Center of Hope Foundation Day Habilitation

1. Center of Hope FoundationDay Habilitation Tracking Training

2. Overview • Background Information of Skills Objectives, TAs, and Probes • Implementation Strategies • Task Analysis • Probe Logs This PowerPoint training was designed for Direct Caregivers and Case Managers to increase accuracy and meaningful completion of Probes and Task Analysis. Topics covered will include…

3. Background Information Each individual is assessed annually along seven quality of life areas at the time of their ISP meeting. The seven areas were defined by DDS and are as follows… • Self-Help Development • Communication • Sensory Motor Development • Social Development • Independent Living Skills • Affective Development • Behavioral Development These areas are prioritized and each individual is assigned goals to work on increasing skills in these areas.

4. Background Information Individual with Many • One to one funded • Requires assistance in many skills areas • Is Pre-vocational Individual with Few • Spend most of their programmatic day within the vocational program. • May be outside of the facility • Is highly independent You may notice that individuals are assigned a different number of goals. This is due to a few factors…

5. Background Information Task Analysis Analyzes the step by step completion of a multistep task, for example… Hand Washing, Completing a Recipe, etc. Probe Log Analyzes ability to display a skill at any given time or measures time spent engaged in a certain activity, for example… Minutes of Exercise, Ability to Give an Appropriate Response, etc. Both these data tracking forms will be covered in depth later in the presentation. Individuals progress towards their skill objectives is collected in monthly Probes and Task Analysis (TA) forms. Whether a TA or a Probe log is used to collect information depends on the objective being tracked…

6. Implementation Strategies • This is an Implementation Strategy form. • The form attempts to describe in depth the methods day habilitation staff will use to teach a client new skills. • We will now cover the functional parts of the Implementation strategy in further depth. They are… • Developmental Skill Area and Goal • Measurable Objective • And… • Strategies to Assist the Individual

7. Developmental Skill Area & Goal The “Developmental Skill Area” refers to which of the DDS “Seven Quality of Life” areas the goal wishes to address. The “Goal” section is a place to record the long term goal the objective wishes to achieve. Skills in this area are expected to be achieved in roughly 5 years. These goals are also known as “Umbrella Goals.” “Individuals Desired Outcome” is a place to record why learning this objective will be significant/meaningful to the individual.

8. Measurable Objective The “Measurable Objective” is the most important thing to consider when tracking/assessing a clients ability to perform a task/skill. The “Measurable Objective” also appears on the corresponding Probe Log and Task Analysis sheets. “Measurable Objectives” are meant to be very precise “black and white” statements. Lets take a closer look at what parts make up a measurable objective statement

9. Measurable Objective Examples In weekly trials, Individual will be able to identify food groups as defined by the food guide pyramid, when presented with five food choices, independently with supervision, in 85% of opportunities, for two consecutive quarters. In discreet weekly trials of five minutes, Individual will exhibit socially appropriate behavior, refraining from invading personal space, independently with supervision, in 85% of trials, for two consecutive quarters. In weekly probes, when given five random purchase totals, Individual will be able to identify; the appropriate amount of bills to supply the cashier as well as the corresponding change required, independently with supervision in 90% of opportunities. In weekly probes, Individual will be able to state five effective ways to cope with stress and frustration (talk with preferred staff, count to ten, walk away, listen to music or ask for quiet time) with no more than an initial verbal prompt per technique in 75% of opportunities, for two consecutive quarters.

10. Measurable Objective Example You may have noticed that these objectives have some features in common. These are… Frequency: How often data should be collected for each objective. Examples include; Daily, Weekly, Bi-Weekly. Some Objectives like physical or social activity must be tracked as they occur. For example each time an individual exercises those minutes should be recorded. In weekly trials, Individual will be able to identify food groups as defined by the food guide pyramid, when presented with five food choices, independently with supervision, in 85% of opportunities, for two consecutive quarters.

11. Measurable Objective Example Skill Description: This states the skill you are monitoring in the form of a sentence. You should ask the question “Is my probe/analysis measuring the persons ability to perform this specific statement?” In weekly trials, Individual will be able to identify food groups as defined by the food guide pyramid, when presented with five food choices, independently with supervision, in 85% of opportunities, for two consecutive quarters.

12. Measurable Objective Example Prompting Allowed: This is the amount of assistance the prober/analyzer is able to give the individual in a successful trial. In this specific objective the prober is allowed to give no assistance. However there must be an initial explanation of what is expected. An individual will not just go about spouting off food groups. They must be told initially that this is what is expected of them during the trial. This initial explanation SHOULD NOT be counted as a verbal prompt. In weekly trials, Individual will be able to identify food groups as defined by the food guide pyramid, when presented with five food choices, independently with supervision, in 85% of opportunities, for two consecutive quarters.

13. Measurable Objective Example In weekly trials, Individual will be able to identify food groups as defined by the food guide pyramid, when presented with five food choices, independently with supervision, in 85% of opportunities, for two consecutive quarters. Goal Percentage: This is the individuals target percentage for successful trials. This percentage is an estimated goal for the individual FOR THE YEAR. Individuals performance percentages are aggregated from an individual’s trials month to month and is compiled by the Senior Developmental Specialist.

14. Measurable Objective Example In weekly trials, Individual will be able to identify food groups as defined by the food guide pyramid, when presented with five food choices, independently with supervision, in 85% of opportunities, for two consecutive quarters. Criteria For Modification: Service coordinators expect Interdisciplinary Team members to evaluate individuals performance each quarter. If an individual has exceeded their goal for two consecutive quarters, then the goal is considered met and should be modified to develop more advanced skills.

15. Measurable Objective Example In weekly trials, Individual will be able to identify food groups as defined by the food guide pyramid, when presented with five food choices, independently with supervision, in 85% of opportunities, for two consecutive quarters. So in conclusion/overview we have… Frequency: How often data should be collected for each objective. Examples include; Daily, Weekly, Bi-Weekly. Skill Description: States the skill you are monitoring in the form of a sentence. Prompting Allowed: This is the amount of assistance the prober/analyzer is able to give the individual in a successful trial. Goal Percentage: This is the individuals target percentage for successful trials. This percentage is an estimated goal for the individual FOR THE YEAR. Criteria For Modification: Service coordinators expect Interdisciplinary Team members to evaluate individuals performance each quarter.

16. Measurable Objective Exercise Can you identify and explain the parts??? What is the curveball here? This objective requires that you assess the individual’s skills discreetly. This means that they are unaware they are performing for their objective. Analyzing this skill requires you to make observations of an individual over a given period of time. If they are able to satisfy the skill description with the prompting allowed… Success! If they require excessive prompting then you may stop the trial. In discreet weekly trials of five minutes, Individual will exhibit socially appropriate behavior, refraining from invading personal space, with no more than two verbal prompts, in 85% of trials, for two consecutive quarters.

17. Back to Implementation Strategies The Implementation Strategy to Assist… Section further describes how to teach the objective to the specific individual. This also outlines frequency of tracking, which type of tracking sheet will be used, and some teaching strategies (ratio, materials, prompting, and any special considerations).

18. Tracking Sheets Now that we have a better understanding of Implementation Strategies we can move onto the specific forms we use to track each individuals progress. These are… Task Analysis & Probe Logs

19. Task Analysis

20. Task Analysis Washing Hands Turning on Water Wetting Hands Soaping Hands Rubbing Hands Together Rinsing Hands Turning off Water Drying Hands Making a Recipe Gathering Ingredients Pouring out Mix Breaking an Egg Mixing Placing on Cookie Sheet Budgeting Money Determine your Income Gathering Bills Writing Checks Addressing Envelopes Adjusting Check Register Determine Balance A Task Analysis form, as we have established earlier, is used to analyze a multiple step task. This could include any task or procedure. Examples include; Washing Hands, Completing a Recipe, or Budgeting Money. These examples could be broken down as follows…

21. Task Analysis A Task Analysis form may have these steps spelled out for you or they may be up to the staff to complete. To successfully complete a trial with a Task Analysis form you must measure and record the prompting required for the individual to complete each step. If the person requires 2 verbal prompts to complete step one please write VP(2) next to space one… Please Note: As is the case with every tracking sheet, the Measurable Objective is provided on each sheet.

22. Task Analysis Example

23. Probe Logs

24. Probe Logs Please Note: When completing a probe log, you are tallying the amount of prompts required for the individual to complete the entire task. In the previous example the task is “able to assemble a balanced meal according to the food guide pyramid using pictures of food.” Therefore, the individual should be prompted until they are able to create a balanced meal or it is determined the individual is unable to display the skill within a reasonable standard. At that point the staff may complete the task, if possible, for the individual in order to model a successful trial. A Probe Log, as we have established earlier, is used to measure an individuals ability to display a skill at a given time or measures time spent engaged in a particular activity (socializing, exercise, etc.).

25. Probe Log Example

26. Conclusions • When completing tracking for an individual it is important to keep in mind a few truisms… • Goal orientated progress is held in high regard by the Department of Developmental Services. • Each individuals programming is designed with data gathered from Probes and TAs in mind. • Data is the best proof/reflection of the hard work we all do each day to improve the lives of the people we serve! • Thank you for participating in our training! If questions should arise in your day to day duties please feel free to use Senior Developmental Specialist, Administrators/Directors, and Case Managers as a resource.

27. End