planning for alternative tomorrows with hope - dmh.mo.gov · cindy hanebrink, shelly...
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Planning for
alternative
tomorrows
with hope
State Behavior Resource Team
Helen Richardson, Dustin Fish, Cindy Hanebrink, Shelly Cannon-Herrick,
Dorae Biller, Joshua Paul, Phil Ryan, Kimbra Shelton, Courtney Snider, James Taylor,
Terri Werner, and Teri Wondra
Presented by and in collaboration with
Dr. King said “I have a dream.”
He did not say, “I have an annual plan and quarterly goals and objectives.”
Person-Centered Thinking
Objectives
Attendees will:
1. Understand and identify what person-centered thinking is
2. Learn ways to create an agency wide system focused on Universal Strategies pertaining to Person Centered Thinking
3. Learn creative, practical, strength based strategies for assisting individuals in identify their gifts and talents
4. Learn how to use different data collecting tools for person centered planning
The Philosophy of Person Centered Thinking is
• A focus on seeing what’s strong, rather than what’s wrong.
• A core belief that all people have gifts to share.
• A realization that Community connections, natural supports and community involvement is essential.
• About being intentional about respecting the culture, ethnicity, religion, and gender of the individual.
Building the Support Team
• Family members, friends and/guardians
• Teachers, paraprofessionals
• Friends, peers, acquaintances
• Direct support professionals (staff, care givers, personal care attendant, etc.)
• Other support professionals (support coordinator, social worker, etc.)
Meet Aniyah
“Chi” is what gives you power to the oxygen in the air we breath and the vitamins and minerals in the foods we eat.
It is what we live off in the air, food, sunlight, water and even in our thoughts.
Every human possesses a soul, and the energy that our souls transmit to our hearts, minds and bodies is our Chi.
What is Chi?
Build on what’s strong and not what’s wrong
Gifts
• What are the great things about you
• What do you like about you
• What are some things you’re good at? Proud of?
• What do people thank you for?
• What do others say about you
Talents
When thinking about gifts, We consider the three H’s
•Gifts of the hands – these are the things
you know how to do
•Gifts of the head – these are things you
know about
•Gifts of the heart- these are things you are
passionate about
….And More Gifts
We must also Teach the skills that make
us more connected to others
• Warm smiles
• Sense of humor
• Concern for others
• Courage
• Honesty
• Dependability
• Responsibility
• Good listener
• Encourager
Skills
What is the secret?
Person
Centered
Planning
Concepts
If I had an hour to save the world,
I’d spend 55 minutes defining the problem.
- Albert Einstein
A learning culture requires –
• That everyone is heard & feels their voice matters
• Learning is continuous – not just during review or planning meetings
• What is learned is recorded as it is learned
• People are supported in acquiring the skills they need – and opportunities to enhance skills are routine
• The process of building a set of person centered information around the person can start in various ways, with a number of tools
• Person Centered Planning Tools:• Rituals and Routines• What’s Important TO and Important FOR the PERSON• The Learning Log • Sorting What’s Working/What’s Not Working• Creating Vision Boards
Person Centered Thinking Concepts
Rituals and Routines
• Rituals are a set of actions or words preformed in a regular way.
• Routines are a sequence of actions regularly followed that happen about the same time and way every day.
• Daily rituals: How we do things.
• Comfort routines/Rituals: What helps when you have a bad day?
• Relationship routines/rituals: Much of the richness of “community” comes from the relationships that we have.
Kinds of Rituals and Routines
• Help individuals cope with difficult times, when there are changes in their world.
• Help individuals establish self control and self regulation.
• Capturing and honoring the routines of our individuals is a crucial part of helping them to make sense of, and feel in control of their own lives.
• Reflecting on people’s routines and rituals can also tell us a lot about what matters to people, how best to support them and what it takes for them to have a good day.
Why are they important?
Aniyah's Morning Rituals and Routines
Aniyah
Ask three simple questions:
•What is important to you?
•What is important for you?
•What do we need to learn from you?
A Core Concept and a Core Skill Balancing
Important to and Important for
What is important TO Aniyah What is important FOR Aniyah
Yoga
Spend money on things she wants
Finding a job
Become more independent
Attend Church and other community activities
Treat others kinder
Be healthier and maintain a healthy lifestyle
Budget money
Find a job
Maintain clean home
Opportunities to do things she wants (Church)
Learn boundaries with housemates
Treat others kind
What else do you need to learn/know
Some similarities:
Health, employment, responsibility and independence, behavior
A Core Concept and a Core Skill Balancing
Important to and Important for
Date What did the person do? (What, where, when, how
long, etc.)
Who was there? (Names of staff, friends, others,
etc.)
What did you learn about what worked well? What did the person like about the activity? What needs
to stay the same?
What did you learn about what didn’t work well? What did the
person not like about the activity? What needs to be different?
3/1 Yoga at YMCA (1 hour) Jordan (staff), Julie and Sabrina
Aniyah seemed to absolutely love attending her first Yoga class. She was smiling the entire time and seemed to really enjoy the stretching exercises
Aniyah did not like being told or made to do the positions correctly,but rather did them in her own way. Aniyah needs to participate at her own pace and on her own terms.
3/4 Church (1 ½ hours) Carly (staff) Aniyah seemed to really enjoy singing in the church choir. She also seemed to like visiting with people before and after church.
Aniyah did not like that the church service is long. Toward the end she wanted to go home.
3/6 Goodwill on Main St. (30 min) Jordan (staff), Julie and Sabrina
Aniyah began organizing and arranging the women’s pants according to size. She had a blast and is really good at this!
When it was time to go, Aniyah didn’t want to go and began to yell and knocked down a clothing rack.
3/7 House (30 min) Jordan (staff), Julie and Sabrina
If the doors to Julie and Sabrina’s bedroom are closed, Aniyah will not enter their rooms.
Aniyah will go into Julie and Sabrina’s bedrooms and take items when their bedroom doors are open
The Learning Log
As you are building your agency system, think of which agency staff will
• Sort “what is working” from “what is not working”
• Monitor effectiveness and move to alternative format when entries no longer reflect new learning
• Make sure ideas and observations are put to use after recording learning
• Transfer information from learning log to plan
• Look for patterns in what emerges
The Learning Log
What is Working or Making Sense and What is Not Working or Not Making Sense
What is Working/The “Up” Side/What is Working Right Now
USE THIS INFORMATION TO BUILD THE AGENDA
OF THINGS THAT ARE TO STAY THE SAME
Individual’s perspective
Family’s perspective
Staff’s perspective
What is Not Working/The “Down” Side/What is Not Working Right NowIndividual’s perspective USE THIS INFORMATION
TO BUILD THE AGENDA OF THINGS THAT NEED
TO CHANGE
Family’s perspective
Staff’s perspectiveDISAGREEMENTS
Formal
InformalAniyah’s chores
What’s Working What’s Not Working/What Could Improve
Aniyah has more success when she has control over what chores she completes and when she completes them. She also prefers to have music playing while completing her chores.
Assist Aniyah in completing a visual chore chart so she can self-monitor her own behavior. Staff using the setting expectation tool to strengthen and reinforce Aniyah completing her chores—which will enhance her goal of being more independent.
Date/How Long Task Who Was There What worked well What didn’t work well Initials
1. 03/07 30 min Sweep the kitchen floor
Staff (-) Aniyah will sweep the floor only if her favorite music is playing and she has control over when she completes her chores.
(-) Staff reminding Aniyah to do her morning chores. Aniyah became angry and cursed at staff, before she began sweeping the floor
JP
2.
3.
4.
+ Objective independently completed as written on the first attempt following initial prompt
- Objective not completed, completed on a later attempt, or assistance was required following initial prompt
R Continued refusal
Ways to incorporate person-centered thinking into
data collection
ABC Behavioral Data Sheet
• Record each instance of one behavior, as well as the antecedent (what happened right before the behavior), the consequence (what happened right after the behavior), and what you believe the individual got out of the behavior.
• Date ___________________________________Time of observation________
Antecedent Behavior Consequence What has been learned?
Staff informed Aniyah she
would not be able to go to
Yoga today , as staff’s
vehicle wouldn’t start and
there wasn’t anyone else
available to take her.
Aniyah became upset and
began to curse and yell at
staff. She threw her water
bottle across the room,
and hit the staff member.
Staff member used the
stay close hot tool and
pivoted from the junk
behavior (the cursing and
yelling). Empathy, open-
ended questions and
encouragement were used
by staff until Aniyah started
to lower her voice and
appeared calmer. Staff
directed her to a calming
activity (going for a walk in
Staff will ensure to have a
transportation back up plan in
place so Aniyah can attend her
scheduled community events.
Use the setting expectations tool
to strengthen and reinforce Aniyah
to learn and practice self-
management techniques
Safety Crisis plan will be developed
with Aniyah and her planning
team.
What is a Vision Board
Collage of Words
Life ValuesGoals
Dreams
Self-MotivatingFUN
QUESTIONS??
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