One of the things that concerns me the most about Abbie's care, is as others have brought up, her overall physical development. This poor girl is in her mid-teens and already has kyphosis (imo). If this and her general posture is not addressed I can't begin to imagine what she'll be like at 30. I work with students on basic things like posture, balance, dexterity, fine motor coordination, etc. but with Abbie I would be sending her straight to a PT. Massage would also be a great option - Abbie has an odd combination of holding stress in certain parts of her body while other areas are very floppy and underdeveloped (not uncommon for people with IDD and/or autism). I truly believe that a lot of Abbie's nervous energy, running from tasks, etc. is not solely caused by bratism (great term whoever brought it up!), but also from severe stress which can have a horrible effect on the body. They supposedly have the money now (or did before buying the McMansion) - it drives me nuts that they don't take advantage of these available therapies.