organizaon-wide strategies for implemenng person-centered ... · organizaon-wide strategies for...
TRANSCRIPT
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Organiza(on-wideStrategiesforImplemen(ngPerson-CenteredPrac(cesandPosi(ve
BehaviorSupport
November18,2016
RachelFreeman
Ins(tuteonCommunityIntegra(onUniversityofMinnesota
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Purpose
• Introduc5ontoMul5-TieredSystemsofSupportinMinnesota– Person-CenteredPrac5ces– Posi5veBehaviorSupport
• Minnesota’sOrganiza5on-WideTeams• TeamData-BasedMaking
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All People
Some People
Few
Implemen(ngMul(-TieredSystemsofSupport
Person-CenteredPrac(ces&Planning
Posi(veBehaviorSupport
UniversalStage• TeachandEncourage
Communica5on• PredictableandProac5veSeMngs• EncourageandReinforceSocialSkills• Consensus-BasedAndTeamFocus• EmphasisonUsingDataFor
Decisions
UniversalStage• Person-CenteredThinking• EncourageSelfExpression• Self-Determina5onandChoice
Making• MeaningfulPar5cipa5oninthe
Community
SecondaryStage• EarlyInterven5onandDataMonitoring• Addi5onalSupportsforKeySocialSkills• Func5on-BasedDecisions• SimpleInterven5ons• MentalHealthandWellnessInterven5ons
Ter(aryStage• IndividualizedPBSPlans• IntegratedwithOtherPosi5veSupports(PCP,
Trauma-InformedCare,DBT,Etc.)• PlansAreMonitored-Data-BasedDecisionMaking• TeamsMonitorProgressofEachPerson
SecondaryStage• Addi5onalQualityofLifeStrategies• IncreaseStrategiesforSuppor5ng
IndependenceandCommunityInvolvement
• MentalHealthandWellnessInterven5ons
Ter(aryStage• Person-CenteredPlans• IntegratedPlans(PCP,PBS,Trauma-informedTherapy)• TeamsMonitorProgress
Freeman,R.F.(2016).Ins5tuteonCommunityIntegra5on,UniversityofMinnesota
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PRACTICES
Supporting Staff Behavior
Supporting All People
OUTCOMES
Improving Quality of Life
Supporting Decision Making
4
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All People
Some People
Few
Mul(-(erSystemsofSupport
Person-CenteredPrac(ces&Planning
Posi(veBehaviorSupport
UniversalStage• TeachAndEncourage
Communica5on• EncourageAndReinforceSocialSkills• Consensus-BasedAndTeamFocus• EmphasisOnUsingDataFor
Decisions• IntegratedWithOtherPosi5ve
SupportPrac5ces(PBS,Trauma-informedCare,Etc.)
UniversalStage• Person-CenteredThinking• EncourageSelfExpression• Self-Determina5onAndChoice
Making• PredictableAndProac5veSeMngs• MeaningfulPar5cipa5onInThe
Community
SecondaryStage• UseDataToIden5fyIndividualsAtRisk• Addi5onalSupportsForKeySocialSkills• GroupAndIndividualInterven5ons• Func5on-BasedDecisions• SimpleInterven5onsIntegratedWith
OtherPosi5veSupports• MentalHealthAndWellnessInterven5ons
Ter(aryStage• IndividualizedPBSPlans• IntegratedWithOtherPosi5veSupports(PCP,
Trauma-InformedCare,DBT,Etc.)• PlansAreEvaluatedToEnsurePlansAre
ImplementedWithFidelity• OutcomeMeasures• TeamsMonitorProgressOfEachPerson
SecondaryStage• MoreIntensiveSupportsToImproveQOL• SimpleInterven5onsIntegratedWith
OtherPosi5veSupports• IndependenceAndCommunity
InvolvementEncouraged• MentalHealthAndWellnessInterven5ons
Ter(aryStage• IntegratedPlans(PCP,PBS,Trauma-informedTherapy)• Person-CenteredPlanning• IndividualizedWithPosi5veSupports• TeamsMonitorProgress
Year1
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ImportantToImportantFor&TheBalanceBetween
Rela5onship
Map
Rou5nes&
Rituals
GoodDay
BadDay
2-MinuteDril
l
Reputa5on
Communica5on
Discovery/ListeningTools
ManagementTools
EverydayLearningTools TLC-PCP2012www.learningcommunity.us
Wrkbk pg 9
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ACoreConcept
ImportantToImportantFor
andTheBalanceBetweenThem
TLC-PCP 2012 www.learningcommunity.us Wrkbk pg 5
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ImportantTOWhatisimportanttoapersonincludesthosethingsinlifewhichhelpustobesa5sfied,content,comforted,fulfilled,andhappy.Itincludes:
• Peopletobewith/rela5onships• Statusandcontrol• ThingstodoandPlacestogo• Ritualsorrou5nes• Rhythmorpaceoflife
• Thingstohave
Wrkbk pg 5
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ImportantFORIssuesofhealth
• Preven5onofillness• Treatmentofillness/medicalcondi5ons• Promo5onofwellness(e.g.:diet,exercise)
Issuesofsafety• Environment• Wellbeing----physicalandemo5onal• FreefromFear
And…whatothersseeasnecessarytohelpthepersonbevaluedandbeacontribu5ngmemberoftheircommunity
Wrkbk pg 5
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ImportantToAndForAreConnected
• Theyinfluenceeachother• Noonedoesanythingthatis“importantfor”them(willingly)unlessapieceofitis“important”tothem
Balanceisdynamic(changing)andalwaysinvolvestradeoffs:– Amongthethingsthatare“importantto”;– Betweenimportanttoandfor
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TLC-PCP2012www.learningcommunity.us
Any changes an organization makes to its practices, structure or rules that result in positive differences in the lives of people (Organization/Administrator)
Level1
Level2
Level3
Any changes that results in a positive difference in the lives of people who use services or in your own work life.
Any change in practice, structure and rules made at the system level. These changes have an effect on many organizations, and therefore many peoples’ lives (Larger System (National) or State Level Issues
Person-centeredPrac(ces&LevelsofChange
Wrkbk pg 8
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All People
Some People
Few
Mul(-(erSystemsofSupport
Person-CenteredPrac(ces&Planning
Posi(veBehaviorSupport
UniversalStage• TeachAndEncourage
Communica5on• EncourageAndReinforceSocialSkills• Consensus-BasedAndTeamFocus• EmphasisOnUsingDataFor
Decisions• IntegratedWithOtherPosi5ve
SupportPrac5ces(PBS,Trauma-informedCare,Etc.)
UniversalStage• Person-CenteredThinking• EncourageSelfExpression• Self-Determina5onAndChoice
Making• PredictableAndProac5veSeMngs• MeaningfulPar5cipa5onInThe
Community
SecondaryStage• UseDataToIden5fyIndividualsAtRisk• Addi5onalSupportsForKeySocialSkills• GroupAndIndividualInterven5ons• Func5on-BasedDecisions• SimpleInterven5onsIntegratedWith
OtherPosi5veSupports• MentalHealthAndWellnessInterven5ons
Ter(aryStage• IndividualizedPBSPlans• IntegratedWithOtherPosi5veSupports(PCP,
Trauma-InformedCare,DBT,Etc.)• PlansAreEvaluatedToEnsurePlansAre
ImplementedWithFidelity• OutcomeMeasures• TeamsMonitorProgressOfEachPerson
SecondaryStage• MoreIntensiveSupportsToImproveQOL• SimpleInterven5onsIntegratedWith
OtherPosi5veSupports• IndependenceAndCommunity
InvolvementEncouraged• MentalHealthAndWellnessInterven5ons
Ter(aryStage• IntegratedPlans(PCP,PBS,Trauma-informedTherapy)• Person-CenteredPlanning• IndividualizedWithPosi5veSupports• TeamsMonitorProgress
Year1
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“AlmosteverybodyIworkwithhas‘behavior’,includingstaff,thatisproblemaKctothemonadailybasis.Imeanweneedtonotthinkitas[problembehavior]”--PersonSuppor5ngPeopleWithTrauma5cBrainInjuryinKansas
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ExamplesofUniversalPBSStrategies
• Person-CenteredThinkingStrategies• AAIDDPosi5veBehaviorSupportCurriculum• TheToolsofChoiceSocialSkillsCurriculum• HealthandWellnessStrategies• BuildNaturalSupports• StrategiesforIncreasingPosi5veSocialInterac5ons
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Values
GeMngUpintheMorning
Work
Dinner&
HouseChores
Community
Encouraging
Choice
EachPersonCreatesTheirOwnRou5ne
WorkWithSupervisorto
ChooseAc5vityAndSchedule
DecideWhethertoEatTogetherorIndividually
ExploreNewAc5vi5esandMakeNewFriends
RespectEach
Other
AskBeforeUsingOther’sPersonalItems
LetPeopleKnowWhenYouNeeda
Break
WorkTogethertoChooseFood
Weekly
BeSensi5vetoEachPerson’sComfort
LevelsintheCommunity
EncourageEachOther
KnowWhenSomeoneNeedsTimeandSpace
(CoffeeFirst!)
RecognizeOthersforHardWork
HelpOtherPeople
CompleteHouseChores
ReachOuttoOthersandMakeNewFriends
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Primary Stage Universal Strategies
PC Practices • Assess Organization
Across Areas • Create Work Plans by
Area • Use PCT Tools • Implement Person-
Centered Strategies Across Levels
• Build Capacity for PCT and PoL
PBS • Identity Social Values • Learn and Practice Social
Behaviors • Improve Social and
Physical Environment • Recognize and Reinforce • Increase Consistency • Build PBS Capacity
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Secondary Stage
PC Practices ▪ Continue Expanding Impact of
Work Plans Across Areas ▪ Team Monitors Quality of Life ▪ Early Intervention to Improve
Outcomes ▪ Simple Strategies for
Improving Quality of Life ▪ Person-Centered Planning
Strategies ▪ Build Natural Support
Networks ▪ Coach Meeting and Supports
PBS ▪ Team Monitors for Early
Intervention ▪ Simple Function-based
Problem Solving ▪ Data-based Decision
Making ▪ Additional Supports for
Social Behaviors ▪ Building Friendships ▪ Increasing Independence, ▪ Mental Health-related
Supports
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Tertiary Stage
PC Practices ▪ Continue Expanding Impact
of Work Plans Across Areas ▪ Monitor Person-Centered
Plans ▪ Use Quality of Life Data for
Decision Making ▪ Tailor Types of Person-
Centered Planning for People
▪ Training and Mentoring to Expand Planners Across Organization
PBS ▪ Monitor PBS Plans ▪ Coordinate Quality of Life
Evaluation Across Positive Supports
▪ Data-based Decision Making
▪ Improve Interagency Collaboration and Community Mapping
▪ PBS Plans Integrated Within Person-centered Plan
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Organization-Wide Team
Addresses
Universal Systems
Secondary/Tertiary Systems
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IncidentReports&Data-basedDecisionMaking
20
People:25
Incidents:59
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Minnesota’sOrganiza5on-WideTeams
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“ImplementaKonfactorsareuniversal(likegravity)andapplyequallytoany
humanservicesector.”
DeanFixsenAPBS,2016
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TeamsInvolvedinSystemsChange
AcrosstheLifespan(ChildrenandAdults)ProviderOrganiza(ons• Residen5alHomeSeMngs• EmploymentSeMngsPublicHealthOrganiza(on• CaseManagement• FamilyHealth• HospiceCountyTeamsMentalHealth
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Cohort2ASt.LouisCountyRegion(County&3Organiza5ons)IntegratedModelCohort2B
WestCentral(5Coun5es,PublicHealthDept.,2Organiza5ons)IntegratedModel
Cohort1SupportDevelopmentAssociatesPerson-centeredPrac(cesModel1County,3Organiza5ons
MinnesotaStatewidePlanforBuildingRegionalCapacity
TrainingLayers• TeamTraining• RegionalTrainers• Person-centeredThinking
Trainers/CoachTraining• PictureofaLifePlanners/
Trainers• PBSFacilitators
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Leadership Team
Visibility
Training Mentoring Evaluation
Active Coordination
Start Small and Build on Success
Organization and County Model for Planning
Interagency & Natural Supports
PCP, PBS (Other PS)
Expertise
FundingPoli(calSupport&Policy
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UniversalPerson-CenteredPrac(ces&PBSKeyRoles
• Team-BasedAc5onPlanning• KeyContacts• CoachesinEachOrganiza5on• Trainers
– Person-CenteredThinkingTrainers– Person-CenteredPlanners– PBSFacilitators
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KeyElementsIncludedInCurrentInfrastructure
• Person-CenteredThinkingandPlanning• Organiza5onalWorkforceRelated• CulturalCompetence• Posi5veBehaviorSupport
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TeamTrainingDaysApril,2016ThruFeb.,2017
• 5DaysForAgencyTeams-Kick-Off-2DaysOfSelfAssessment-1DayOfData-basedDecisionMaking-1DayOfSustainability• 6TrainingDaysForCoaches• 2DaysForKeyContacts+3ConferenceCalls
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Team-BasedDecisionMaking:GeMngStarted
• FormanOrganiza5on-wideTeamThatRepresentsAllStakeholders
• AssessReadinessandBuyin• CompleteaSelf-assessment• CreateanAc5onPlan• UseDataforDecisionMaking• MakeChangestoImproveOutcomes
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StatewideTeam
Cohort2Region1
RegionalTrainer
Organiza5on1KeyContact
Organiza5on2KeyContact
Organiza5on3KeyContact
Organiza5on4KeyContact
Cohort2Region2
RegionalTrainer
Organiza5on1KeyContact
Organiza5on3KeyContact
Organiza5on4KeyContact
Organiza5on2KeyContact
MinnesotaTrainingInfrastructureCommunica(onPathway
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Organiza5onTeam
Example 1 Considering A Plan That Works
Larger Organizations -- One Geographic Area
10Coaches
Residen5alPilotArea
EmploymentFamilySupports
Coaches Coaches
KeyContact KeyContact KeyContact
PlanforYear1FirstPilotArea
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AgencyOversightTeamCoordinator
Organizational Infrastructure Create Area or Regional Team
Coaches
KeyContactsKeyContacts KeyContacts
Coaches Coaches
Region1Team
Region2Team
Region3Team
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CountyTeam
Example 1 County Planning
Considering A Plan That Works
Coaches
KeyContact
FirstPointOfContactFor
Services
Year1Plan• StrategiesForIncreasingPerson-
CenteredStrategiesDuringFirstPointofContact&OtherUnits(FosterCare,MentalHealth)
• EmbedPerson-CenteredPrac5cesIntoPoliciesAcrossKeyUnits
• RecruitPCTTrainersForCounty• RecruitPoLPlanFacilitators• RecruitPBSFacilitators
TrainingForFosterCare MentalHealth Other
Units/Areas
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CountyTeam
Regional Capacity Building
Coaches
Organiza5on
Team1
Organiza5onTeam2
Organiza5onTeam3
Coaches Coaches
KeyContact KeyContact KeyContact
Year1Plan• IntroduceKeyFeaturesOf
Organiza5on-widePlanningToOrganiza5ons
• Iden5fyCountyRegionalTrainer• Iden5fyPCTTrainers• Iden5fyPBSFacilitator• RecruitAnOrganiza5onToPilot• Co-trainInYear2
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TeamData-BasedDecisionMakingExamples
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Evalua5on&DataSystemsOrganiza(on-WideEvalua(on RelatedEvalua(onData/ToolsWhatimpactdidthetraininghaveoncapacitybuilding?
• Numberofcoaches,keycontacts• Numberofstaffinvolvedin
implementa(on• Numberofpeoplesupported
Whatarethestrengthsandneedsoftheorganiza(on?
• Person-centeredorganiza(onaltool• Qualityofsocialandphysical
environment
Howwellaretheprac(cesimplemented? • Fidelityofimplementa(onchecklist(Quarterly)
• Onsiteevalua(on
Aretheimprovementsinconceptualknowledgeofstaff?
• Pre/posttestsforstaffusingDC/CDS
AretherechangesinbehaviorofStaffandPeopleLivingandWorkinginaSeMng?
• Directobserva(onofstaffperson-centeredprac(ces(Quarterly)
• Directobserva(onofpeoplesupported(Quarterly)
• Incidentreports,restraint,911calls,etc.(Quarterly)
• Organiza(onaldata(reten(on/tenure,etc.)
Aretherechangesinuniversalqualityoflife? • Qualityofsocialandphysical
environmentinterviews
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AssessingOrganiza(onalData• AlignmentofOrganiza5onalPolicies• Orienta5onStaffDevelopment&Performance• SurveysandOtherDocumenta5onRelatedto
– QualityofLife– Climate– Stress
• Informa5onaboutOtherPosi5veSupportsUsedinOrganiza5on• QualityofLifeEvalua5on• IncidentReports• Injuries,SickDays• Informa5onRelatedtoReten5on,WorkersCompensa5on,Staff
Injury
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FidelityofImplementa(on:MNTeamChecklist
WhiteFormTeamImplementa5onAcrossPosi5veSupportsBlueFormPBSSubscaleItemsPinkFormPerson-centeredPrac5ceItems
Domains• Team• StaffCommitment• Self-Assessment• Ac5onPlanning• StaffDevelopment• Evalua5on• Visibility
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Scoring the MN Team Checklist • Implementation Points
– Achieved = 2 – In progress = 1 – Not Started = 0
• Percentage of Items Implemented – Overall Total ✓ Number of items scored as
“Achieved” divided by Total # of items – Subscale Scores ✓ Number of items in each subscale
area scored as “Achieved” divided by the number of items in that subscale area
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40%
34%
11%
26%
44%
26%24%
21%
46%
13%
24%
44%
55%
24% 24%26%
24%26%
24%
47%
34%32%
50%
58%
50%
16%
0%
22%
2%
12%
2%
32%
44%
50%
22% 22%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
1 2 3 4 5 6 7 8 9 10 11 12
Percen
tCom
plete
AgenciesinCohort2
MNTEAMIMPLEMENTATIONCHECKLISTBASELINEDATA(6/16-10/16)
OverallFidelityTool Person-CenteredThinkingSubsscale PositiveBehaviorSupportSubscale
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OverallBaselineFidelityDataWestCentralRegion
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OverallBaselineFidelityDataWestCentralRegion
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PublicHealthOrganiza(onExampleMNTeamChecklist
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Person-CenteredandPBSSelf-AssessmentandAc(onPlanning--PublicHealthTeam
TeamRoles• 8TeamMembers• 1KeyContact• 4Coaches• 2PBSFacilitators(InTraining)• 1-2PCTTrainers(Iden5fiedtobeTrainers)MonthlyTeamMee(ngs(5)Implementa(onAreasTargeted• 2016CaseManagement(OverandUnder65)• 2017FamilyHealthandHospice
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Now Future
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EstablishingtheVision:PublicHealthOutcomesStatements
PeopleWhoReceiveSupport:• Peoplearefeelingapartofthecommunity• Haveenoughsupportsavailablesopeoplewhoreceiveservicescansucceed
Employees/Staff:• Leadershipworkstobalancetheimportant“to’s”ofstaffvs.theimportant“for’s”fortheagency
• Staffarewillingtoadapttoothers’to’sandfor’s
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PublicHealthOutcomesStatements(Con(nued)
Organiza(on• Theorganiza5onwillempowerpeopletosucceedin
reachinggoalsthatareimportanttothem• Theorganiza5onwillfosterbeoerrela5onshipswith
othercommunitypartnersCommunity• Thecommunitymemberswillwork,liveandplay
witheachothersidebyside• Thecommunitywillprovidemoreinclusiveservices
withlesss5gma
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Ac(onPlanningItemExamples• AllCaseManagersPar5cipateinPCTTrainingby2016
• PolicyChangesMadetoCarePlanFormat– Person-CenteredLanguage– EaseofUse/Decreaseinpagenumbers
• CoachesTeachToolstoCaseManagers– MonthlyMee5ngsOverandUnder65– AllCaseManagersQuarterly
• ImplementPBSMatrixWithinCaseManagementMee5ngsasFirstStep
• PBSTrainingforTwoMembers• PCTTraining1-2Members
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• Person-CenteredPlanning(PictureofaLife)– 2People
• IncreaseVisibilityofImplementa5onEfforts– Restroom“TheInstallment”– Website
• NewStaffOrienta5onTraininginPCT• Integra5ngPerson-CenteredPrinciplesintoEmployeePerformanceEvalua5ons
• Collabora5onwith5Coun5esinRegionalRuralArea:– ShareTrainers– LeverageResources– MonthlyRegionalMee5ngs
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PublicHealthMatrixforCaseManagers
SETTING
Office Travel Breaks Meetings Paperwork LeaveWork
Clear,OpenCommunica
tion
Meetwithadministrators/supervisors/colleaguestoshareconcerns
Keepcalendarsuptodatesopeople
knowwhereweare
Beingsensitivetotopicsbeingbroughtuprelatedtowork
Shareideas,opinions,and
honestreactionsduringthemeeting
Layingoutwhatneedstobedoneeachday
Makeit“do-
able”
Makesurepeopleknow
whatishappeningthenextday
RespectEachOther
Beawareofsmells,music,cookingfood,
etc.inamannerthatrespectstherightsofyourcubemates
Planyourschedulearound
calls.Ifyouarelate,call
Learnmoreabouteachotherandshare
Allowthosetospeakwhowantto
Takethetimetogreeteachother
evenwheninthemidstof
work
Acknowledgetheeffortsandworkoftheday
HelpEachOther
OfferingAssistance–“Doyouneed
help?”
Offertotaketurnsdriving
Encourageothersto
takeabreak
ProblemSolving–
LookattoolsforProblemsolvingandfindingsolutions
Lookoutforeachotherandthethingsthatneedtobedone.Askhowyoucanhelp
Turnoffthelights–Encouragepeopletoleaveworkatthedoor
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PCP-PBSSystemsEvalua(onTool(PCP-PBSSET)
• ExternalEvalua5on• HalfDayOnsiteVisit• AdministratorandKeyContactInterviews• DocumentReviews• Observa5on
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0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
TeamAc(onPlanningandStakeholderInvolvement
UniversalPerson-CenteredStrategies
UniversalPosi(veBehaviorSupport
CulturalAwarenessandCompetence
Strategies
MonitoringPlansandOrganiza(on-wideDatafor
DecisionMaking
SupportforStaffLearningNewSkills
Visibility Total
Percen
tCom
plete
Scale
Person-centeredPrac(cesandPosi(veBehaviorSupportSystemsEvalua(onTool
PublicHealthOrganiza(on-11/14/2016
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DirectObserva5on
Person-CenteredPrac5cesSocialEngagement
Posi5veSocialBehaviors
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Observa(onandCoachingSystemsExampleData
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Inter-RaterAgreementforOnsiteEvalua(on/DirectObserva(on
• 2ICIStaffAchieve80%Agreement• IntroduceDirectObserva5onTrainingatFirstOnsite
• Train1-2TeamMembersto80%Agreement• CreateRegionalInter-RaterProcess
– TeamMemberfromOrganiza5onAGathersDataforOrganiza5onB
– TeamMemberinOrganiza5onBReturnsFavor• MaintainAgreementwithICIStaff(25%Ideal)
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PublicHealthOnsitePilot• Observa5onsofCaseManagerMee5ng• 81%Inter-RaterAgreement(3Observers)• Collec5ngOnsiteImpactDataFrom
– MainOffice(Org.Data)– Coaches(UseofTools)– CaseManagers(UseofTools,Incidents)
• Part1BaselineResults(11/14/2016)Overall–55.5%– Person-CenteredBehaviors–66.6%– Promo5ngSocialEngagementandInterac5ons–33.3%
• Part2BaselineResults(11/14/2016)– Opportuni5estoPar5cipateinPosi5veSocialInterac5ons–50%
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0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
PCPandPBSSystemsEvalua=onTool(11/14/2016)
MNImplementa=onChecklist:Overall(6/17/2016and10/13/2016)
MNImplementa=onChecklist:PCPSubscale(8/11/2016)
MNImplementa=onChecklist:PBSSubscale(8/18/2016)
Percen
tCom
plete
Evalua1veMeasure
PublicHealthAgencyEvalua1veToolsSummary
FirstComple=on SecondComple=on
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ComeVisitUsatAPBSinDenver
• ProgressonOnsiteEvalua5onData• MoreCaseStudiesAcrossDifferentOrganiza5ons
• State-WideSummariesofOrganiza5on-WideData
• NextStepsAserPilo5ngTools• RegionalPlanningEfforts
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RachelFreemanEmail:[email protected],Ph.D.Ins5tuteOnCommunityIntegra5on,UniversityOfMinnesota,PaoeeHall,Room110A,150PillsburyDr.S.E.MinneapolisMN55455
ContactInforma(on
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PrimaryPreven(onResourcesMinnesotaTools–www.mnpsp.org• MNTeamChecklist• QualityofSocialandPhysicalEnvironment• Person-centeredOrganiza5onalTool• MNDirectObserva5onTool• WorkforceDevelopment-12(FormulasforReten5on,Tenure,etc.)Person-CenteredThinking• SDAToolbox-hop://sdaus.com/resourcesOtherResources• AgencySelf-Evalua5onToolforOrganiza5onalCapacitytoSupportPersons
WithChallengingBehavior(Baker&Feil,2000)• Organiza5on-wideResourcesFromtheUniversityofKansas–
www.pbskansas.org• MissouriDepartmentofMentalHealthTieredSupports-hop://dmh.mo.gov/
dd/TieredSupportSummit.htm
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ImpactNewsleeer
hops://ici.umn.edu/index.php?products/view/876
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ResourcesFromDeanFixsenandColleagues
Implementa(onResearch:ASynthesisoftheLiterature• hop://nirn.fpg.unc.edu/resources/implementa5on-
research-synthesis-literatureTheNa(onalImplementa(onResearchNetworks’sAc(veImplementa(onHub• HomePage:hop://implementa5on.fpg.unc.edu• ModulesandLessons:• hop://implementa5on.fpg.unc.edu/modules-and-lessons
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PreparaKonofthis[presentaKon/report]wassupported,inpart,bycooperaKveagreementJPK%50470fromtheMinnesotaDepartmentofHumanServices.TheUniversityofMinnesotaundertakingprojectsundergovernmentsponsorshipareencouragedtoexpressfreelytheirfindingsandconclusions.Pointsofvieworopinionsdonot,thereforenecessarilyrepresentofficialMNDHSpolicy.