person centered thinking day 1 presented by: penny seay amy sharp the institute on person centered...

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Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center on Disability Studies at the University of Texas and The Center on Disability and Development at Texas A&M University http://person-centered- practices.org/ cdd.tamu.edu tcds.edb.utexas.edu

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Page 1: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

Person Centered ThinkingDay 1

Person Centered ThinkingDay 1

Presented By:

Penny Seay

Amy Sharp

The Institute on Person Centered PracticesA Collaborative Partnership with

The Center on Disability Studies at the University of Texas and

The Center on Disability and Development at Texas A&M University

http://person-centered-practices.org/

cdd.tamu.edutcds.edb.utexas.edu

Page 2: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

The Learning Community for Person Centered Practices envisions a world where all people have positive control over the lives they have chosen for themselves. Our efforts focus on people who have lost or may lose positive control because of society's response to the presence of a disability. We foster a global learning community that shares knowledge for that purpose.

Page 3: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

Person Centered Thinkingunderlies and guides respectful listening

which leads to actions, resulting in people who:

– Have positive control over the life they desire and find satisfying;

– Are recognized and valued for their contributions (current and potential) to their communities; and

– Are supported in a web of relationships, both natural and paid, within their communities

Page 4: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

What are person centered thinking skills?

A set of skills that reflect and reinforce values that:

– Propel the learning cycle– Help us support rather than fix– Work for humans– Work at every level in the organization– Build the culture of learning, partnership, and

accountability– Affirm our belief that everyone can learn

Page 5: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

Help people get better livesNot just better paper

Page 6: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

Purpose of the day

Learn how to

1. Use person centered thinking skills to gather a deeper understanding of the people we support

2. More easily organize that learning to inform our efforts to help people get the lives they value

Page 7: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

How Today Works• Work in groups

• Learn methods that anchor person centered practices

• Organizing Concept: Important TO and FOR and finding the balance between them

• Managing our support role using the Donut

• 3 Problem solving SKILLS that help us use what we are learning every day

• 4 + 1 Questions• Learning Log• Working/Not Working

Page 8: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

Working Agreements for the Day

Cell phones on vibrate

Misery is optional

Respectful listening

All questions are valid

Only share what you are comfortable sharing

Page 9: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

Introducing the Core Concept:

important to

and

important for

AND

The balance between them

Page 10: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

Important TO

What is important to a person includes those things in life which help us to be satisfied, content, comforted, fulfilled, and happy. It includes:

• People to be with /relationships

• Status and control

• Things to do and places to go

• Rituals or routines

• Rhythm or pace of life

• Things to have

Page 11: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

Important FOR (Part One):

• Issues of health: ― Prevention of illness ― Treatment of illness / medical conditions ― Promotion of wellness (e.g.: diet, exercise)

• Issues of safety:― Environment ― Well being ---- physical and emotional ― Free from fear

Page 12: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

Important FOR (Part Two):

• What others see as necessary to help the person:

― Be valued

― Be a contributing member of their community

Page 13: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

Moving from Service Life to Community Life

ServiceLife

CommunityLife

• ‘Important for’ addressed

• No organized effort to address ‘important to’

• ‘To’ and ‘for’ present

• Active circle of support

• Included in community life

• ‘To’ and ‘for’ present

• Closest people are paid or family• Few real connections

A Good Paid Life

Focus on connecting, building relationshipsand natural supports‘Important to’ present

‘Important to’ recognized

Wkbk pg 5

Page 14: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

Moving from Service Life to Community Life

A Good Paid Life

ServiceLife

CommunityLife

• ‘Important for’ addressed

• No organized effort to address ‘important to’

• ‘To’ and ‘for’ present

• Active circle of support

• Included in community life

• ‘To’ and ‘for’ present

• Closest people are paid or family

• Few real connections

Page 15: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

Discontent is the first necessity of progress. -Thomas Edison

Page 16: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

Discontent is the Engine of Change

• Anything you are happy with, you want to stay the same

• You are only interested in change when there is discontent

There are there are 2 kinds of discontent Cynical

Optimistic

We have too much cynical and not enough optimistic

Page 17: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

Cynical Discontent

When you have discontent without hope you get cynical discontent.

Cynical discontent results in:

Page 18: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

Optimistic Discontent

Requires hope based on trust that is created when there is:

• A history of acting on things that can be changed

• Honesty about those things that will take time to change

• Progress in acting on the things that take time

Where cynical discontent is dominant…

…trust must be created

Page 19: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

Any changes an organization makes to it’s practices, structure or rules that result in positive differences in the lives of people.

Level 1

Level 2

Level 3

Any change 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.

Levels of Change

Page 20: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

Overview

Day 1 and Day 2

• Day 1 – working in groups

• Day 2 – working in pairs

Page 21: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

Important To Important For &

The Balance Between

Don

ut

Matching

4 + 1

?s

Learning

Logs

Work

ing

Not Work

ing

Relationship

Map

Routines &

Rituals

Good Day

Bad Day

2-Minute Drill

Reputation

Communication

Discovery/Listening Skills

Management Skills

Everyday Learning Skills

Page 22: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

Sorting Important to from Important for

Important To Important For

(and finding a better balance between them)

Page 23: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

Discovery/Listening Skills

Relationship Map

Rituals and Routines

Good Day/Bad Day

Two Minute Drill

Communication Chart

Reputations

6 methods for collecting information

Page 24: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

People Map for:Family

People who support me at work or school

Friends

People whose job is to support me at home and other places

The “Relationship Map”1st Discovery Skill

Page 25: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

Rituals and Routines

Rituals guide us through our days and bring consistency, comfort and control

• Morning • Bedtime• Mealtimes• Transition• Birthday• Not Feeling Well

• Cultural/Holiday• Spiritual• Vacation• Comfort• Celebration• Grief/Loss

Page 26: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

Good Day/Bad Day

What is a good day like for this person?

What is a bad day like for this person

(or a stressful or really difficult day)?

Page 27: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

Listening to Behavior…

What is happening

_____ does We think it means

And we should

A Communication Chart

Page 28: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

Everyday Learning Skills

• 4 + 1 questions

• Learning Log

• Working/Not Working (also called “What Makes Sense/Doesn’t Make Sense”)

Page 29: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

4 + 1 Questions

• Using the “4 questions” to focus on learning and acting on that learning –– What have we tried?– What have we learned?– What are we pleased about?– What are we concerned about?’

• And then the “+1” question - – What should we try/do based on

what we have learned?

Page 30: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

Learning Log

Date

What did the person do?

(What, where, when, how long, etc.)

Who was there? (Names

of staff, friends,

others, etc.)

What did you learn about what worked well? What did the person like about the activity? What needs to stay the same?

What did you learn about what didn’t work well? What did the person not like

about the activity? What needs to be different?

Using the learning log to replace typical progress notes

Page 31: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

What works/makes sense

What doesn’t work/doesn’t make sense

Page 32: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

Management Skills

• Donut Sort

• Matching

Page 33: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

The Donut Sort

NOT OUR USUALRESPONSIBILITY

Core Responsibilities

Creativity & Judgment

Defining Staff Roles and Responsibilities

Page 34: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

A Matching Profile For each person – what are . . .

Supports Needed Skills Required PERSONALITY

CHARACTERISTICS

NICE TO HAVE (SHARED INTERESTS)

These two columns are related.

Page 35: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

Important To Important For &

The Balance Between

Don

ut

Matching

4 + 1

?s

Learning

Logs

Work

ing

Not Work

ing

Relationship

Map

Routines &

Rituals

Good Day

Bad Day

2-Minute Drill

Reputation

Communication

Discovery/Listening Skills

Management Skills

Everyday Learning Skills

Page 36: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

Beginning

•Practicing Person Centered Thinking Skills

•Applying What We Learn

Day One

Page 37: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

Have our own dreams and our own journeys

Have opportunities to meet new people; try new things; change jobs;

change who we live with & where we live

Have what/who is important to us in everyday life; people to be with; things to do, places to be

Stay healthy & safe (on our own terms)

Each of us want lives where we are supported by & contribute to our communities

Page 38: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

Terminal Irritation

* Used with permission from Dave Coverly, Speedbump Comic

Page 39: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

Importance Of Environments

• Causes significant aggression or depression.

• What is toxic to one person many not be toxic to someone else

• Results in Power Over as we try and control the aggression or withdrawal

• People are depressed, have given up.

• We see “learned helplessness”

• May have been toxic but people feel powerless

• There is no (or very little) growth

• In a supportive setting there is growth.

• People have moved from toxic or tolerated “blossom.”

• There is Power With.• The minimum for

everyone.

• Needed for some people wounded by toxic or tolerated settings

• Focus is on restoration and wellness. There is a need to partner with clinical supports

Page 40: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

Implementation of Person Centered Practices is:

A Promise to listen

•To listen to what is being said and to what is meant by what is being said

•To keep listening

A Promise to act on what we hear

•To always find something that we can do today or tomorrow

•To keep acting on what we hear

Page 41: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

Implementation of Person Centered Practices is:

A Promise to be honest

• To let people know when what they are telling us will take time

• When we do not know how to help them get what they are asking for

• When what the person is telling us is in conflict with staying healthy or safe and we can’t find a good balance between important to and important for

Page 42: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

UnderstandUnderstand

Look/ListenLook/Listen

What you see/hear depends on what you are looking/listening for

Page 43: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

This is an awareness test…

Page 44: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

Important TO and Important FOR

and

the BALANCE between them

And a core skill

The Core Concept

Page 45: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

Sorting Important To from Important For (and finding a better balance between them)

Important To Important For

Page 46: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

What is important to a person includes those things in life which help us to be satisfied, content, comforted, fulfilled, and happy. It includes:

• People to be with /relationships

• Things to do & places to go

• Rituals or routines

• Rhythm or pace of life

• Status & control

• Things to have

Important TO

Page 47: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

• Includes what matters the most to the person – their own definition of quality of life.

• What is important to a person includes only what people “say”:

― with their words

― with their behavior

When words and behavior are in conflict, pay attention to the behavior and ask “why?”

Important TO

Page 48: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

– Issues of health: ―Prevention of illness

―Treatment of illness / medical conditions

―Promotion of wellness (e.g.: diet, exercise)

– Issues of safety:―Environment

―Well being ---- physical and emotional

―Free from Fear

– What others see as necessary to help the person:―Be valued

―Be a contributing member of their community

Important FOR

Page 49: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

• ‘Important to’ and ‘important for’ influence each other

• No one does anything that is ‘important for’ them (willingly) unless a piece of it is ‘important to’ them

Balance is dynamic (changing) and always involves tradeoffs:

– Among the things that are ‘important to’;

– Between important ‘to’ and ‘for’

Important To and For are Connected

Page 50: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

• We all make tradeoffs between the many different things that are important to us.

– Some people may love living in a particular place.

– And are willing to make the tradeoff when living there means a longer commute to the work they love.

• We also make tradeoffs between what is important to us and what is important for us. These tradeoffs can be temporary OR long term solutions.

― Fun time with my friends is important to me. Having a clean house is part of being valued by my friends. House cleaning occasionally comes before having fun with friends.

― Expressing personal opinions and speaking my mind is important to me, but not cussing in front of my neighbors is important for me

Finding the Balance

Page 51: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

Important FORImportant

FOR

Important TO

Health and Safety Dictate Lifestyle

Page 52: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

Importa

nt

FOR

Importa

nt

TO

All Choice No Responsibility

Page 53: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

Important FOR

Important TO

Balance

Page 54: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

What works/makes sense What doesn’t work/doesn’t make sense

• Shopping daily for favorite things• Having lots of jewelry and no one

getting into them without my OK• Having my sister Joanne in my life• Lots of blue, red and black clothes• Polished nails, many colors & layers• Living with Teddy, the Yorkshire

Terrier• Sleeping on my bed• Snacks from my plate• In my lap when I watch TV

• Staff don’t let me drink what I want

• Teddy leaving me during mealtimes

• Having no work to do at WAC, Inc.

• Staff not letting me buy things I want

• Favorite people doing activities with her, especially John Dandy

• Keeping Julie from falling – reminders to use her walker

• Level blood sugar – staff knowing signs of low and high blood sugar

• Joanne is active in Julie’s life• Planning before Julie goes shopping

• Julie is less steady on her feet and falling more than she used to

• If you don’t make a plan with before shopping, Julie will want to buy more than she has money for – Julie may get very upset which can alter her blood sugar

• Julie gives Teddy food off her plate

Page 55: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

What is important to Julie? What is important for Julie?

What else do you need to learn/know?

Wrkbk pg 17

Julie

Page 56: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

Julie – Answer SlideWhat is important to Julie? What is important for Julie?

What else do you need to learn/know?

• Relationship with Teddy

• Having some control –

• Over what happens with Teddy

• What she buys/wears

• Her things

• Shopping a lot

• Her sister & John Dandy in her life

• Staying busy at the day service

• Drinking as much as she wants

• Keeping diabetes under control

• Monitoring blood sugar, giving insulin

• Weighing her food

• Controlling amount she drinks

• Helping her stay calm

• Supporting her relationship with Teddy

• Keeping her from falling

• Planning in advance/

• budgeting in advance for shopping

• What about “no work to do at WAC, Inc” bothers her?• Is John Dandy really important to her?

Page 57: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

What works/makes sense

What doesn’t work/Doesn’t make sense

• Her relationship with Teddy• Feeding Teddy from her plate

(food = love)• Feeding Teddy the same food

she is eating (people food)

• Staff removing Teddy during meal times

• Teddy barking and being upset at being locked in the back room

• Feeding Teddy dog food in his own bowl

• Julie’s relationship with Teddy• Removing Teddy from the dining

room during meals; monitoring Julie’s food/drink intake accurately

• Julie feeding Teddy from her plate• Inaccurate monitoring of Julie’s

food/drink intake when she feeds Teddy from her plate

• Teddy barking in the back room and upsetting Julie and other residents

• Teddy’s long-term health if he eats too much “people food.”

Example of Working/Not Working Focused for Action

Page 58: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center
Page 59: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

Management Skills

Donut Sort

• Matching

Sorting Important TO and FOR is a skill that works with all the other SKILLS

Page 60: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

If I had an hour to save

the world, I’d spend 55

minutes defining the

problem.~ Albert Einstein

Ask Yourself “What do we know?” Before asking “What do we do?”

www.learningcommunity.us© TLC-PCP 2014

Page 61: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

Inside a Person’s Life

NOT OUR USUALRESPONSIBILITY

Core Responsibilities

Creativity & Judgment

Defining Staff Roles and Responsibilities

Page 62: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

Wrkbk pg 20

Harry

What is important to Harry? What is important for Harry?

What else do you need to learn/know?

Page 63: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

What else do you need to learn/know?

To attract women

To spend his money as he wants

To have George’s permission

To learn what to wear that will cause

minimal pain and embarrassment

To learn to manage his money

What does Harry understand about –

• Managing his money

• Attracting women, dating

• Where it is appropriate to wear what

Harry – Possible AnswersWhat is important to Harry? What is important for Harry?

Page 64: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

Not usually our responsibility

Use judgmentand creativity

Core responsibilities

Wrkbk pg 21

Harry – George’s Donut

Page 65: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

Not usually our responsibility

Whether or not he buys the shirt.

Use judgment & creativity

What you do/try to help Harry makean informed choice

about –

The odds againstthe shirt being a “chick magnet”

Spending ½ his money for 2 weeks on

1 purchase

Core responsibilities

To help Harry makean informed choice –

About the shirt

About his money

Starts with asking why he wants

the shirt

Harry – Possible Answers

Page 66: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

…The Rest of the Story

Harry…

Page 67: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

What is important to Harry? What is important for Harry?

What else do you need to learn/know?

• To be around this woman, have her “recognize” that she wants him. To have control and power over her.

• To know the legal consequences of stalking

• To stop stalking

• To understand that stalking doesn’t work to get an intimate relationship

• More about the past history of this or similar behavior?

• How dangerous is he?

• Does he get what we think he gets out of stalking?

• Has he ever had a “regular adult” relationship?

Harry #2 – Answer Slide

Page 68: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

Harry #2 – Possible AnswersNot usually our

responsibility

To help him getsex or keep him out

of jail at all costs

Use judgmentand creativity

Short term – Howyou keep the woman safe until you can get

him treatment

Longer term – howyou learn, acting on

what you learn,figuring out how he

can get what isimportant enough to

him that that hewill participate in

treatment

Core responsibilities

Short term -Keep the woman safe and in the process keep himsafe (and out of jail)

Longer term – teachrelationship SKILLS,figure out why he is

stalking, any pattern, and deal with it,seeking a way for

Harry to live safelyin the community

Page 69: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

What is important to Bob? What is important for Bob?

What else do you need to learn/know?

Wrkbk pg 22

Bob

Page 70: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

What is important to Bob? What is important for Bob?

What else do you need to learn/know?

• To be one of the guys• To keep his friends• To be in charge of his own life• To have a “typical” life• To stay healthy

• To stay healthy –• Take his medications as prescribed• Stay out of the hospital/not cycle• To be connected to his community

• How dangerous is it for him to go off medication and have a couple of beers?• Would it be OK for him to drink 1 or 2 beers and be on his medication?• Is there another medication where 1 or 2 beers would be OK?• How well does he understand the risks that he is taking?• Would he be willing to drink non-alcoholic beer? • What role does his girlfriend play in this?

Bob – Answer Slide

Page 71: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

Wrkbk pg 23

Core responsibilities

Use judgmentand creativity

Not usually our responsibility

Bob

Page 72: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

Not usually our responsibility

Whether or notBob drinks

What Bob’s psychiatristdoes in response to

the information

Use judgmentand creativity

What you do to meetyour core responsibilitiesaround helping him make

an informed choice –

Informing Bobof the risks

Educating yourself

Exploring alternatives

If part of the “problem”is the response of thepsychiatrist – helping

Bob find another

Core responsibilities

Helping Bob make an informed choice

Informing Bob of therisks of his behavior

Informing yourself of the actual risks and

alternatives

Making sure that Bob’s psychiatrist knows about

Bob’s drinking

Making an effort to explore with Bob

alternative ways to getwhat is important to

and important for him

Bob – Answer Slide

Page 73: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

Moving from Service Life to Community Life

Service Life

• ‘Important for’ addressed

• No organized effort to address ‘important to’

• ‘To’ and ‘for’ present

• Active circle of support

• Included in community life

• ‘To’ and ‘for’ present

• Closest people are paid or family

• Few real connections

A Good Paid Life

Community Life

Bob

Page 74: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

Moving from Service Life to Community Life

Service Life

• ‘Important for’ addressed

• No organized effort to address ‘important to’

• ‘To’ and ‘for’ present

• Active circle of support

• Included in community life

• ‘To’ and ‘for’ present

• Closest people are paid or family

• Few real connections

Bob moves from community life to the Special Pool Hall at

Day Hab

Community LifeA Good Paid

Life

Bob

Page 75: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

Moving from Service Life to Community Life

Service Life

• ‘Important for’ addressed

• No organized effort to address ‘important to’

• ‘To’ and ‘for’ present

• Active circle of support

• Included in community life

• ‘To’ and ‘for’ present

• Closest people are paid or family

• Few real connections

Bob moves from community life to the

Special Pool Hall at Day Hab

A Good Paid Life

Community Life

Bob

Page 76: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center
Page 77: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

Everyday Learning SKILLS

4 + 1 questions

• Learning Log

• Working/Not Working (also called “What makes sense/Doesn’t make sense)

Page 78: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

4 + 1 What you have done to improve your health and safety?

+1 – Given your learning what will you do next?

__________________________________________________________________________

_________________________________________________________________________

What have you tried?

1

What have you learned?

2

What are you pleased about?

3

What are you concerned

about?4

Wrkbk pg 29

Page 79: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

4 + 1 Pose the question you want people to answer

+1 – Given your learning what will you do next

_______________________________________________________________

__________________________________________________?

What have you tried?

1

What have you learned?

2

What are you pleased about?

3

What are you concerned about?

4

What did you do?

When did you do it?

Who else was there?

What did you learn from your efforts?

What did you like about what you tried?

What went well?

What worked for you?

What challenges did you encounter?

What didn’t you like about what you tried?

What didn’t work for you?

Page 80: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

? ?

+1: Keep doing protein shakes; find someone local to cook occasionally; keep asking “what did you eat today, not just “did you eat today?”

What have weTried

What have welearned

What are wePleased about

What are weconcerned about

Healthy frozen meals

Daughter cooking a week’s worth of food for her

High protein shakes 2x a day

She doesn’t like processed food

Will almost always eat daughter’s home cooked food

Protein shakes work really well

If she is having a really bad day, might only drink one shake at best

She is steadily gaining weight

Found at least two options that work for her

She is committed to eating when she can

Stress on daughter to cook and drive 5 hours round trip every weekend

Only eating once a day

Will lose appetite again if depression comes back

What we have done to address Liz’s malnourishment

Page 81: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center
Page 82: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

Everyday Learning Skills

• 4 + 1 questionsLearning Log

• Working/Not Working (also called “What makes sense/Doesn’t make sense)

Page 83: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

Learning LogUsing the learning log to replace progress notes

Page 84: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center
Page 85: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

Recording learning for Charlie: What we have learned about what is:

What do we need to learn or figure out?

 wrkbk pg 27

Page 86: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

PCT Trainer Candidate’s Learning LogUsing the learning log to replace typical progress notes

Page 87: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

Using the learning log to show a family’s learning over time

Learning Log for Andrew (page 1)

Page 88: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

Learning Log for Andrew (page 2)

Page 89: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center
Page 90: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

• 4 + 1 questions

• Learning LogWorking/Not Working (also

called “What makes sense/Doesn’t make sense)

Everyday Learning Skills

Page 91: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

Focus in on a specific issue or area of lifeHelps you dig deeper

Bridge to action planning • What needs to be maintained/enhanced? • What needs to change?

Negotiation Skill• All must feel listened to – accurately reflect perspectives • Start with common ground• Remain unconditionally constructive• Done in partnership

Working/Not Working

Page 92: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

Per

son’

spe

rspe

ctiv

eS

taff

’spe

rspe

ctiv

e

USE THIS INFORMATION TO

BUILD THE

AGEND

A

FOR THINGS THAT ARE TO

STAY THE SAME

USE THIS INFORMATION TO

BUILD THE

AGENDA

FOR THINGS THAT NEED TO

CHANGE

Disag

reem

ents

What works/makes sense What doesn’t work/doesn’t make sense

Page 93: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

93

© TLC-PCP 2014

Page 94: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

Someone brings home a new puppy. Given your own experiences and those that you have heard from others, what does and does not make

sense about having a new puppy in the house.

What works/makes sense What doesn’t work/doesn’t make sense

Wrkbk pg 32

Page 95: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

Use to organize perspectives about a specific Issue or to get a snapshot description of NOW

What’s Working What’s Not Working/What Could Improve

What does the person say is working?

What does the person say is not working or could be better?

What does the family say is working?

What does the family say is not working or could be better?

What does the staff person/teacher/therapist (etc) say is working?

What do they say is not working or could be better?

Page 96: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

Julie – Answer Slide

•What about “no work to do at WAC, Inc bothers her?•Is John Dandy really important to her?

What is important to Julie? What is important for Julie?

What else do you need to learn/know?

Relationship with Teddy

Having some control –• Over what happens with Teddy• What she buys/wears• Her things

Shopping a lot

Her sister &John Dandy in her life

Staying busy at the day service

Drinking as much as she wants

Keeping diabetes under control• Monitoring blood sugar, giving insulin• Weighing her food• Controlling amount she drinks• Helping her stay calm

Supporting her relationship with Teddy

Keeping her from falling

Planning in advance/

budgeting in advance for shopping

Page 97: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

• Her relationship with Teddy• Feeding Teddy from her plate

(food = love)• Feeding Teddy the same food

she is eating (people food)

• Staff removing Teddy during meal times

• Teddy barking and being upset at being locked in the back room

• Feeding Teddy dog food in his own bowl

• Julie’s relationship with Teddy• Removing Teddy from the dining

room during meals; monitoring Julie’s food/drink intake accurately

• Julie feeding Teddy from her plate• Inaccurate monitoring of Julie’s

food/drink intake when she feeds Teddy from her plate

• Teddy barking in the back room and upsetting Julie and other residents

• Teddy’s long-term health if he eats too much “people food.”

What works/makes sense What doesn’t work/doesn’t make sense

Page 98: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

Kath

leen

’spe

rspe

ctive

Mot

her’s

pers

pecti

veSt

aff’s

pers

pecti

ve

Wrkbk pg 35

What works/makes sense What doesn’t work/doesn’t make sense

Page 99: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

Kath

leen

’spe

rspe

ctive

Mot

her’s

pers

pecti

veSt

aff’s

pers

pecti

ve• Relationships with friends• Having her scissors at home• Cutting Patterns• Dressing in her own style• Doing things where she stays clean• Sewing at home and making her own

clothes

• Kathleen has a place to go during the day

• Spending time with Kathleen• Sewing together• Kathleen is never left alone at home or

workshop

• Kathleen does what she is told• She has a behavior program• She uses whatever scissors she gets• She follows the rules most of the time• That she meets the “criteria” before

being considered for enclave work

• Kathleen will not follow the rules consistently

• That Kathleen insists on using certain scissors

• That Kathleen doesn’t want to get dirty• That Kathleen doesn’t like the other

jobs that are available.

• Her schedule has to follow the workshop’s

• Kathleen can’t bring her own scissors to work

• There is not enough pattern work for her

• Kathleen will open the door for anyone

• Not getting to use HER scissors• Getting dirty and doing jobs that

involve cleaning• Having to do bearings• Having to do work that she doesn’t like• Not being listened to

What works/makes sense What doesn’t work/doesn’t make sense

Page 100: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

Beth

’s

Pers

pect

ive

Fam

ily’s

Pers

pect

ive

After a Change in Seizure Medication…

• She doesn’t have seizures

• Generic medicine is less expensive than brand name med

• We think she’s dizzy and afraid of falling

• She can’t walk as well as she did before the new medicine

• She’s often angry

• She is getting aggressive• She’s not herself – no longer a

sweet person• She’s afraid to walk, seems

fearful of falling• Behaviors started after

changing seizure med from brand name to generic – We think the generic isn’t working like the brand name did

Nothing

What works/makes sense What doesn’t work/doesn’t make sense

Page 101: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

Pers

pect

ive

of

Pers

on

Support

ed

Your

pers

pect

ive

Superv

isor’

spers

pect

ive

Looking at how you are doing in your work...What works/makes sense What doesn’t work/doesn’t make sense

Page 102: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

What makes sense, is working, the up side,

right now

What doesn’t make sense, is not working, the downside,

right now

Logan

Logan’s Mom -

Nancy

Logan’s Current Job

Job Coach -

Brenda

Supported Living Coord. -

Jackson

• Pay check-How much I earn

• Variety of stationary work & stocking tasks

• Co-worker’s support

• Riding the bus to/from work

• Getting off at 10 pm no energy to see live music

• Paperwork required for processing inventory

• Working Saturdays

• Mom driving me home on Friday and Saturday

• Logan developing new SKILLS

• Logan has more confidence making decisions, including making more friends

• Giving Logan rides home Fri & Sat. nights

• Concerned he rides the bus late at night

• Not spending as much time with family

• Complaining not able to see his friends as much

• Logan may get hurt using the stocking lift

• Good job SKILLS & good attitude toward work

• His hours 3-10 pm. Logan is a “night owl”

• Work provides natural supports on the job

• Has work friends

• Recently asking co-workers to do his paperwork

• Not as productive lately, takes more breaks

• Called in sick more this past month

• Getting write-ups for not helping customers

• Starting at 3pm allows Logan to sleep in

• Mondays off to assist with activities/tasks at home

• Logan complains no time to see live music

• Refusing support with medication prep and shopping for meal at work

Page 103: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center
Page 104: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

Reflect

Page 105: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

How did today go?

Liked, Learned, Change….

As we close…

Page 106: Person Centered Thinking Day 1 Presented By: Penny Seay Amy Sharp The Institute on Person Centered Practices A Collaborative Partnership with The Center

Thank you!!!

Penny Seay

Amy Sharp

http://person-centeredpractices.org

www.learningcommunity.us

www.learningcommunity.us© TLC-PCP 2014

cdd.tamu.edutcds.edb.utexas.edu