change outside control breakdown communication significant trauma continue refuse support require number experience pain illness engage behaviour harm anticipate special event tax event experience traumatic event life include sudden death occur setting increase likelihood hot situate understand express emotion set event include effect require number week feel sick unwell explore sexuality experience delusion include change include repair alteration occur group home sleep effect increase likelihood behaviour experience substantial emotional lability occur neighbouring occur house refuse support establish routine establish onset routine unfamiliar people experience disrupted sleep establish regular consistent routine routine unpredictable noise action receive support person support unfamiliar staff experience disrupt sleep environment family home complete home feel comfortable receiving support occur familiar environment diagnose anxiety occur neighbouring house encourage behaviour base practice day program result communication bad experience remove accommodation support experience high level anxiety sustained period anxiety fixate staff member include effect medication calm factor occur regular staff functional evidence perform task experience high level support regulation experience new sexual desire experience traumatic event racing thought nicotine dependence know routine introduce experience high level experience delusion increase paranoia shopping centre garden maintenance significant trauma hypo arousal shift family contact visit bad night sleep consistent routine hot situate neighbouring house set event familiar environment nicotine dependence autism spectrum disorder heighten state setting home follow factor noisy environment medication medical episode cancel activity casual staff unfamiliar staff pain physical discomfort fatigue sudden death regular staff service history community access bowel instability irregular sleep self regulation skate park daily routine accommodation support arrangement support staff group home novel environment fatigue boredom inactivity long day unknown aspect unfamiliar people emotional abuse social issue immediate support person poor quality new sexual desire new staff member staff member substantial emotional lability day program strong negative emotion unpredictable noise bad experience social interaction special event high level medication medical episode new staff christmas difficulty mental health condition anger level limited emotional regulation skill nicotine level cognitive disability intellectual disability staff response traumatic event potential issue action inactivity lack perceive bad concern anxiety disorder family home