Download - Endeavour for Excellence
These notes are the intellectual property of Hope Leet Dittmeier and Genio. They are a resource for participants in the Endeavour for Excellence programme and should not be used as a foundation for practice by those who have not undertaken Endeavour for Excellence training.
These notes are the intellectual property of Hope Leet Dittmeier and Genio. They are a resource for participants in the Endeavour for Excellence programme and should not be used as a foundation for practice by those who have not undertaken Endeavour for Excellence training.
Endeavour for Excellence
Hope Leet [email protected]
Week 1
These notes are the intellectual property of Hope Leet Dittmeier and Genio. They are a resource for participants in the Endeavour for Excellence programme and should not be used as a foundation for practice by those who have not undertaken Endeavour for Excellence training.
An SRV-derived
Theoretical Framework
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These notes are the intellectual property of Hope Leet Dittmeier and Genio. They are a resource for participants in the Endeavour for Excellence programme and should not be used as a foundation for practice by those who have not undertaken Endeavour for Excellence training.
What is our mission?What is the primary purpose of our work?
What kind of outcomes or results do we hope for?
“THE GOOD LIFE”
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These notes are the intellectual property of Hope Leet Dittmeier and Genio. They are a resource for participants in the Endeavour for Excellence programme and should not be used as a foundation for practice by those who have not undertaken Endeavour for Excellence training.
Universal good things of life
Family
Home
Belonging
Friends
Work
Safety and Security
Opportunities to develop one’s abilities
Respect, honesty & fairness
Being treated as an individual
Having a say
Access to community places
Ordinary social life
Contributing
Good health
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These notes are the intellectual property of Hope Leet Dittmeier and Genio. They are a resource for participants in the Endeavour for Excellence programme and should not be used as a foundation for practice by those who have not undertaken Endeavour for Excellence training.
Why is it different?
Why do so many people who rely on our supports not have the very things most of us enjoy and describe as the “good life”?
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These notes are the intellectual property of Hope Leet Dittmeier and Genio. They are a resource for participants in the Endeavour for Excellence programme and should not be used as a foundation for practice by those who have not undertaken Endeavour for Excellence training.
Devaluation - A harsh reality
Someone is seen as outside the norm, different
The difference is viewed in a negative way
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These notes are the intellectual property of Hope Leet Dittmeier and Genio. They are a resource for participants in the Endeavour for Excellence programme and should not be used as a foundation for practice by those who have not undertaken Endeavour for Excellence training.
What society valuesNarrow definition of beauty
Physical strength/ability, athleticism
Productivity
Material belongings/wealth
Competence, intelligence
Survival of the “fittest”
Youth, newness
Dominance
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These notes are the intellectual property of Hope Leet Dittmeier and Genio. They are a resource for participants in the Endeavour for Excellence programme and should not be used as a foundation for practice by those who have not undertaken Endeavour for Excellence training.
Valued vs. devaluedPerson w/deformityDependent adultUnemployed manLazy teenPoor/homeless personSomeone on the dolePerson w/intellectual disabilityIlliterate person
Movie star/modelAthlete/championProfessionalHomeownerMillionaireSurgeon, solicitorInstructor, university graduate
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These notes are the intellectual property of Hope Leet Dittmeier and Genio. They are a resource for participants in the Endeavour for Excellence programme and should not be used as a foundation for practice by those who have not undertaken Endeavour for Excellence training.
Perceived devaluationDevaluation is not about people’s
inherent worth, but their perceived worth – it is in the eyes and minds of others
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These notes are the intellectual property of Hope Leet Dittmeier and Genio. They are a resource for participants in the Endeavour for Excellence programme and should not be used as a foundation for practice by those who have not undertaken Endeavour for Excellence training.
DevaluationHow important or deeply held by observers
are the values perceived to be violated by the person or group
How many values are perceived to be violated by the person or group
The degree to which the values are perceived to be violated by the person or group
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These notes are the intellectual property of Hope Leet Dittmeier and Genio. They are a resource for participants in the Endeavour for Excellence programme and should not be used as a foundation for practice by those who have not undertaken Endeavour for Excellence training.
Unconscious devaluationDevaluation can be conscious, but
is more often unconsciousEven enlightened, kind, progressive
people (including human service workers) devalue others
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These notes are the intellectual property of Hope Leet Dittmeier and Genio. They are a resource for participants in the Endeavour for Excellence programme and should not be used as a foundation for practice by those who have not undertaken Endeavour for Excellence training.
Devaluation mattersDevaluation explains why people don’t
have equal access to the good things in life that others do
Being devalued results in the likelihood that bad things will happen to you, that you will be treated in ways that wouldn’t be tolerated for/by valued citizens
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These notes are the intellectual property of Hope Leet Dittmeier and Genio. They are a resource for participants in the Endeavour for Excellence programme and should not be used as a foundation for practice by those who have not undertaken Endeavour for Excellence training.
It isn’t the functional impacts of disability:
– Reliance on a wheelchair– Lower intellectual capacity – Poor sight or hearing
that pose the biggest challenge to quality of life
It is the impact of the common life experiences that people face as a result of being devalued
Common life experiences
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These notes are the intellectual property of Hope Leet Dittmeier and Genio. They are a resource for participants in the Endeavour for Excellence programme and should not be used as a foundation for practice by those who have not undertaken Endeavour for Excellence training.
REJECTIONBy:
Family
Neighbors
Community
Service workers
Common life experiences
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These notes are the intellectual property of Hope Leet Dittmeier and Genio. They are a resource for participants in the Endeavour for Excellence programme and should not be used as a foundation for practice by those who have not undertaken Endeavour for Excellence training.
Common life experiences
Nonhuman
Menace, evil, or object of dread
Trivial, or Object of Ridicule
Object of Pity
Burden
Child
Holy Innocent
Client
Sick
Dying, dead, better off dead
CAST INTO DEVIANT ROLES
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These notes are the intellectual property of Hope Leet Dittmeier and Genio. They are a resource for participants in the Endeavour for Excellence programme and should not be used as a foundation for practice by those who have not undertaken Endeavour for Excellence training.
Supported in valued-tainted locationsGrouped with people in image-impairing waysExperience value-impairing methods and activitiesBizarre or negative names and labels to people,
programs, services, logosPersonal appearance neglectedServices funded with image-tainted monies or
devaluing appeals
STIGMATISEDCommon life experiences
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These notes are the intellectual property of Hope Leet Dittmeier and Genio. They are a resource for participants in the Endeavour for Excellence programme and should not be used as a foundation for practice by those who have not undertaken Endeavour for Excellence training.
Being the scapegoat for anything bad that happens
Being suspected of belong to more than one devalued group
Being cast into more than one deviancy role
Being treated worse for a suspected or real offense than are valued people
Upon being vindicated, receiving less restitution, if any
MULTIPLE JEOPARDYCommon life experiences
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These notes are the intellectual property of Hope Leet Dittmeier and Genio. They are a resource for participants in the Endeavour for Excellence programme and should not be used as a foundation for practice by those who have not undertaken Endeavour for Excellence training.
Physically
Excluded: Architectural barriers
Segregated: Separate places
Confined: Prisons, nursing homes
Ejected: Expulsion, banishment
Destructed: Assault, euthanasia, capital punishment
DISTANCEDCommon life experiences
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These notes are the intellectual property of Hope Leet Dittmeier and Genio. They are a resource for participants in the Endeavour for Excellence programme and should not be used as a foundation for practice by those who have not undertaken Endeavour for Excellence training.
Socially
Avoided, ignored
Degrading treatment
Even within service: badges, keys, separate dining areas, different toilets
DISTANCEDCommon life experiences
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These notes are the intellectual property of Hope Leet Dittmeier and Genio. They are a resource for participants in the Endeavour for Excellence programme and should not be used as a foundation for practice by those who have not undertaken Endeavour for Excellence training.
Being made/kept dependent by family and services
Having to follow arbitrary rules
Having little say about things that have personal impact
Being moved about
Having one’s associations controlled
Being deprived of legal rights
LOSS OF CONTROL/AUTONOMYCommon life experiences
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These notes are the intellectual property of Hope Leet Dittmeier and Genio. They are a resource for participants in the Endeavour for Excellence programme and should not be used as a foundation for practice by those who have not undertaken Endeavour for Excellence training.
Often the cause of discontinuity is a result of rejection
Devalued people get moved around more often, even within the same organization
People often get moved against their will and with little notice, almost always interpreted as being “for their own good”
Sometimes people don’t have the resources and ability to cope or to stay in contact with those left behind
PHYSICAL DISCONTINUITYCommon life experiences
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These notes are the intellectual property of Hope Leet Dittmeier and Genio. They are a resource for participants in the Endeavour for Excellence programme and should not be used as a foundation for practice by those who have not undertaken Endeavour for Excellence training.
Impact of physical discontinuity on people includes:
– Disorientation or confusion– Lowered performance– Insecurity– Loss of possessions– Relationship loss– Stress– Illness and death
PHYSICAL DISCONTINUITYCommon life experiences
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These notes are the intellectual property of Hope Leet Dittmeier and Genio. They are a resource for participants in the Endeavour for Excellence programme and should not be used as a foundation for practice by those who have not undertaken Endeavour for Excellence training.
People often don’t have the skills or resources to stay in touch with others
People are often abandoned by others
High turnover and reassignment in service results in little continuity even with those paid to be in relationship
RELATIONSHIP DISCONTINUITYCommon life experiences
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These notes are the intellectual property of Hope Leet Dittmeier and Genio. They are a resource for participants in the Endeavour for Excellence programme and should not be used as a foundation for practice by those who have not undertaken Endeavour for Excellence training.
Sometimes stressed or absent family relationships
Disproportionate number of relationships with other devalued people which doesn’t afford the same degree of social capital
Formal services rarely recognize or address this need adequately
Substitution of artificial/paid ‘friends’
LONELINESSCommon life experiences
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These notes are the intellectual property of Hope Leet Dittmeier and Genio. They are a resource for participants in the Endeavour for Excellence programme and should not be used as a foundation for practice by those who have not undertaken Endeavour for Excellence training.
Disability becomes life-defining and primary determinant in decisions
People are often not well-known for their unique identities
Vast majority of supports are provided in group settings
DEINDIVIDUALISATIONCommon life experiences
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People are kept poor in order to receive necessary supports
People don’t have equal access to employment opportunities
People’s belongings are not valued or protected in many settings
People are less likely to inherit from their families
MATERIAL POVERTYCommon life experiences
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These notes are the intellectual property of Hope Leet Dittmeier and Genio. They are a resource for participants in the Endeavour for Excellence programme and should not be used as a foundation for practice by those who have not undertaken Endeavour for Excellence training.
Lack of opportunities to learn ordinary things in the ordinary developmental sequence
Exposure to non-typical models of behavior and custom
Absence of relevant and potent educational programming
LACK OF TYPICAL LIFE EXPERIENCES
Common life experiences
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These notes are the intellectual property of Hope Leet Dittmeier and Genio. They are a resource for participants in the Endeavour for Excellence programme and should not be used as a foundation for practice by those who have not undertaken Endeavour for Excellence training.
Low expectations related to a person’s potential
Few real investments made in a person’s future
Exposed to programs and experiences that have little meaning to the person
Time not well spent
Lack of potency in interventions
HAVING ONE’S LIFE WASTEDCommon life experiences
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These notes are the intellectual property of Hope Leet Dittmeier and Genio. They are a resource for participants in the Endeavour for Excellence programme and should not be used as a foundation for practice by those who have not undertaken Endeavour for Excellence training.
Devalued people at increased risk of physical and sexual abuse
Devalued people less likely to report or to be believed
Institutional culture provides few safeguards
Perpetrators rarely held to same accountability as others
ABUSE AND BRUTALISATIONCommon life experiences
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These notes are the intellectual property of Hope Leet Dittmeier and Genio. They are a resource for participants in the Endeavour for Excellence programme and should not be used as a foundation for practice by those who have not undertaken Endeavour for Excellence training.
People often regret causing hardship on their families
People are sometimes poorly treated by carers
Respite is evidence of “burden” mentality
AWARE OF BEING SOURCE OF ANGUISH
Common life experiences
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These notes are the intellectual property of Hope Leet Dittmeier and Genio. They are a resource for participants in the Endeavour for Excellence programme and should not be used as a foundation for practice by those who have not undertaken Endeavour for Excellence training.
Lack of experience poorly prepares people for valued involvement in the valued world
People often have insecurities and lack of confidence
People often see themselves as not fitting in or belonging
FEELING ALIEN IN THE VALUED WORLD
Common life experiences
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These notes are the intellectual property of Hope Leet Dittmeier and Genio. They are a resource for participants in the Endeavour for Excellence programme and should not be used as a foundation for practice by those who have not undertaken Endeavour for Excellence training.
Preoccupation with one’s own condition
Feeling/being/acting like an alien in the world
Sorrowing over all the good things one has missed and the bad things one has suffered
A sense of worthlessness, dislike of self
Insecurity
Fear of failure and resulting avoidance
Searching for the abandoner
Likely impacts of devaluation
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These notes are the intellectual property of Hope Leet Dittmeier and Genio. They are a resource for participants in the Endeavour for Excellence programme and should not be used as a foundation for practice by those who have not undertaken Endeavour for Excellence training.
Fantasy and inventions about positive relationships that don’t exist
Seeking/demanding physical contact
Testing of the genuineness of relationships
Withdrawing from contact and/or reality
Turning the hurt into resentment or hatred
Rage, perhaps even violence, at the world or self
A sapping of physical and mental energy
Likely impacts of devaluation
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These notes are the intellectual property of Hope Leet Dittmeier and Genio. They are a resource for participants in the Endeavour for Excellence programme and should not be used as a foundation for practice by those who have not undertaken Endeavour for Excellence training.
The relevance of woundedness
We must avoid services which continue to impose wounds on people – congregation, loneliness, low expectations, etc.
We cannot use our own valued life experiences as a framework for understanding where people are at the moment
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These notes are the intellectual property of Hope Leet Dittmeier and Genio. They are a resource for participants in the Endeavour for Excellence programme and should not be used as a foundation for practice by those who have not undertaken Endeavour for Excellence training.
Social rolesHow we are known by others
What defines who we are
The place we hold in society
“I am a . . . (noun)”
What we become over our lifetime
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These notes are the intellectual property of Hope Leet Dittmeier and Genio. They are a resource for participants in the Endeavour for Excellence programme and should not be used as a foundation for practice by those who have not undertaken Endeavour for Excellence training.
Social rolesA socially expected pattern of
– Behavior– Responsibilities– Expectations– Privileges
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These notes are the intellectual property of Hope Leet Dittmeier and Genio. They are a resource for participants in the Endeavour for Excellence programme and should not be used as a foundation for practice by those who have not undertaken Endeavour for Excellence training.
Roles have a big impactOur image in the eyes of others
Our own self-image
Acceptance and belonging
Degree of autonomy and freedom
Opportunity to make our contribution
Quantity and quality of relationships
Personal growth and development
Material possessions
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These notes are the intellectual property of Hope Leet Dittmeier and Genio. They are a resource for participants in the Endeavour for Excellence programme and should not be used as a foundation for practice by those who have not undertaken Endeavour for Excellence training.
Valued & devalued rolesA role may be positive or valued
- good neighbor, student, member
A role may be negative or devalued
- client, eternal child, object of pity
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These notes are the intellectual property of Hope Leet Dittmeier and Genio. They are a resource for participants in the Endeavour for Excellence programme and should not be used as a foundation for practice by those who have not undertaken Endeavour for Excellence training.
Social rolesRoles may be:
– Imposed ~ assigned by others– Chosen ~ selected and pursued
Roles may be:– Inherited ~ born into– Earned ~ accomplished
Chosen and earned roles are most highly regarded
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These notes are the intellectual property of Hope Leet Dittmeier and Genio. They are a resource for participants in the Endeavour for Excellence programme and should not be used as a foundation for practice by those who have not undertaken Endeavour for Excellence training.
Social rolesCertain valued roles are expected:
– Family roles ~ daughter, uncle, grandparent
– Adult roles ~ employee or student
– Irish citizen ~ contributor, good neighbor
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These notes are the intellectual property of Hope Leet Dittmeier and Genio. They are a resource for participants in the Endeavour for Excellence programme and should not be used as a foundation for practice by those who have not undertaken Endeavour for Excellence training.
Primary goals of SRVProtect the socially valued roles held by
the person
Avoid adding new negative, devalued roles
Escape or disprove negative roles that have become a part of a person’s identity
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These notes are the intellectual property of Hope Leet Dittmeier and Genio. They are a resource for participants in the Endeavour for Excellence programme and should not be used as a foundation for practice by those who have not undertaken Endeavour for Excellence training.
Primary goals of SRVEnter into new valued roles (i.e., roles
that most of us take for granted such as neighbor, church member, volunteer, employee, etc.)
Defend and embed socially valued roles
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These notes are the intellectual property of Hope Leet Dittmeier and Genio. They are a resource for participants in the Endeavour for Excellence programme and should not be used as a foundation for practice by those who have not undertaken Endeavour for Excellence training.
Common goals of serviceMinding people
Protecting people
Entertaining people
Changing people
Evaluating people
Keeping people busy
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These notes are the intellectual property of Hope Leet Dittmeier and Genio. They are a resource for participants in the Endeavour for Excellence programme and should not be used as a foundation for practice by those who have not undertaken Endeavour for Excellence training.
From activities to rolesACTIVITY
Going to church
Working
Swimming
Cooking
Taking a class
Painting
ROLE
Church member
Employee
Swimmer
Cook
Student
Artist
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These notes are the intellectual property of Hope Leet Dittmeier and Genio. They are a resource for participants in the Endeavour for Excellence programme and should not be used as a foundation for practice by those who have not undertaken Endeavour for Excellence training.
Role communicators - ArtistThe physical environment
The people associated with a person or group
The behaviors that are expected and the activities engaged in
The language and words that are used
Other imagery such as possessions
Studio space, art galleries,
Artists, art instructor, art shop cashiers
Taking classes, exhibits, giving art as gifts, shopping for supplies
Canvas, pastels, acrylic, impressionistic, form
Art supplies, original art in home
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These notes are the intellectual property of Hope Leet Dittmeier and Genio. They are a resource for participants in the Endeavour for Excellence programme and should not be used as a foundation for practice by those who have not undertaken Endeavour for Excellence training.
Primary SRV strategiesImage Enhancement
Competency Enhancement
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These notes are the intellectual property of Hope Leet Dittmeier and Genio. They are a resource for participants in the Endeavour for Excellence programme and should not be used as a foundation for practice by those who have not undertaken Endeavour for Excellence training.
Image enhancementImage is conveyed by:
– Physical appearance of the person– Physical appearance of others associated
w/the person– Proper social etiquette and skills– What is said ~ words, topics– Physical surroundings– Possessions and belongings
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These notes are the intellectual property of Hope Leet Dittmeier and Genio. They are a resource for participants in the Endeavour for Excellence programme and should not be used as a foundation for practice by those who have not undertaken Endeavour for Excellence training.
Competency enhancementCurrent functioning does not predict a
person’s capacity
Teach relevant skills using:
– The power of imitation and modeling– Positive role expectancies– High expectations– Strategies that reflect how a person best learns– Potent systemised instruction methods
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These notes are the intellectual property of Hope Leet Dittmeier and Genio. They are a resource for participants in the Endeavour for Excellence programme and should not be used as a foundation for practice by those who have not undertaken Endeavour for Excellence training.
Role expectancy and circularityPeople become
what they are expected to be
Self-fulfilling prophesy
Breaking the vicious cycle
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These notes are the intellectual property of Hope Leet Dittmeier and Genio. They are a resource for participants in the Endeavour for Excellence programme and should not be used as a foundation for practice by those who have not undertaken Endeavour for Excellence training.
Culturally valued analog“What happens for valued citizens of the
same age and gender?”
Which can be encountered with at least reasonable frequency in the valued sector of society
With which most members of society would be familiar
Of which most members of the society would hold most positive expectations and images
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These notes are the intellectual property of Hope Leet Dittmeier and Genio. They are a resource for participants in the Endeavour for Excellence programme and should not be used as a foundation for practice by those who have not undertaken Endeavour for Excellence training.
Model coherency“Are we doing that which is most useful?”
Relevance – does the support match what the person needs most? Are we addressing the person’s most fundamental and most pressing needs? Quality
Potency – is the support sufficient enough to bring about desired results? Is there enough of the right support? Quantity
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These notes are the intellectual property of Hope Leet Dittmeier and Genio. They are a resource for participants in the Endeavour for Excellence programme and should not be used as a foundation for practice by those who have not undertaken Endeavour for Excellence training.
Conservatism corollary“Bending over backwards”
Heightened vulnerability– Prevailing stereotypes– Impact of wounding experiences– Lack of protection afforded by valued roles– Multiple jeopardizes
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These notes are the intellectual property of Hope Leet Dittmeier and Genio. They are a resource for participants in the Endeavour for Excellence programme and should not be used as a foundation for practice by those who have not undertaken Endeavour for Excellence training.
Conservatism corollaryPositive compensation for disadvantage
– Disprove common stereotypes by seeking roles that contradict
– Beyond normative– Strive for the most highly valued options
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These notes are the intellectual property of Hope Leet Dittmeier and Genio. They are a resource for participants in the Endeavour for Excellence programme and should not be used as a foundation for practice by those who have not undertaken Endeavour for Excellence training.
Personal social integration and valued social integrationAdaptive participation by a devalued person
In a culturally normative quantity of contacts, interactions, & positive relationships
With ordinary citizens
In normative shared activities, that are part of recognizable roles, and
Carried out in a valued physical & social setting
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These notes are the intellectual property of Hope Leet Dittmeier and Genio. They are a resource for participants in the Endeavour for Excellence programme and should not be used as a foundation for practice by those who have not undertaken Endeavour for Excellence training.
Personal, valued social integrationStrategies:
Address characteristics and conditions of person which are apt to elicit rejection (anxiety, habits, images, roles)
Help community members identify with person (commonalities, cooperative tasks, invitation)
Recognize and reinforce any integrative gestures or acts by community members
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These notes are the intellectual property of Hope Leet Dittmeier and Genio. They are a resource for participants in the Endeavour for Excellence programme and should not be used as a foundation for practice by those who have not undertaken Endeavour for Excellence training.
Personal, valued social integrationAdvantages:
Protection of welfare and safety
Enhancement of competencies
Higher, more normative expectations
Access to good models
More variety of experience
Enhancement of person’s image
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These notes are the intellectual property of Hope Leet Dittmeier and Genio. They are a resource for participants in the Endeavour for Excellence programme and should not be used as a foundation for practice by those who have not undertaken Endeavour for Excellence training.
Non-programmatic issues that constrain programmatic onesFunding
History
Legal issues
Political
Staffing
Personalities
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These notes are the intellectual property of Hope Leet Dittmeier and Genio. They are a resource for participants in the Endeavour for Excellence programme and should not be used as a foundation for practice by those who have not undertaken Endeavour for Excellence training.
High-Quality
Individualised
Supports
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These notes are the intellectual property of Hope Leet Dittmeier and Genio. They are a resource for participants in the Endeavour for Excellence programme and should not be used as a foundation for practice by those who have not undertaken Endeavour for Excellence training.
Confusing TerminologyAre there distinctions between ‘individualised’ and ‘person centred’?
The concept of individualising is not at all new
Calling the work ‘individualised’ doesn’t necessarily make it so!
It isn’t reasonable or ethical to focus solely on one person at the expense of those in their intimate personal network
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These notes are the intellectual property of Hope Leet Dittmeier and Genio. They are a resource for participants in the Endeavour for Excellence programme and should not be used as a foundation for practice by those who have not undertaken Endeavour for Excellence training.
Confusing TerminologyWe can still do harm when using one-person-at-a-time methodology
Once individualised, not always individualised!
Term typically intended to signify high quality
Individualised strategies embrace a presumed ideology about what constitutes good work
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These notes are the intellectual property of Hope Leet Dittmeier and Genio. They are a resource for participants in the Endeavour for Excellence programme and should not be used as a foundation for practice by those who have not undertaken Endeavour for Excellence training.
Sequence matters!Typically services are pre-designed based on professional ideologies about what people need
Decisions are made before knowing who will avail of the service
People ‘fit into’ the model
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These notes are the intellectual property of Hope Leet Dittmeier and Genio. They are a resource for participants in the Endeavour for Excellence programme and should not be used as a foundation for practice by those who have not undertaken Endeavour for Excellence training.
Process of individualised practice
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These notes are the intellectual property of Hope Leet Dittmeier and Genio. They are a resource for participants in the Endeavour for Excellence programme and should not be used as a foundation for practice by those who have not undertaken Endeavour for Excellence training.
Process of individualised practice
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These notes are the intellectual property of Hope Leet Dittmeier and Genio. They are a resource for participants in the Endeavour for Excellence programme and should not be used as a foundation for practice by those who have not undertaken Endeavour for Excellence training.
DiscoveryGetting to know people in a different way
Focusing on:
– Capacity– Commonality– Contribution/Citizenship– Context
Thinking about potential and possibility
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These notes are the intellectual property of Hope Leet Dittmeier and Genio. They are a resource for participants in the Endeavour for Excellence programme and should not be used as a foundation for practice by those who have not undertaken Endeavour for Excellence training.
Getting to know the person differentlyDeficiency-based focusAssessments with
comparative scores
Diagnoses & labels; levels of intellectual disability
A thorough description of what a person CAN’T do
Capacity-based focusFinding what people have
in common with others
Appreciating what a person CAN do; finding their gifts
What’s possible with good support!
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These notes are the intellectual property of Hope Leet Dittmeier and Genio. They are a resource for participants in the Endeavour for Excellence programme and should not be used as a foundation for practice by those who have not undertaken Endeavour for Excellence training.
Process of individualised practice
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These notes are the intellectual property of Hope Leet Dittmeier and Genio. They are a resource for participants in the Endeavour for Excellence programme and should not be used as a foundation for practice by those who have not undertaken Endeavour for Excellence training.
What is individualised planning?Variety of methods or tools
– Personal Futures Planning– Essential Lifestyle Planning– PATHFocused on one person
Positive possibilities
Rich in valued roles and meaningful relationships
Customized supports
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These notes are the intellectual property of Hope Leet Dittmeier and Genio. They are a resource for participants in the Endeavour for Excellence programme and should not be used as a foundation for practice by those who have not undertaken Endeavour for Excellence training.
What individualised planning is NOT– Only accomplished
using colored markers!– Just documenting the
answers to simple questions
– Giving people whatever they want
– Ignoring people’s most fundamental needs
– Sticking only to what we know how to do
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These notes are the intellectual property of Hope Leet Dittmeier and Genio. They are a resource for participants in the Endeavour for Excellence programme and should not be used as a foundation for practice by those who have not undertaken Endeavour for Excellence training.
Defining a desirable lifestyleA HOME of One’s Own
– Of person’s choosing, in typical setting, with people chosen
Valued Social ROLES
– Adult, citizen, neighbor, sibling, aunt/uncle, employee, volunteer, artist, member, friend
RELATIONSHIPS
– Disproportionate number of friends with disabilities– People need intentional support to cultivate meaningful
relationships with ordinary citizens
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These notes are the intellectual property of Hope Leet Dittmeier and Genio. They are a resource for participants in the Endeavour for Excellence programme and should not be used as a foundation for practice by those who have not undertaken Endeavour for Excellence training.
Process of individualised practice
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These notes are the intellectual property of Hope Leet Dittmeier and Genio. They are a resource for participants in the Endeavour for Excellence programme and should not be used as a foundation for practice by those who have not undertaken Endeavour for Excellence training.
Resource developmentMobilizing and creating desired supports:
– How do valued citizens go about this?
– What places and resources are used by others?
– Who is in the best position to assist?
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These notes are the intellectual property of Hope Leet Dittmeier and Genio. They are a resource for participants in the Endeavour for Excellence programme and should not be used as a foundation for practice by those who have not undertaken Endeavour for Excellence training.
Process of individualised practice
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These notes are the intellectual property of Hope Leet Dittmeier and Genio. They are a resource for participants in the Endeavour for Excellence programme and should not be used as a foundation for practice by those who have not undertaken Endeavour for Excellence training.
The proper use of formal supportsFirst – what is family able to do, want to do, do well
(that the person being supported finds acceptable)?
Second – who else in the person’s social network might be interested in assisting the person in specific ways?
Third – what other options for support are available in the community?
Fourth – what blanks do we fill with paid supports?
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Service deliveryRelevant and thoughtful safeguards
Teamwork ~ layers of people working together to make good things happen
Effective leadership that provides vision, inspiration
Competent management of supports and assisting people to play a bigger role in managing their supports
Flexibility, flexibility, flexibility and more flexibility
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Process of individualised practice
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Evolving as we learnSome of the assumptions we had will be wrong
and need correcting
We will learn things about people that we didn’t know before
People will grow and develop and their interests, opportunities and needs will change
People will, hopefully, become less reliant on us
A culture of mindfulness and reflection is needed
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These notes are the intellectual property of Hope Leet Dittmeier and Genio. They are a resource for participants in the Endeavour for Excellence programme and should not be used as a foundation for practice by those who have not undertaken Endeavour for Excellence training.
Partnership and
Empowerment
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PartnershipIs hard work!
Takes time
Requires nurturing
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Shared valuesAgreement about what is worth working toward –
‘common ground’
Consensus about how to treat one another, especially in the face of adversity
Recognition and respect for one another’s ‘non-negotiables’
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Shared responsibilityDoing ‘with’ one another vs. doing ‘to’ or even
doing ‘for’
Balancing investment and effort between parties
Taking responsibility for our actions - regretting our errors
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Mutual respectHonoring one another’s previous experience
Recognizing one another’s expertise and perspective
Having clarity about each party’s boundaries
Portraying one another in positive ways
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Role clarityNatural investments of people being supported
and their families
Proper purview of service
Clear expectations
Being ‘friendly’ but not being friends
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Effective communicationBeing honest
Discussing differences or disagreements
Keeping one another informed
Maintaining confidentiality
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Conflict managementNot about IF things go wrong, but WHEN things
go wrong
– Notice the learning– Create a positive and productive outcome– Avoid blame
85
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Interpersonal identificationPeople who identify with others will generally
– Want good things for the others– Want to be with the others– Communicate good things about the
others– Want to please the others; do what they
ask– Possibly want to be like the others
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Strategies for Fostering Interpersonal IdentificationImprove the approachability of each party by the
otherImprove the likelihood that when contact occurs,
it is positiveFind and emphasize commonalities shared by
the partiesEngage each party in experiences that help
them see the world through one another’s eyes
Foster each party’s sense of responsibility for one another
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Roles of SupportersAdvisorMentorTeacherInformerProblem-solver
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Role of Family and GuardiansExpert regarding the personAdvocate for what is bestAuthority to make decisionsHistorianFinancial managerHolidays‘Back-up’ by design
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First Steps on the journeyFull disclosure of our intentions
Agreements about the process
Discussion of roles and responsibilities
Appreciating what is non-negotiable
A ‘walk in the other’s shoes’
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EmpowermentIs hard work!
Takes time
Requires intention
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Preaching to the Choir!Starting with the assumptions that you
already believe:
– People are entitled to be the determiners of their destiny.
– People are able, with support, to make more decisions than they do now.
– It is our responsibility to make choices available and to help people make good decisions.
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Why is it so important to us to make our own decisions?
Which choices matter most to us?
What choices do we NOT have?
What do we do when we have a difficult decision to make?
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Choice is Developmental
People do not learn how to make good choices overnight.
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Choice is usually an Interdependent Activity
People typically rely on trusted allies to help them make good decisions.
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Choice is Relational
People who care about someone will typically try to influence them to make ‘the right’ decisions or at least not make devastating decisions.
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Choice involves Complex Options
Most genuine choices are not a simple ‘yes/no’ or ‘either/or’ or ‘right/wrong’ proposition.
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Choice involves Responsibility
People typically recognize and consider the impact their decisions have on others.
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Choice implies Having Options Available
People we support won’t have genuine choices unless we embrace service strategies that actually afford personalized options – where, who, how, when, etc.
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People Tend to Choose ...What is familiarWhat is certain, less riskyWhat is simple, concreteWhat is quick, immediateWhat requires less investmentWhat they think others want them to choose
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Non-Authentic ChoosingRhetoric - using the word “choice” doesn’t
necessarily mean people have/had a choice
“They” prefer . . . never honors individual choice
Coercive circumstances which favor the needs of others, particularly the service system
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Abandoned to ChoiceStanding by to observe people making
dangerous decisions is not supporting choice, it’s irresponsible and maybe abusive
“Suffer the natural consequences” often means punishing people for what they don’t understand
Recognizing our role in the cycle of failure
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Necessity of RelationshipSeeking an open, honest, balanced, mutual,
reciprocal, ‘friendly’
Over time ~ gradually proving oneself
Knowing the person vs. fixing them
Understanding vs. blaming
Accompanying vs. controlling
Milton Tyree
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Strategic Support for Making Choices
Advocate for people’s right to make decisions.
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Strategic Support for Making Choices
Provide a comfortable and safe atmosphere for people to make decisions.
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Strategic Support for Making Choices
“Veto power” – at a very minimum, the right to say “NO!”
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Strategic Support for Making Choices
Informed choice - providing accurate and relevant information in ways that people understand
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Strategic Support for Making Choices
Teach people strategies to use in making good decisions
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Strategic Support for Making Choices
Help people learn from their experiences
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Strategic Support for Making Choices
When necessary, embrace a partnership or joint responsibility with gradual shift of power
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Strategic Support for Making Choices
Provide safeguards to keep people from experiencing irreparable harm
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Support RolesPartner – “Let’s work on this together.”
Advisor – “This is how I look at it”
Informant – “You need this information”
Teacher – “One way to weigh your options is . . .”
Cheerleader – “You did it – I knew you could!”
Connector – “I would love for you to meet . . .”
Analyzer – “What could we have done differently? What did we learn?”
Assurer – “It’s okay. Remember, you’re still new at this.”
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Discovery
The Distinctive
Identity Portrait
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DiscoveryDiscovery seeks to understand who the person is
in as many aspects of life as necessary to inform the subsequent plan
Discovery is a systematic and intentional set of in-depth activities designed to uncover a person’s assets, interest, and conditions for success
Discovery is an optimistic process, focusing on strengths rather than deficits
Discovery translates information into possibilities
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DiscoveryDiscovery seeks to identify information about
the person’s life, not create evaluative data regarding performance
Discovery information is intended to be a guide for matching a person to fitting roles
Discovery identifies a person’s complexities and challenges for the purposes of matching, negotiation and supporting the person in new roles
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The essence of discoveryDiscovery: to gain
insight or knowledge of something previously unseen or unknown; to notice or realize; to make known, to reveal
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What we usually know about the people we try to assist – just the tip of the iceberg
We need to know much more
The iceberg analogy
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Skills needed in discoveryIntentionality
Observation
Curiosity
Detail-orientation
Discernment
Translation
Positivity
Thoroughness
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Interests“What would you like to do?” can be counterproductive!
– People have been deprived of typical experiences of the valued world,
– People have had a very limited “menu” from which to choose,
– People might not know their own talents and interests
Look at activities person engages in without being expected to do so, what is naturally motivating
Provide opportunities to explore new possibilities
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Assets - skillsWhat person can do, is good at doing
Creating an vivid description of abilities:– Pour liquid into a cup– Hold item and drop into a slot– Turn head toward sounds– Enter data into excel spreadsheet– Meditate effectively
Noticing all volitional movements
What a person might be interested in learning
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Assets - knowledgeWhat information a person knows or is seen
as an expert in:– Reptiles– Irish history– 80’s music legends– Automobiles– Weather– Catholicism
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Assets - personalityPersonal traits that are engaging, inspiring,
likeable, impressive, honorable
What people who love the person would say about them:– Fun to be around– Can keep a secret– Never gives up– Considerate of others– Is a peace-maker
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Assets - lived experiencePotential contribution based on personal life
experience:– Survived cancer– Successful with weight watchers– Lost a parent at a young age– Grew up in the Jewish tradition– Survived institutionalisation– Learned to manage diabetes
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Assets - passionWhat a person cares deeply about:
– The environment– Alzheimer's– Justice– Accessibility– Animal rights– Health care– Beauty
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Assets - resourcesWhat resources or belongings a person has
that might be shared– Transportation – Tools– A place to meet– Time– A computer
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Assets - connectionsWhat personal connections does the person
have that might be shared, what networks they have access to:– Family– Friends– Neighbors– Membership– Parish
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Conditions for successTask performance
Minimal need to stand, physical activity
Instructional strategies
Modeling, repeated practice, visual prompts
Environmental conditions
Indoors, well-lit spaces, intimate groups
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Conditions for successSupportive strategies
Even voice tone, encouraging comments, proactive planning
Supports needed
Job coach training for 1 to 4 weeks, personal assistance, transport
Conditions to be avoided
Hot temperatures; novel situations
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The discovery processExplain the process to the person and family
Confirm that the ultimate goal is (supported) valued opportunities in typical community
Address questions and concerns
Conduct home visit
Survey neighborhood resources
Ask about routines and responsibilities
Interview others
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The discovery processIdentify favorite familiar activity and participate
with the person
Suggest and participate in an unfamiliar activity with the person
Review files, and other information about the person
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Discovering fitting opportunities
Assets
ConditionsInterests
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Discovering fitting opportunities
Good w/numbersPrecise
Great social skills
SittingTask
demonstratedIndoors
SportsHistory
Reading
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These notes are the intellectual property of Hope Leet Dittmeier and Genio. They are a resource for participants in the Endeavour for Excellence programme and should not be used as a foundation for practice by those who have not undertaken Endeavour for Excellence training.
These notes are the intellectual property of Hope Leet Dittmeier and Genio. They are a resource for participants in the Endeavour for Excellence programme and should not be used as a foundation for practice by those who have not undertaken Endeavour for Excellence training.
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