| Sumario: | A 19-year-old male with autism, intellectual disability (ID), and obsessive--compulsive disorder (OCD) presented with difficulty in self-determined routine task performances. Tele assessment was performed pre- and post-tele-occupational therapy (OT) intervention, using Yale Brown Obsessive--Compulsive Scale (Y-BOCS), Self-Determination Observation Checklist (SDOC), American Institutes for Research Self Determination Scale (AIRSDS) parent and educator form, and Routine Task Inventory-Expanded (RTI-E), to assess compulsive behaviors, self-determination from therapist, parent, and educator perspective, and routine task performances, respectively. Postintervention, favorable improvement was observed for the scores of Y-BOCS (25%), SDOC (therapist 29%), AIRSDS (parent 15% and educator 13%), and RTI-E: Activities of daily living (ADL) (20%), instrumental ADL (10%), communication (8.3%), and work behaviors (16.7%). This case report indicates that OT had a positive effect on the self-determined routine task performances in a young adult with autism, ID, and OCD.
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