Person Centered Planning:Long-term Care

Dr.Sally Burton-Hoyle Autism Society of Michiganburtonhoyle@aol.com

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Person-Centered Planning Agenda

1. What is Person-Centered Planning (PCP)?

2. What Person-Centered Planning (PCP) is NOT!

3. How Do You Explain PCP to the Community

4. The PCP Process For Non-traditional Communicators

5. Working With the Families in the PCP Process

6. Role-Playing the PCP Process

7. Final Thoughts

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What is Person Centered Planning?

Person centered planning is not new and it is not hard. It is really as easy as listening to persons, their spokespersons and their families. Person centered plans are an approach to help people and their families figure out things like:

Where to live How to spend time each day Who to spend time with Hopes and dreams for their future

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Person Centered Planning Is NOT:

Safety plans Weight/calorie reduction Medication compliance Hygiene improvement Walking “programs” Assessments/Care Plans “I” Team meeting Therapists reports How to make life easier for staff!

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Person Centered Planning IS:

Honoring a person’s behavior as communication

Choice over many aspects of their life Control over what each day includes and

doesn’t include Freedom Assisting an individual to determine what

makes their life worth living

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Cornerstones of Person Centered Planning

Presuming competence Reframing behavior as communication Respecting cultural diversity Providing critical supports for health and safety

across the lifespan so people may live where and with whom they want

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Person Centered Planning (PCP) Process Mandates

All participants accept and understand the philosophy and practice of PCP

Be certain that pre-planning has been held prior to the event Demonstrate the presumption of competence by speaking

directly to the “focus person”, not to their family or guardians Have available wipe-off board, picture album, assistive

technology or personal interpreters necessary for the person to communicate desired outcomes

Pay attention to the “focus person” throughout the process. All comments need to go to this person!

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“What is this PCP exactly?”

In small group discussion complete the following:

1. Describe what PCP is and why it is a good idea for the state of Michigan.

2. What are benefits of PCP as opposed to traditional planning?

3. How do you respond to persons who say that PCP is a waste of time for persons with Dementia or Alzheimer's?

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The PCP Process For Non-Traditional Communicators

All behavior is communication. Anything you can see, hear, touch or count is a

behavior. A person’s behavior tells us what they think about other

people, and their living and working environments. Reframing behavior as communication is the first step

in understanding the person who does not communicate in a traditional manner.

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Tips For Communicating with Person Who Are Non-Verbal

Focus on the person. Ask questions directly to the person. If there does not seem to be recognition of you or questions you

are asking, ask person if it is okay if you ask their “Focus Person” to answer questions. The Focus Person is a person trusted by the individual, and may be a sibling, staff or family friend, that has been identified through the use of a photo album, or by the person gesturing or pointing to.

Write the question on a wipe-off board and show it to the person. Always give the person time to process questions.

Look at the person’s behavior as communication as an answer to your question.

Presume competence!

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Behavior is Communication

Give two examples of behavior and what the communicative intent of the behavior was.

Give an example of how you communicate through your behavior. Do you always need words to communicate what you want or do

not want? As neurological processes decline the ability to retrieve and

express information from auditory modality lessens. Be visual- use words and pictures to communicate with persons who do not communicate traditionally.

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Working With the Family

Understand that all families do the very best that they can!

Families have been mistreated and lied to in the past. Families are operating on the “first and worst”

information that they were given regarding the condition of the person.

Let families tell you their “history” with the system Ask families what their greatest fears are in relation to

the person and their condition.

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Working With the Family

Families must understand the person-centered planning process.

The process mandates that only persons that the individual desires or requires will be invited to the PCP.

Families must be reassured that if they are not invited to the planning that they can still receive information about the plan.

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Components of the pre-plan

Where would you like to have event? What would you like to talk about? What do you want to make sure is not discussed? Whom would you like to have help you in your

planning? Who should not be at your planning event? What time of day are you at your best for the plan to

occur? What snacks or refreshments should we have at

event?

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Pre-plan (cont.)

Who will invite guests to the event? The best date for event is______. The best way for us to know if you are happy with what

is being said at your event is for you to tell us or indicate in some way through a sign or gesture. What will this sign or gesture likely be?

Who do you want to take notes at your event? Would you like to develop a crisis plan to be a part of

your PCP? Anything else………..

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Person centered plan

Who is here to help me plan my life? What are the most important things that have happened to

me so far in my life? Who are the people and the places that are most important to

me? What are barriers that may keep me from enjoying more of

these people and places? What are my likes and dislikes? What things in my life make sense? What things in my life do not make sense?

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Person centered plan (cont.)

What is my current daily schedule? (weekday and weekend)

What would be an ideal daily schedule? (weekday and weekend)

What are my strengths and interests? How could we improve my daily schedule so that it

included more of what I like? What are activities in the community that I may become

involved in?

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Person centered plan (cont.)

The outcomes I would like to see for me include: Timeline for these outcomes includes: Who is going to make sure that outcomes are being

met? When can we get together next to see how things are

going? What is the best thing about this process? What might improve this process? Final Thoughts

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Role-Playing and Person Centered-Planning

Choose a group of no more then four people. Determine the following roles for this activity:1. The person who is having plan developed 2. Facilitator3. Note-taker4. Supportive friend/ally5. Develop questions6. Assist the customer in facilitating their plan7. Develop outcomes that represent the desires of the customer.8. Present your plan to the class.

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PCP Evaluation

I chose when and where the meeting would be. I controlled who came to my meeting. Every question about me was asked to me. People talked directly to me. I had fun at my meeting. The team talked about things I wanted to talk

about. The meeting was a positive experience

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PCP Evaluation (cont.)

I chose who facilitated the meeting. The team talked about my strengths and

interests. The team talked about how my day could be

better and more enjoyable! The team is going to meet until my life is the

way I want it.

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Final Thoughts

PCP should be a “party with a purpose” PCP should yield information that everyone needs in

order to better support the individual. The kind of language used and the length of time for

each meeting should be dictated based on individual need.

PCP’s are mandated for each consumer of the mental health system

PCP’s should be enjoyable and self-esteem raising experiences for all involved!