individualized planning and services gail fanjoy and dale ......individualized planning and services...
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EFSLMPPILOT PROVIDER TRANSFORMATIONWEBINAR #4
JULY 13, 2017 1:00P– 2:30PEASTERN
Individualized Planning and Services
Gail Fanjoy and Dale VerstegenEFSLMP National Subject Matter Experts
GailFanjoy•41yearsinthefield•CEOofKatahdinFriends,Inc.(KFI)•SubjectMatterExpertwithEFSLMPfor3yearsworkingonprovidertransformation•HelpedtoguideKFI’stransformationbeginningintheearly80’s•FormerPresidentMaineAPSE,2termnationalTASHBoardmember,MaineEmployment1st Coalition•GrandmotherofIsiah!
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DaleVerstegen•30yearsinthefield•SeniorResearchAssociate,TransCen•SubjectMatterExpertwithEFSLMPfor4yearsworkingonprovidertransformationandcapacitybuilding•Helpedover40organizationswithprovidertransformation•PresidentoftheNationalAssociationofCommunityRehabilitationEducators(ACRE)•GrandfatherofAdelind andAthena!
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TwoStepsForward,OneStepBack…
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“Ourworldisdeterminedbythesizeofourworld.It’snotsomuchthe
dimensionsofthatworld,butthemental,emotional,spiritual,andphysical
opportunitiesweareexposedto.”
GlennVanEkeren,Speaker’sSourcebook II,quotedbyLeslieL.Wilson,M.S.inthearticle:WhyAreWeReinstitutionalizingPeopleDuringthe
Day?,TASHNewsletter,Volume23,Issue6/7,June/July1997
Quote
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PLANNINGSTRATEGIES:DiscoveryandPersonalAssetInventory
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§Growinginrelationships§Increasingcommunitypresence&participation§Increasingchoice&control§Contributingtocommunitythroughemployment§Developingmorevaluedroles&competencies
PLANNINGSTRATEGIES(2)Person-Centered Planning
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PollQuestion#1BaseduponyourPerson-CenteredPlanningprocess,howwouldyourateyoureffectivenessonincreasingaperson’schoiceandcontrol?1.Never(theplanningprocessdoesnothingtoincreasepeople’scontrolinanyaspectoftheirlives)
2.Rarely(10%- 25%ofthetimetheplanningprocesswillresultinpeoplehavingincreasedchoiceandcontrolinoneormoreaspectsoftheirlives)
3.Sometimes(30%– 50%ofthetimetheplanningprocesswillresultinpeoplehavingincreasedchoiceandcontrolinoneormoreaspectsoftheirlives)
4.Often(60%- 80%ofthetimetheplanningprocesswillresultinapersonhavingincreasedchoiceandcontrolinoneormoreaspectsoftheirlives)
5.Always(90%- 100%ofthetime,theplanningprocessresultsinpeoplehavingincreasedchoiceandcontrolinoneormoreaspectsoftheirlives)
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Thisisn’tjustabout“WHERE”,butmoreimportantly, “WHOWILLYOUMEETTHERE?”
PLANNINGSTRATEGIES (3)CommunityAssetInventory
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DiscussionQuestions:Whatstrategiesareyouusingtolearnaboutaperson’sinterests,preferences,andskills?
Howareyouassistingpeopleto“expandtheirworld”byexposingthemto“mental,emotional,spiritual,andphysicalopportunities”?
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§UsingDiscoveryinplaceoftraditionalassessments.§Miningforskillsandinterestsbasedonpeople’sgiftsandcapacities,notdeficits.§Sharingordinaryspacesinrelationshipwithothers(notfieldtrips,outings)§Determiningwhatworksandwhatdoesn’tworkintermsofenvironment,learningstyle,stamina,etc.§Developingactivitiesthat“testyourtheories”forskillsandinterests.(Jeannette)
SETTINGTHESTAGEFOREMPLOYMENT
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§Aunitofserviceisanhournotaday.§Schedulesofsupportdesignedaroundreallifeneedsanddesires,notartificialtimesofday.Flexiblesupportsthatcanwraparoundajob.§Serviceprovidedbasedonpeople’sgifts,interests,andcapacities,notdeficits.§Sharedsupportsbasedoninterestsandpreferences,personalities,geography,andsupportneeds.§Staffschedulesanddutiesaroundtheirpreferences,skills,andinterests(CreativeScheduling).§EmphasisonEmploymentFirst!
SETTINGTHESTAGEFORINCLUSIVECOMMUNITYSUPPORTS
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People’sHOMESnotagencyfacilities
BASEOFOPERATIONS…
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BASICPREMISEOFSOCIALROLEVALORIZATION
Peoplearemuchmorelikelytoexperience“thegoodlife”iftheyholdsociallyvaluedroles.It’snotjustaboutwherepeoplegoandwhattheydo,it’shelpingthemtodevelopvaluedroles.
Howcanweturnaninterestoraskillintoasociallyvaluedroleinadditiontopaidemployment?§Jennyisagardener
§Melissaisabaker
§Lennyisapublicspeaker/trainer
§RobertisamemberoftheKnightofColumbus
ExperiencingRespectbyHavingValuedRoles
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OperationalizingEmploymentSupports
§Individualized,competitiveintegratedemployment§CustomizedthroughDiscovery§Entrepreneurial(Self-employment)§Jobcoachingandlongtermsupportsifnecessary(SupportedEmployment)§Nurturenaturalsupports
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CoreyOwnsarecyclingbusiness;VRpaidforsuppliesatstart-up;Waiverpaysforjobcoaching
Receives24/7homesupportswitharoommate
Volunteersatafoodbank
Memberofthelocalsnowmobileclub
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Courtney§HighSchoolgraduate§Homeowner§Friend§Volunteer§Churchmember§Kayaker§Creditbuilder§Business owner
SeeingthePersonasTheirInterestsandGifts…
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§Profoundcognitiveimpairment§Autisticdisorder§Cerebralpalsy§Seizuredisorder§Staticencephalopathy§Ataxiawithlowtone§Nonverbal§Doesnothaveself-protectivereflexes§Noreliablecommunicationsystem
NotTheirLabels
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Wage employment 15 hrs/wkSelf-employment 6 hrs/wkVolunteers 15 + hrs/wk;
Home and community paid supports 25 hrs/wkVolunteer
Employee
Home Owner
MeetRobert
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Good Neighbor
Member of Lifestyle Fitness Center
Devout Catholic
Member Knightsof Columbus
OtherValuedRoles…
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Wednesday:◦ 7:00– 8:30FitnessCenter◦ 9:00– 1:00Volunteersatseniormealprogram
◦ 1:00– 3:00Self-employment◦ Restoftheday– Connectswithfriendsorvolunteers
Thursday:◦ 7:30– 8:30FitnessCenter◦ 9:00– 11:00Self-employment◦ 1:00– 3:00Homesupports◦ 3:00– 8:00Wageemployment
Monday:◦ 7:00– 8:30FitnessCenter◦ 9:00- 12:30Volunteersatseniormealprogram
◦ 1:00- 3:00Self-employment◦ 3:00– 5:00Volunteersatachurch
Tuesday:◦ 7:00– 8:00FitnessCenter◦ 8:30– 10:30Homesupports (mealplanning,shopping,payingbills,etc.)
◦ 11:00– 1:00Volunteersatachurchthriftstore(pairedwithanotherpersonsupported)
◦ 1:00– 2:30Volunteersatadifferentchurchfoodpantry
◦ 3:00– 8:00Wageemployment
Robert’sScheduleofSupports
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Saturday:◦ Morning– Doeshouseholdtasksbyhimself
◦ Earlyafternoon–Goestoarestaurantforcoffee
◦ 4:00– 5:30Attendschurch
Sunday:◦ 8:30– 1:30Wageemployment
Healsoattendscommunitysuppers,goestoKnightsofColumbusevents,spendstimewithfriends.
Friday:◦ 7:00– 8:30FitnessCenter◦ 8:30- 10:00Mealprepwithanotherpersonsupported
◦ 10:00- 12:00Employmentsupportgroupwith2otherssupported
◦ 12:00– 2:30Homeandcommunitysupports(runerrands,supportwithlaundryandotherhouseholdtasks,etc.)
◦ Restoftheday– Connectswithfriendsorvolunteers
Robert’sScheduleofSupports(2)
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Slide 24
PhasesofDiscoveryandAssessment
Source: Assess for Success, 2007
Awareness of Self
Awareness of the World
Exploration
Preparation
Employment
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Exposure
Interest
Motivation
Whatshouldworkexperiencesinclude?
Discovery:talents,likes,dislikes,skills,supportneeds,whereIfitin,interests(PositivePersonalProfile)
Exploration:wherecanIdothethingsIlikeandamgoodat?
Trialanderror:theabilitytolearnbydoing
Therealworld:learnitwhereyoudoit…nosimulationsinfakeenvironments
Meaningfulexperiences:relatedtodiscovery,realisticexpectations,personaldevelopment
Businesspartnerships:whorecognizesandneedsthestudents’talentstoimprovetheirbusiness?
TypesofWorkExperiencesLessIntensiveCareerExploration/WorkSiteToursJobShadowingInformationalInterviewsWorkSamplingMentoring
TypesofWorkExperiencesMoreIntensiveServiceLearningVolunteeringOn-the-JobTrainingInternships– PaidandUnpaidApprenticeshipsCompetitive,PaidEmployment
CareerExplorationExamplesWorkSiteToursTalkswithEmployersFieldTripsWhentoConsiderAsyouthbeginawarenessofadultoccupationalopportunitiesFunctionInitialExposuretojobsandcareers
Volunteering/ServiceLearningExamplesVolunteerforcommunityandsocialprogramsFormalvolunteerserviceinastructuredcommunityserviceprogramWhentoConsiderAsadjunctsoralternativestootherworkexperiencesFunctionLearningtheresponsibilityoffollowingthroughTakingdirectionsCommunityinvolvement
InternshipsExamplesFormalarrangementwithanemployertolearnidentifiedworkskillsFormaltimelimitedworkexperiencepairedwithcourseinstructionPaidorunpaidstudentco-opWhentoConsiderAsadjunctstoaspecificcourseofstudy,mostcommonlyduringlatehighschoolorinpostsecondaryeducationortraining
Marketing“Preparation”ortheWorkExperience
• OFFERSLOWRISKTO EMPLOYERSWHOCANPREVIEWYOUTHWORKERS
• OFFERSYOUTHLOWRISKOPPORTUNITYTO EXPLORECAREERS
• FEARS,CONCERNS,ACCOMMODATIONS, ISSUESCANBEWORKEDTHROUGHDURINGTHELOW-RISKPERIOD
• MEETSTHENEEDSOFBOTHYOUTHAND EMPLOYER
PollQuestion#2Howoftenareyourecommendingastrategyorservicewithemployersinadvanceofjobplacement?qNeverqVerylittleqSometimesqMostofthetimeqAlways
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Benefits toEmployers fortakingonajobseekerforaworkexperience
TheycangetanearlyviewoftheupcomingworkforceTheycantryoutajobseekerinatime-limitedtrialWhenajobseekerworksout,theycannowhireanewemployeethatisfullytrained,eliminatingthetrainingcostsTheyarecollaboratingwiththeircommunityinaverypublicway– whichwillberecognizedbycustomersTheyreceivevalue-addedsupportthroughtheemploymentservicesprovider
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Slide 35
BestPractices inCommunityEmploymentServices
SupportedEmploymentCustomizedEmploymentEvidence-basedPracticesTransitionandSchool-to-WorkPracticesMotivationalInterviewingUseofNaturalSupports
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SupportedEmployment
Meettheneedsofindividualswithseveredisabilities
Alternativetotraditionalshelteredandcompetitiveemploymentmodels
Assumesthatallindividuals,regardlessofthenatureorextentoftheirdisabilities,shouldhavetheopportunityandsupporttoworkinthecommunity
Identifyand/ormodifymeaningfuljobsinthecommunity,providetrainingandsupportonthejob
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CustomizedEmployment
Individualizingtheemploymentrelationshiptomeetthespecificneedsofboth:• Employers• Employees
Employmentdevelopmentmayincludedifferenttypesofworkplaceflexibility:• FlexingJobTasks• Flexinghoursandstaffing• Jobrestructuring• Reasonableaccommodations
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UseofNaturalSupports
KeyFactors:
SupportstypicallyavailableintheworkplaceandnotprovidedbutfacilitatedbyaJobCoach
Mayincludearidetowork,awordofpraise,aqualitycontrolcheckoraremindertogotolunchbyaco-worker
Advantages:
MinimizestheneedfordirectJobCoachintervention
Greateropportunitiesforassistance
Enhancedintegration
Increasedsocialization
Moreresourcestochoosefrom(co-workerortechnology)
ANDREW’s file said…Autism & significant verbal processing delay22 – just completed h.s.Work experiences: stocking and cleaning 6th gr. reading & 8th grade math skillsImpulsive & inflexibleInappropriate behaviors (aggressive)
CUSTOMIZEDEMPLOYMENT: ITWORKS!
Whatwesaid:What we said…Passion is Music Plays the piano and saxophoneGood clerical and computer skills— fast typistLoves gardening and lifting weightsNeeds verbal information presented slowly Likes clean, organized environments –hates noisy, chaotic placesLikes structured, consistent tasksHates to be interrupted
CUSTOMIZEDEMPLOYMENT: ITWORKS! 40
Andrew is employed at Rock River
Registers CD’s by genre and recording labelShelves CD’s, maintains libraryDownloads songs into databaseFiles prospecting letters and collates mailings for Business Development
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DiscussionQuestion:Whatstrategiesareyouusingtoengagejobseekersindiscoveryandassessmentoutinthecommunity?
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SurveyRemindersCompletePre/PostSurveysforWebinar#4:§Pre:https://www.surveymonkey.com/r/ZNYTFCM
§Post:https://www.surveymonkey.com/r/ZNGG3NT
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Webinar#5:Reorganizing StaffforTransformative Change (WorkforceFocus)§ August2,2017,1:00– 2:30pmET
§ Facilitators:DaleVerstegen;RickMcAllister
§ ReadingAssignment:“Module6:ReorganizingStaffforTransformativeChange”
§ Topics:DeterminingStaffingNeeds;DispersedClusterApproach;RevisitingJobDescriptions;FillingStaffPositions:Recruiting,Interviewing,Orienting,Training,Evaluating,Supporting,EmpoweringandRetainingStaff;TeamBuildingandSelf-DirectedTeams
Surveys
§ Pre:https://www.surveymonkey.com/r/ZFWZW8F
§ Post:https://www.surveymonkey.com/r/ZFG3QX2
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