endeavor for excellence! - wordpress.com · 2014-15 ky endeavor for excellence ! provided in ky...

Endeavor for Excellence!

Hope Leet Dittmeier

[email protected]

Paul Doherty www.pauldohertyconsulting.ie

Frances Murphy

[email protected]

Paul Doherty !  Served as a health education trainer and group-work facilitator in

the UK.

!  Initiated a community health and development initiative in western Nepal that has had sustained and widespread impact over more than 25 years.

!  Conducted a national capacity-building program for NGOs, a refugee support program and a post-flood rehabilitation program as Oxfam’s Country Director for Nepal.

!  Served as CEO of a regional development partnership company in Co. Cork, Ireland.

!  Served as Director of a regional personal development training and therapeutic supports organization deploying over 200 facilitators and therapists across the Province of Munster, Ireland.

Paul Doherty !  Served as Leadership Development Manager with Genio, an

organization that works to advance progressive individualized practice in the disability, mental health and dementia sectors in Ireland.

!  Undertook SRV and PASSING training and worked alongside Hope Leet Dittmeier in the delivery of the Endeavour for Excellence and Enabling Excellence programs.

!  Developed an implementation framework for quality individualized practice and a related training program, which is currently being delivered across Ireland.

!  Now works as an independent organizational transition facilitator, with 8 years’ prior experience of OD consulting in Ireland and overseas and a doctorate in governance in the non-profit sector.

Irish Context !  National Disability Strategy (2004)

!  UN Convention on the Rights of Persons with Disabilities (2006)

!  A Vision for Change: Report of the Expert Group on Mental Health Policy (2006)

!  Value for Money and Policy Review of Disability Services (2012)

!  Time to Move on from Congregated Settings: A Strategy for Community Inclusion (2011)

!  New Directions – Review of HSE Day Services and Implementation Plan 2012-2016 (2012)

!  2013 Assisted Decision-Making (Capacity) Bill (2013)

!  Health Information and Quality Authority (HIQA)

Genio

Three sectors…

! Disability

! Mental Health

! Dementia

Genio

Three core strategies…

! Innovation funding

! Capacity-building

! Research

Genio

! Genio personnel involved in preparing relevant national policy.

! Had exposure to and interest in Social Role Valorisation.

! Provided grant support to the Muiriosa Foundation, which adopted SRV in a part of its service with the support of Hope Leet Dittmeier.

Hope Leet Dittmeier !  Began working in local institution as teenager . . . “What would it

take for people to have access to same lifestyle?”

!  Met my husband and became committed to sister-in-law Ann

!  Ultimately obtained a Master’s degree in Rehabilitation Counseling, completing internship with families of infants under Dr. Carl Dunst

!  Mentored by Jeff Strully to recruit and support families for children living in mental health hospitals (AND INTRODUCED TO SRV!)

!  Trained by Beth Mount in Personal Futures Planning

Hope Leet Dittmeier !  Coordinated effort to strengthen local systems to support adults seen

as dangerous to remain in their home community

!  Developed a new service to support people in ‘a home of one’s own’ using Medicaid funding

!  Created small, grassroots organization to support 21 people to live in a home of their own, work, and move into new valued social roles

!  Designed & delivered EFE programme in Ireland x 3

!  Engaged by The Mattingly Center as ‘Director of Service Innovation’ to transform large, legacy day service for people seen as patients

Implementation/Adoption

!  “We need to be clearer in our minds whether a particular change agentry action (such as a teaching event) is meant to serve primarily the functions of making people aware of SRV, of arousing interest in SRV and building up some knowledge of it, or whether the action is meant to achieve implementation.”

!  “ . . . most of our training so far may have been focused too much on people learning SRV, but not enough on how they are to implement it.”

Wolfensberger, W. (2012). Advanced Issues in Social Role Valorization Theory. Plantagenet, ON: Valor Press.

10

History of EFE

2011-12 Endeavour for Excellence

!  Based on perceived success at The Muiriosa Foundation

!  Involvement prescribed by Genio as a result of concerns about capacity to deliver on grant-funded projects

!  Seven organisations across Ireland participated – two organisations as a team

!  Consultative model – training and support provided locally

! 2011- 12 - Lessons Learned

•  There is an added value to bringing organisations together as a community of practice network

•  It is imperative to actively involve senior management

•  It is helpful to offer complimentary training events designed specifically for relevant stakeholders – people, families, staff

•  There is a need for material reflecting the Irish context and more relevant to mental health & dementia sectors

•  It is necessary to develop Irish leadership

History of EFE

2012-13 Endeavour for Excellence

!  Two groups (Group A in Dublin; Group B in Athlone), each with eight organisations that received Genio grant funding

!  Curriculum consisted of four, one-week sessions with mentoring visits and phone consultations in between sessions

!  Identified leaders completed course with Group A and served as mentors to Group B; met as a group

!  Senior managers participated in specified days of the training

!  Supported individuals, families and staff invited to specified days of the training

2012 - 13 - Lessons Learned

!  Non-programmatic issues serve as the primary barrier to the delivery of high quality services

!  We needed a better way to ‘train’ people being supported and families

!  Participants found the training extremely relevant and helpful

!  The appetite for this kind of training multiplied across Ireland

History of EFE

2013-14 ‘Enabling Excellence’

!  Taking to scale: opened up to committed organisations that could meet the participation requirements

!  Two groups: Dublin and Limerick; 46 organizations

!  Organisations appointed an internal SSDL Practice Leader

!  Curriculum consisted of 4, four-day sessions with Practice Leaders participating in a fifth day following each session

!  Paul Doherty’s involvement added value in terms of organizational development

History of EFE

2014-15 KY Endeavor for Excellence

!  Provided in KY with the sponsorship of DDID and HDI by Hope Leet Dittmeier and Milton Tyree

!  Six organizations from KY and IN participated in teams of three

!  Curriculum consists of 4, four-day sessions

!  On-site visits made on five occasions

2014 - 15 - Lessons Learned

Social Role Valorization (Dr. Wolf Wolfensberger) serves as the overarching theory of practice

Designed specifically for practitioners - focus on how to implement coherent service practices Engaging in new partnerships with informed, interested pioneer learning partners

Salient Features

Ambitious - more than just ‘better’; strives for the best we know how to do at this time Compromises become necessary, but are given rigorous evaluation, named as such, and viewed as transitional

Salient Features

Action Learning

Salient Features

Sequential Process

Salient Features

Introduces theory with many coherent best-practice strategies, derived from the work of others, including (but not limited to):

Darcy Elks Janet Klees Jane Sherwin Michael Kendrick Michael Callahan John O’Brien John Lord Marc Gold Tom Kohler Beth Mount Jane Sherwin David Pitonyak Scott Ramsay David Wetherow Patti Scott

Salient Features

Critique and reflection are practiced and modeled as a routine part of the curriculum

Salient Features

Necessary Conditions

for High Quality

SSDL Practice


! The work is part of a larger effort toward organisational change rather than a once-off or isolated ‘project’


! The vision and strategic plan for expanding the scope of SSDL services within the organisation is clear and coherent and is communicated to all stakeholders


! Staff across the organisation become oriented in SSDL and this “new way of working” and understand the impact the change will have on them


! Commitments to support people in new individualised ways are only offered if an assurance that the effort can be sustained over the long term can also be offered


! Initial investments of time are allocated for learning the work and getting to know the person being supported


! The personnel engaged in the work are well-fitted for their roles in terms of commitment, competencies, connection, creativity and character


! Financial resources are available to invest in the design and development of new, unique support configurations on behalf of named individuals (i.e., individual budgets)


! A fundamentally different, more equitable and balanced, partnership exists between people providing support and people being supported


! Job descriptions reflect the nature of the new professional role and the relevant tasks required to do the work well


! People being supported are involved in the selection of their paid supporters


! Clinical supports are available to people on an as-needed basis as an adjunct to lifestyle supports


! The authority for decisions related to people being supported are made by the person, their family, and the supporters closest to service delivery


! People are assisted by robust teams comprised of paid and unpaid supporters


! The assessment of risk reflects methods and formats that are normative and empowering and that focus on relevant safeguards that support the person’s desired lifestyle choices


! Practical and procedural systems of accountability are built into service delivery mechanism; the review of action is given sufficient address


! Flexibility is a critical element in the support design


! Managers protect new ways of working from internal sabotage and undoing


! The supporting organisation relies on iterative reflective critique to deepen learning and continually improve practice

Module One Content EFE Concepts

Introduction to Social Role Valorization

Productive Partnering with People and their Families

Power and Autonomy

Discovery & The Distinctive Identity Portrait

Assets/Interests/Conditions

Module One Content SRV Concepts

Universal Good Things in Life Devaluation

Unconsciousness Wounds & Their Impacts

Social Roles Role Communicators

Role Expectancies/Role Circularity Interpersonal Identification

Image/Competency Enhancement Culturally Valued Analogue

Model Coherency Conservatism Corollary

Personal Social Integration/Valued Social Participation

Module Two Content EFE Concepts

Review of Social Role Valorization

(Table Quiz)

Reflection/Enhancement of Partnership & Discovery Work (Presentation/feedback)

Fundamental and Pressing Needs

Emerging Vision (Role Domains)

Building Personal Social Networks

Planning Considerations

Module Two Content SRV Concepts







Personal Social Integration/Valued Social Participation Purview

Programmatic vs. Non-Programmatic

Module Three Content EFE Concepts

Review of Social Role Valorization

(Naming examples)

Reflection/Enhancement of Fundamental Needs, Team-building & Visioning Work (Presentation/feedback)

Planning Facilitation

(Mock Demonstration)

Scripting

High Quality Direct Support

Module Three Content SRV Concepts









Module Four Content EFE Concepts

Reflection/Enhancement of Planning/Implementation Work

(Presentation/feedback)

Programmatic Challenges Thru the SRV Lens

Non-Programmatic Challenges

The Educational Telling of Stories

Review of Social Role Valorization (The Gallery Walk)

Module Four Content SRV Concepts









Leadership Development

! Clarification of Genio’s own theory of practice

! Identification of stakeholder ‘outcome challenges’

Leadership Development

! Confidence in SRV as a foundation for good work

! Recognition of the contributions of Independent Living, Recovery and Person-Centred Dementia Care

Supported Self-Directed Living

Supported Self-Directed Living (SSDL) occurs when individuals, with appropriate supports, are able to choose, pursue and achieve their aspirations for a good life to a similar extent to other people in their society.

Planned and Emergent Learning

Planned Learning

! Endeavour for Excellence

! The Immersion Transformation Project (NFVB)

! Training in Person-Centred Dementia Care

! Consultation on training requirements for Recovery

Planned and Emergent Learning

Emergent Learning

!  Inter-project learning days

!  Family consultations

Communities of Practice…

!  SSDL Reference Group

!  SSDL Practitioners’ Forum

!  SSDL (Frontline) Leaders’ Forum

!  SSDL Management Leadership Forum

j

Messages for Managers

! Mandatory briefing for managers prior to Endeavour for Excellence

! Required involvement of managers in parts of Endeavour for Excellence

! Organisational development consulting

Research !  It’s about more than

housing

!  Building strong and lasting relationships through linking with the community

!  Start small and ‘model’ change

! Meeting the challenge of reconfiguration

! Allowing time

! Monitoring outcomes and progress

! Multi-level leadership

!  The person leads the process

!  Involving families and allies

!  Engaging and consulting with stakeholders

!  Staff skills and training

!  Readiness

1. Articulate a Theory of Practice

9. Establish Safeguards

3. Promote Understanding and

Engagement

6. Undertake Ongoing Discovery

2. Advance a Transition Strategy

4. Ensure Optimal

Autonomy

5. Get Relationships

Right

7. Undertake Ongoing Horizon Planning

8. Mobilise Supports and

Resources

10. Promote Effective Governance

The SSDL Framework

58

1. Articulate a Theory of Practice

9. Establish Safeguards

3. Promote Understanding and

Engagement

6. Undertake Ongoing Discovery

2. Advance a Transition Strategy

4. Ensure Optimal

Autonomy

5. Get Relationships

Right

7. Undertake Ongoing Horizon Planning

8. Mobilise Supports and

Resources

10. Promote Effective Governance

Creating Necessary Background Conditions

59

Organizational Transition

Travelling independently

Meeting friends socially

Living with friends

Making own choices and decisions

Joining community activities

Pursuing hobbies

Having a job

Having friends over for dinner

Looking her best

Making and maintaining friendships

Vision for Romalej – “The good life”

61

Frances Murphy !  Worked in nursing with vulnerable people

!  Involved in reduction and elimination of the use of restraint in national and international forums

!  Role of change agent in most of professional life

!  Became change agent at St. Margaret’s Service in 2008, supporting people with intellectual disability who are survivors of institutional abuse

!  Participated in EFE Programme in 2011; first exposure to SRV theory

!  Participated in EFE Leadership Development Programme in 2012 – 13

!  Attended PASSING in 2013; Advanced PASSING in 2014

!  Currently planning inaugural ‘The Good Life’ Summer College

The cook, the bottler washer and the cake.

The story so far…..

What I have to give……..

Sometimes it came out wrong…

Sometimes we made it worse….

What rights???...................

The Recipe……..

“I didn’t want to even talk about it at first…

I didn’t want to think about it….”

The ingredients……..

!  “I had a very bad experience before when I lived in the community”

Effective Communication!!

The method………

The HOW.

The WHAT.

The WHO (not the rock group!)

The HOW……..

!  Only talk about what a good life should be.

!  No specific time frame – but true to the Discovery strategy.

!  Partnership.

!  Modelling behaviour and real life.

!  The pace was flexible and reactive.

!  Listen, observe, adapt and reflect.

The WHAT………

Facts:

!  The failure of the previous experience was the services failure: reflection and recognition.

!  Mary could do much more than she and other people believed she could.

A message for our sponsors………

The WHO………..

!  ….has the power and control.

!  …can stop anytime they want to.

!  ….can prove others wrong.

!  ….can design their own plans.

!  ….needs permission to determine their life?

Then what happened……….

“ I got braver …………..

Thinking I can do it instead of I can’t”.

……….and then…….

!  Achieved ever increasing goals.

!  After 3 years we started to talk about a new home.

!  The relationships changed: Adult to adult.

!  Modelling behaviour – role playing, practicing, self advocacy, reflecting.

!  What listening is; sounding board, good idea session, “listening with your heart”.(John O’Brien) Detail, detail, detail……..

The proof of the pudding……

The pudding……………

More pudding…………

Her Dream Her Reality

Yum yum……………..

Please sir can I have some more……

“I picked my house and signed my own lease”.

“I designed my own home”

“I interviewed my own staff”.

“ I design my support plan”.

“I’ve been to USA, London, Vienna, Holland, Lake Garda………..”

The icing on the cake………..

!  The right people

!  The right place

!  The right reputation

Tomorrows menu….

!  “ Grand Designs…….”

!  “ My retirement and my community”

!  “Canada here I come…….”

!  “A car!!”

In a nut shell………

!  “ I told you I didn’t want to do it because I think I must have been afraid.”

!  The mistakes of the past showed us the worst but inspired us to imagine the best and make it happen.

!  The pace, the priorities and the directions were planned with rather than for – we all had to learn new skills for that one!

endeavor for excellence! - wordpress.com · 2014-15 ky endeavor for excellence ! provided in ky...

Documents