nursing facility transition and diversion module 2: independent living and person-centered planning
TRANSCRIPT
Nursing Facility Transition and Diversion
Module 2:Independent Living and
Person-Centered Planning
Overview of Module #2
Independent Living Philosophy Adolf Ratzka Independent Living versus Medical Model Independent Living — Language and Etiquette People First Language Person-Centered Planning
What it is and is not Values and principles of Person-Centered Planning Essential elements for individual planning Facilitator roles and skills Overview of the planning
Independent Living (IL) Philosophy
Basis for transition work Right & Responsibility to make choices Live independently in the community with
supports Participate as full, equal citizens Goals
Empowerment Self determination Full participation
Adolf Ratzka
As long as we regard our disabilities as tragedies, we will be pitied.
As long as we feel ashamed of who we are, our lives will be regarded as useless.
As long as we remain silent, we will be told by others what to do.
Independent Living
Philosophy
People with Disabilities of all ages:
Are the real experts on disability issues Work for self determination, equal opportunities, and
self respect Demand the same control and choices as non-disabled
people Need to be in charge of their lives Have the same need for recognition, love, and inclusion
Independent Living versus Medical Model
Independent Living
Problem is lack of supports and accommodations, lack of freedom and autonomy, and inaccessibility
Locus of problem is the environment or interaction with it
Medical Model
Problem is physical or mental impairment or lack of certain skills
Locus of problem lies with individual — the individual needs to be “fixed”
I
Independent Living versus Medical Model
Independent Living
Individual is a participant NOT a patient
Consumer is the primary decision maker
Medical Model
Role of Individual is a patient
Physician is primary decision maker
People with disabilities play the sick role
People with disabilities are impaired
Independent Living versus Medical Model
Independent Living
Solutions focus on removing barriers and providing supports
Medical Model
Solutions are dominated by professional intervention, care and treatment
Independent Living – Language and Etiquette
Some basic rules of etiquette
Language is important
People First Language
Are you myopic or do you wear glasses? Are you cancerous or do you have cancer? Is a person disabled or do they have a
disability? Instead of “she is confined to a wheelchair,”
say “she uses a wheelchair for mobility.” Instead of saying “he’s a quadriplegic,” say
“he has a physical disability.”
What is Person-Centered Planning?
Person-Centered Planning is a process for planning and supporting a person’s life. The process builds upon the individual’s capacity to engage in activities that promote community life and honors the individual’s preferences, choices and abilities. Person-Centered Planning involves families, friends, and professionals, as the individual desires.
What is Person-Centered Planning?
Supports self-direction
Based on values and principles:
Choices and preferences will be honored Everyone has contributions to offer the
community Maximize independence, community connections,
and achievement of goals and expectations Presuming competence Respecting and accommodating cultural diversity
What is Person-Centered Planning?
Identifies goals and preferences
Plan that builds upon capacity to engage in community life
Process for planning a life and the care/services/supports needed to meet goals
May also be a plan for “end of life” care
What is Person-Centered Planning?
Planning with a broad scopeConsumers control the scope
Circular process, not one time only
Tracking progress of process and implementation
Person-Centered Planning is:
Honoring a person’s life Choice over many aspects of life Control over what each day includes
and doesn’t include Freedom Assisting an individual to determine
what makes life worth living for them
Person-Centered Planning is NOT:
Health and Safety plans or assessments
Medication or therapy compliance
Crisis stabilization
Role of the Professional
Ensuring the process follows expressed wishes
Supporting carrying out of roles
Providing information
Identifying resources and accessing services
Coordinating
ADVOCATING
Outcomes of the Process
Drive the individual’s support plan
Determine services and supports
Based on real life
Resources
Independent Living History http://www.lcil.org/lcil/history/articles.htm
Disability Culture www.adapt.org http://www.lcil.org/lcil/history/culture.htm
Disability Etiquette http://www.unitedspinal.org/documents/DownLoad/DisabilityEtiquette.pdf
People First Language www.disabilityisnatural.com