Person Centered Planning

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What is Person-Centered Planning?. Person-Centered Planning is a way for diverse people, who share a common need to align

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Person Centered Planning

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1. Person Centered Planning

2. What is Person-Centered Planning? Person-Centered Planning is a way for diverse people, who share a common need to align…. Their vision, purposes, and goals. Their understanding of their situation and its possibilities for hopeful action. Their actions for change, mutual support, personal and team development and learning. John O’Brien and Connie Lyle, 2000

3. “Person-Centered change challenges us to learn together with people about how to solve problems over time to make meaningful changes happen.” Dr. Beth Mount, 2000

4. Person-centered planning is a process that uses creative facilitation tools to assist a focus person in developing a plan on how they wish to live or be in the future.

5. Images of the Future Beth Mount, 2000 Traditional Program Plan Goals focus on specific negative behaviors. Focus person must change. Goals reflect minor goals without making programming changes. All plans look the same. Plans are not designed with input from the focus person “Positive Future Worth Working for:” “Images of the future contain specific, concrete examples of positive activities, experiences, and life situations to increase.” Ideas lead to positive and possible involvement in community settings. Idea may require major change in exiting patterns. Plan reflects unique interests, and qualities, settings and life in local communities. Creating personal relationships and community life.

6. Five Essential Outcomes of Person-Centered Planning Being present and participating in community life. Gaining and maintaining satisfying relationships. Expressing preferences and making choices in everyday life. Having opportunities to fulfill respected roles and to live with dignity. Continuing to develop personal competencies. Kincaid, 1996

7. What Person-Centered Planning is NOT… A one-shot meeting. A form to complete. A quick fix solution to all problems. A guarantee for success. A mandate.

8. Who makes the decision? Beth Mount, 2000 Systems centered approach Spends lots of time planning with little time to take action. Person-Centered Spends lots of time taking action, with regular times to reflect.

9. Values that guide personal futures planning. Beth Mount, 2000 Moving away from: Isolation, separation, activities and schedules. Rejection, loneliness, ignored. Negative reputations, negative self-fulfilling prophecies. Lack of representation, no power. Underproductive, ignored, no resources, low expectations Toward daily experiences which lead to: Community presence Community participation Encouraging valued social roles. Promoting choice Supporting contribution

10. Benefits of Person Centered planning Driven by the focus person. Empowers the focus person. Creates opportunities for the focus person to become more involved in their communities. Focuses on the persons needs and wants and not what systems can provide. Mount, 1994.

11. Limitations of Person Centered Planning Systems limit teams. Should not be used for everyone. Will not automatically create inclusion into the community. If done incorrectly can lead to false hopes.

12. Creating the team Teams should be created with input from the focus person. Committed to the process- don’t do it to fulfill a requirement. Know the focus person. Be willing to step outside their current role and do “work worth doing”.

13. Person-Centered Planning Team Make a commitment and take action to ensure that changes will be accomplished for the focus person. Coordinates support around the life of the individual rather than around the needs of staff and existing services.

14. Teams Basics “A team is a small number of people with complementary skills who are committed to a common purpose, performance goals, and approach for which they hold themselves mutually accountable” Katzenbach and Smith

15. How does the process work? The focus person and team leader invite people who are involved in the focus person’s life or who want to be involved in their life to their future’s planning meeting. Persons attending the meeting should come with the understanding that they are committing to assisting the focus person in the long term planning of their life.

16. Tools to facilitate Person-Centered Planning Circles of Support MAPs (Making Action Plans) PATHs (Planning Alternatives Tomorrow with Hope)

17. Circles, MAPs and PATHs “All three tools are person centered and assume the capacity theory where everyone is valued.” “They are based on hope for the future and begin with the assumptions that all people belong, all can learn, we are all better off together, and diversity is one of our most critical strengths.” (All My Life’s A Circle, 1997)

18. Circles, MAPs and PATHs… Materials were developed and designed by: Mary, Falvey, Marsha Forest, Jack Pearpoint,and Richard Rosenburg. Materials are copyrighted by Inclusion Press.

19. Circles of Support (Friends) Is a quick exercise to examine social systems. It is used to gain clarity about who is involved in the focus person’s life and to develop relationships in areas where the person’s needs are unmet. It is a group of people who meet together on a regular basis to help the focus person accomplish their personal goals in life.

20. Instructions for Circle of Support First Circle: The Circle of Intimacy Those you cannot imagine living without. Second Circle: The Circle of Friendship Those who almost made the first circle. Third Circle: The Circle of Participation Those people, organization, and networks you are involved with. Fourth Circle: The Circle of Exchange Those people paid to be in your life.

21. Circle of Support

22. Completed Circle of Support

23. Circle of Support Use the circle of support as an assessment tool. Look for ways to pull people from their current roles towards to inner circle. Person with disabilities tend to have more people involved in their lives because they are paid to be there. Team should not be comprised of just professionals. Community members will never become into if we don’t ask.

24. Circle of friend evolving…

25. Exercise of circles of support Complete the circles of support on yourself.

26. After completing the Circles… After completing the circles of Support with the focus person, examine the circles and see who are the person(s) willing to be on the focus person’s support team. These people may or may not be professional(s). Who are the person(s) vested in supporting the focus person.

27. What is a MAP? “MAPs is an eight step process which gathers information and then utilizes that portfolio of information to develop a plan of action for a person.” “MAPs are used to help get a person to a place where they can dream.”

28. Example of a MAP

30. Eight Questions of MAPs: “What is a MAP” “What is person’s history or story?” “What are your dreams?” “What are your nightmares?” “Who is the person?” “What are the person’s strengths, gifts, and talents? “What does the person need?” “What is the plan of action?”

31. What is a PATH? The PATH evolved from the MAPs process. It offers and extension of the MAPs’ steps and puts into place a plan of action.

32. Example of a PATH…

34. Strength based….. Person centered planning looks at a person’s strengths and gifts. The “dream” should be used as the guide for the team and focus person to establish goals. Goals should be “positive and possible”. Using futures planning allows individuals to create ways to meet their needs- one size does not fit all. Person centered planning gives the focus person a voice. How do you make the system meet the focus person’s needs instead of how do we make the person fit into the system.

35. Applying person centered philosophy to WV waiver process.

36. WV MR/DD Waiver Services WV waiver manual added to the MR/DD Individual Program Plan, the DD-5, assessment tools to assure the focus person is an active part of the planning process and assist in keeping their support team aligned with the philosophy of person- centered planning.

37. WV Waiver The tools added to the DD-5 were intended to introduce the philosophy of person-centered planning to agencies providing supports for persons receiving waiver services.

38. The tools added to the DD-5 were designed to give the team insight into how the focus person views their community participation, network of social supports, living arrangements, goals, likes and dislikes.

39. Person-Centered Planning Completing the forms (DD-5) does not constitute person-centered planning. When we utilize the forms (DD-5) and ask questions to the focus person, we begin to create a climate for the focus person to have a voice in the planning process.

40. … and by asking questions we begin to listen, and when we begin to listen we begin to understand person-centered planning.

41. Learning to listen… Listen to the person. Accommodations need to be made according to the person’s style of communication. Asking for details gives a better understanding of a persons desires. Listen with care not pity.

42. Accommodations for Communication Know the focus person’s form of communication. P.E.C.S Pictures Close friend/staff Yes and No questions Non-verbal communication Behavior that demonstrates preferences and choices

43. “Planning alone does not change people's lives.” John O’Brien & Connie Lyle O’Brien Person-centered planning offers people a forum for: Discovering a desirable future Negotiating conflicts Creative problem solving Defining and redefining direction Mutual support. A little book about Person Centered Planning, 2000

44. Look at things differently… “There is a story of a man who left seventeen camels to his three sons. He left half the camels to his eldest son, a third to his middle son, and a ninth to his youngest. The three started dividing up their inheritance but soon despaired of their ability to find a solution-because seventeen could not be divided by two or three or nine. The sons approached a wise old women. After pondering the problem the old woman said, “See what happens if you take my camel.” So then the sons had eighteen camels. The eldest son took his half-that was nine. The middle son took his third-that was six. And the youngest son took his ninth- that was two. Nine and six and two made seventeen. They had one camel left over. They gave it back to the wise old woman.” William Ury

45. “Like the seventeen camels, problems, like the ones we are facing now, often seem impossible to solve. Like the wise old woman you will often need to step back, look at the situation from a fresh angle, and find an eighteenth camel.” Adapted from: Getting to Yes, William Ury

46. John O’Brien on Person Centered planning “Person-centered planning did not ignore disability, it simply shifted the emphasis to a search for capacity in the person, among the person’s friends and family, in the person’s community, and among service workers.”

47. Introduction to person-centered planning ….looking at the DD-5 assessment tools…

48. MR/DD waiver assessment questions… “I like to spend time with… Teams should include members who want to be there and members who the focus person feels are important in their lives. Person is more likely to achieve their goals when supported by those that care about them.

49. “What I did last year..” Sometimes we get to involved in looking at what did not work to see what was accomplished. Sometimes little things that are important to the focus person go unnoticed to the team members. People tend to have less challenging behaviors when they are doing things they find important and pleasurable.

50. MR/DD waiver assessment questions… During my leisure time I like to… Figuring out what a person likes to do can be key to developing new skills. Everyone needs leisure time…how we spend the time is a matter of choice.

51. Things that I am good at… Everyone has a gift. Sometimes we need to explore what the person’s gift is. Designing services around the person’s strengths allows the person to find success in the things they choose to do.

52. MR/DD waiver assessment questions… “To be more independent, I would like to continue working on and learn how to:” Strengthen based treatment planning allows person to use their gifts to meet their own needs. Waiver is designed to be a community based training model. Habilitation and Rehabilitation goals should be designed on a individualized process. Cookie cutter planning is not person centered.

53. MR/DD waiver assessment questions… “Things that are extremely important to me…” Ask what is important, this gives the focus person a voice in the planning process. Sometimes teams focus on what is “billable” as opposed to what is important to the individual.

54. MR/DD waiver assessment questions… “Things I never want in my life…” Asking people what they never want in their lives is like asking them what their nightmare is… By avoiding a persons nightmare we can get closer to meeting their needs.

55. MR/DD waiver assessment questions… My long-term goals for the future are: Setting long term goals helps the focus person look towards the future. Establishing goals assists the focus person in reaching their dreams. The focus person’s long term goal should be carried over into the IPP. IPP can assist in monitoring the focus person’s progress towards achieving their dreams.

56. Everyone has the right to dream… It is important to ask questions to fully understand a persons dream. How can we develop a plan that will support the focus person in reaching a portion of their dream? Listen to the dream. What does the dream mean to the focus person?

57. Most persons dream in moderation. Home Relationships Money Jobs Fun Friends Travel Persons who were institutionalized may never want to be in one place for a ling time.

58. MR/DD waiver assessment questions… “People who support me…” Creating and sustaining relationships allows for a person to have real inclusion into their communities. Person needs to create relationships with those who want to be involved in their lives. Paid personnel tend not to stay in a person with disabilities life for the long term

59. MR/DD waiver assessment questions… “What I want to do in the next year and who I would like to help me.” By breaking down a person’s dreams into short term goals allows the focus person to develop clear plans for them to touch their dreams and avoid their nightmares. Person centered planning allows the focus person to guide the planning process. Do assume everyone desires to help. Be sure to ask who is willing to help.

60. MR/DD waiver assessment questions… “If I could change things in my life, what would I change?” Persons with disabilities have a right to make choices about their lives. Listening to what the focus person desires to change about their lives will allow for supports to be developed that may improve the focus persons quality of life.

61. MR/DD waiver assessment questions… “What community activities will enable me to pursue interest in a positive way? Information should be used to assist the focus person in becoming part of their communities. Everyone has different interests and planning must be individualized. Person will exhibit less challenging behaviors when they are participating in activities that they find pleasurable.

62. Choice… Components of choice Preferences Opportunities Control

63. Choice… “ Preference reflect what people want while opportunities reflect what is available.” “Control is the authority to make use of an opportunity to satisfy a preference.” Michael W. Small Revisiting Choice, A little book about Person Centered Planning, Inclusion Press, 2000

64. Exercise 3: How do you make choices about your life? Take a few minutes to think about a choice you have made in your life? How did you make a major decision in your life? Did you make a good choice? Did you hear bad advice? Who helped you make your decision?

65. Learning from choices People have the right to make bad choices. The focus person should be given advice by their support team. “Choice is not a solitary activity.” Michael W. Smull, 2000

66. Teams need to recognize the need for balancing safety issues and allowing the focus person to make a choice. Teams have an ethical responsibility to assure the focus person does not harm themselves or others.

67. Good support teams assist the focus person in touching their dreams.

69. Facilitating Person Centered Planning The Facilitator believes the planning process belongs to the focus person. “The process and content belongs to the person and those who are committed to accompany the person along the journey the plan outlines” Marsha Forest, Jack Pearpoint and John o’Brien, 2003

70. Facilitating the Person Center Process Must be willing to not pass judgment. Must not be pushy or fall into the role of “therapist”. Must listen to the focus person. Must believe in the process. Must be willing to commit to working together to make changes.

71. 10 conditions that increase the likelihood of implementation. Beth Mount, 2000 When the person wants life to be different somehow. When the person and team keep focused on capacities. When the person has a specific personal vision. When people are willing to meet on a regular basis to solve problems and are willing to do so over time. When a skilled facilitator is available to support the group over time. When the team includes someone who as a strong commitment to act on behalf of the person. When someone works at building connections to the community. When the person is connected to another person facing similar obstacles. When one human service agency is willing to change. When the person or team has access to people who make decisions about resources.

72. How wonderful it is that nobody need wait a single moment before starting to improve the world. Anne Frank

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