access reassessment with Hye, the qualified behavior analyst, relevant partners, access owners, and specialists named in the manifest. Confirm that direct report, preference, communication, observation, measurement, interpretation, health evidence, partner response, privacy, and outcome remain separate; every denominator is reproducible; AAC, protective equipment, basic needs, prescribed care, rest, and safe exit remain protected; urgent needs received action; and conclusions stay bounded to sampled activities. Keep this page draft and noindex until every required review is complete.

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