How to work con communication/impulse control with extremely developmentally disabled student?
I have a student (male, 6th grade) who is functionally a toddler. He requires bathroom supervision, can't read or write, and can't be left alone at any time during the day. He is nonverbal, only speaking to repeat whatever the last word he heard was, other than that he just vocalizes loudly.
He has an AAC, but won't use it. We've spent the year repeatedly prompting, modeling, trying different pictures. But he'll still just stare blankly if prompted or use it for babbling. We have yet to get an "actual" response or request. He has a chart where we log whether he did something independently (I), prompted (P), or no response (NR). Almost everything is either P or NR. He doesn't have the motor skills for signs and can't write without hand-holding or rigid tracing.
I have seen no improvement academically, he still can't read basic sentences. If given a book he will just flip through pictures and gets aggressive if you try and read out loud or gesture to words. We do fill in the blank sheets where we glue words in sentences, but he again just stares blankly or picks randomly. In the past month or so we've shifted all goals towards communication and independence (though he will not be taking any high school classes and does not receive grades or formal tests).
Impulse control is a big barrier. If it's in his reach and he wants it, he will go for it. He's taken a drink right out of my hand and chugged it and eaten another kid's snack right out of his hands. Food and drink is now banned in our room and he'll also take from the trash. He once held a 6th grade girl down at recess to feel her braces, and he did not react to any attempts to remove him (he's also extremely large which makes physical removal difficult). When redirected or told no he doesn't show any reaction or understanding, and sometimes gets physical if you block him.
I just feel like I'm spinning my wheels and not going anywhere. He's very sweet, but he just doesn't seem to understand what's going on around him. He very much lives in his own little world and I want to try and reach him to give him an easier chance as he ages.
(Side note: our violent 5th grader that I asked for help with previously is currently gone after appendicitis. So the last weeks of school will be spent with little to no fear of getting attacked.)