person-centered practices and planning planning. presented by presented by the department of medical...

Person-Person-Centered Centered

Practices andPractices and

Planning Planning

Presented by Presented by

The Department of Medical The Department of Medical Assistance Services (DMAS)Assistance Services (DMAS)

the Office of Intellectual Disabilitiesthe Office of Intellectual Disabilities

(formerly OMR) and (formerly OMR) and

the Partnership for People with the Partnership for People with DisabilitiesDisabilities

With funding through the Systems Transformation Grant (STG) from the federal Centers for Medicare

and Medicaid Services (CMS)

Today’s AgendaToday’s AgendaA.M.A.M.• An overview of person-centered

principles and a description of person-centered

thinking skills• Break• Virginia’s Individual Support Plan and

Process

P.M.P.M.• Lunch (12:00 – 1:15)• The nuts and bolts of transition

coordination under MFP

Welcome and IntroductionsWelcome and Introductions

Virginia’s Principles of Virginia’s Principles of Person-Centered Person-Centered

PracticesPractices  

Virginia Person-Centered Planning Leadership Team

Virginia Systems Transformation Grant Resource Team

We see a Virginia where individuals of all ages and

abilities have the supports we need to enjoy the rights of life,

liberty, and the pursuit of happiness and the opportunity

to have a good life.

Principles of Person-Centered Principles of Person-Centered PracticesPractices

Having a good life means different things to different people. It includes joy and happiness, health

and safety, hopes and dreams, meaningful activities, intimate relationships with family and

friends, having a home, transportation, work, money (bank

accounts), and the ability to contribute to family and community.

Principles of Person-Centered Principles of Person-Centered Practices Practices (continued) (continued)

We believe that a good life is best led by the voice of the

individual and by following these person-centered

principles.

Principles of Person-Centered Principles of Person-Centered Practices Practices (continued)(continued)

“I am listened to.” “I have a voice.” “I listen to others.”

ListeningIndividual choices and descriptions of a

good life are respected and followed.

Principle1

“I have friends and family that I see often.” “I am part of my community.”

“I have found groups, organizations andsocial activities that interest me.”

CommunityRelationships with families, friends, and people in

the community are very important and at the center of planning.

Principle2

“I have choices.” “I am responsible for my choices.”“I am respected.”

Self-directionPersonal choice and control are supported.

Principle3

“I am able to contribute to family and community. “I learn new things.”

“People are nice to me.” “I respect others.” “I am nice to others.”

Talents and GiftsThe experience, talents, and contributions of

individuals, families, and communities arestrengthened and supported.

Principle4

“I am responsible for my choices.” “I receive quality support.”

ResponsibilityThere is shared responsibility for supports and

choices.

Principle5

Systems Transformation:Systems Transformation:looking through a looking through a

different lensdifferent lens

System Centered vs. System Centered vs. Person CenteredPerson Centered

System Centered Person Centered

Focuses on deficits and labels

Focuses on capacities, gifts, strengths, & dreams

Plans usually include ‘placement’ in a program

Plans support a rich and active community life based on the individual’s gifts & interests.

Inflexible, offering a limited number of program options

Flexible, finding new possibilities unique to each person

System Centered vs. System Centered vs. Person CenteredPerson Centered

System Centered Person Centered

Puts the professional in control

Supports individuals in making decisions

Distances people by emphasizing differences

Brings people together by discovering common experience

Budgets are structured to maintain invest-ments in programs, building and property

Budgets structured to provide individualized packages to support people

Person-Centered Person-Centered PracticesPractices

• Description of Person-Centered Thinking Skills

• Seven Questions• A tool for helping people find a new place to live

Important to/ Important to/ Important for Important for

and finding and finding the the balance balance

between between them them

Important toImportant to

What makes a person happy, What makes a person happy,

content, fulfilledcontent, fulfilled• People, pets• daily routines and rituals, • products and things, • Interests and hobbies, • places one likes to go

Important forImportant for

What we need to stay healthy, What we need to stay healthy, safe and wellsafe and well

• health and safety• things that others feel will

contribute to being accepted or valued in the

community

Finding the balance Finding the balance between important to and between important to and

important forimportant for

AND

Asking: What else do we need to know or learn?

Determining Staff Determining Staff ResponsibilitiesResponsibilities

•Core: responsibilities that have to be done in a certain way or there will be grave consequences

•Creativity and judgment: how to help someone satisfy what is important to him or her

•Not our paid responsibility

Matching StaffMatching StaffFor each person, what are the:

Supports wanted & needed

Skills needed

Personality

character-istics

(present/ absent)

Shared interests(nice to have)

Communication ChartCommunication ChartLearning, using, & recording

communication

What is happening

_______ does

We think it means

We should

What’s working/What’s working/What’s not workingWhat’s not working

• Analyzes situations from various perspectives

• The individual, family

member, staff member

4 + 1 Questions4 + 1 Questions

What have we tried?What have we learned?What are we pleased about?What are we concerned about?

And thenAnd thenWhat should we try/do based on what we have learned?

Learning LogLearning Log

• Helpful in situations where people are trying new things

• Looking at working/not working in specific situations

• Provides a way to grow plans and add to a living description

• May replace progress notes

Seven Questions Seven Questions that you should be able to answer for each person you support

• What is important to the person?• What is important for the person?• Is important for being addressed in the context

of what is important to?• Is there a good balance between important to

and important for?• What does the person want to learn; what else do

we need to learn?If the person is to get the balance described

and we are to learn:• What needs to stay the same (be maintained or

enhanced?)• What needs to change?

c The Learning Community for Person Centered Practices

Helping People Find a Helping People Find a New Place to LiveNew Place to Live

Developed by Peter Kinsella and

adapted by Michael Smull and Amanda George

Helping People Find a Helping People Find a New Place to Live New Place to Live cont’dcont’d

• Moving is done in partnership with an individual and his/her family

• It is important to know how, where and with whom a person wants to live

• It is helpful if a living description is already available. This may be in someone’s person centered plan.

Helping People Find a Helping People Find a New Place to Live New Place to Live cont’dcont’d

• Structured brainstorming process• Takes into consideration what’s

important to/important for • Moving should only happen if the

person is moving to somewhere that more closely matches what s/he wants

 On the Partnership’s Website http://www.vcu.edu/partnership/c

dservices/whatisp-cp.htm

On the Learning Community Website

http://www.learningcommunity.us 

For More InformationFor More Information