person centered thinking

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Overview by Sandra Ross

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  • 1. Person Centered Thinking

2. Person-Centered Planning means a process for planning and supporting the individual receiving services that build upon the individuals capacity to engage in activities that promote community life and that honor the individuals preferences, choices, and abilities. The Person-Centered Planning process involves families, friends, and professionals as the individual desires or requires. 3. Use of a Person-Centered Planning Process in the development of the plan of care is a contract requirement for MI Choice Waiver agents when planning and arranging home & community-based longterm care services to individuals eligible for nursing facility care due to needs associated with aging or disabilities. 4. The application of the principles and methods that define personcentered planning are essential to MI Choice Waiver program beneficiaries. The Department of Community Health (DCH) considers access to authentic person-centered planning to be an essential ingredient of long-term care reform. 5. Further and most importantly, access to an authentic person-centered planning process is considered a central consumer right during their participation in the MI Choice Waiver program. 6. The supports coordinator, who is employed by the waiver agent to assess, plan and authorize the provision of waiver services to the participant, is responsible for supporting the participant and finalizing the care plan. 7. The care plan is based on the expressed preferences and desires of the individual. The individuals choices drive an ongoing process of setting goals (such as where to live, what to do and how to spend the day, and how to connect with others,) making plans, selecting supports and services, evaluating progress and outcomes, and revising or setting new goals. 8. Traditional Supports Planning Decisions are to be made by consensus of a planning team that typically consists of staff and professionals; and decisions are driven by medical needs.Person Centered Planning The person drives decisions and invites people who s/he feels have important contributions to make; often including family, friends, community members and trusted allies from the service system. 9. Traditional Supports Planning Focus of planning is primarily defined by a menu of service options that are offered under the Waiver or other programs. Natural (informal) supports are sometimes used to augment programmatic supports.Person Centered PlanningFocus of planning is defined by the desired outcomes of the person. Programmatic supports are used to augment informal supports. 10. Traditional Supports PlanningThe conception of planning is that it occurs periodically during meetings or isolated problem solving events.Person Centered PlanningPlanning occurs as a process that evolves over time. It is reoccurring as the persons circumstances change. 11. Traditional Supports PlanningAttention is focused on problems and fixing.Person Centered PlanningAttention is focused on strengths and fostering. 12. Carl Rogers Original Theory & Practice (1957) A paradigm shift that focuses on the human being as a person and on the art of encounter. Shifting away from expert practitioner-orientation - what we do WITH our clients rather than what we do TO our clients. It is a relational process; meaning it is HOW we do our work, rather than WHAT our work consists of. 13. Person-Centered & Relationship A Philosophy of Living and Relationships The person-centered approach, then, is primarily a way of being that finds its expression in attitudes and behaviors that create a growth-promoting climate. 14. It is a basic philosophy rather than simply a technique or method. When this philosophy is lived, it helps the person expand the development of his or her own capacities. When it is lived, it also stimulates constructive change in others. 15. History of Person-Centered Planning in Michigan The movement toward personcentered planning (PCP) has been growing in Michigan for the past three decades. Originally, it was developed as a method for working with persons with developmental disabilities to identify their dreams, goals, and desires. 16. As the concept was introduced in Michigan in the late 1980s and early 1990s, the independent living philosophy was incorporated into the person-centered planning process. 17. Relationship is the Key 18. Relationship is the Agent of Change in the Social ModelAND IT STARTS WITHYOU! 19. Perspective Transformation When you fix, you see someone as broken, and when you help, you see someone as weak. When you serve, though, you see someone as whole. Serving is more likely to create a relationship of equals rather than one of hierarchy. 20. Foster Relationships with Unconditional Positive Regard 21. To foster means to encourage and promote the development of relationships with a quality of unconditional positive regard. 22. Foster Relationships with Unconditional Positive Regard: Sustain Healthy Boundaries Act with 100% Responsibility Make Requests Carry out Agreements Express Gratitude 23. Boundary Regulation 24. 100% Responsibility 25. Responsibility is an action you take, rather than a thing or a point on a graph. You consciously move from blame or burden to ownership. No matter what the situation, you WONDER, What might this have to do with me? 26. Making Requests Shaping the Future Through Committed Speaking An effective request requires a speaker, a listener, mutually understood criteria for fulfilling a request, a time agreement and a committed response. 27. Agreements Anything you have said you would do, or anything you have said you would not do. 28. Express Gratitude 29. Words Create Worlds Be aware of your thoughts; they become words. Be aware of your words; they become actions. Be aware of yours actions; they become habits. Be aware of your habits; they become your character. Be aware of your character; it becomes your destiny. Frank Outlaw 30. A value is a preference as well as a conception of something that is personally or socially preferable. 31. Values and Principles Practices implemented by Waiver agents that purport to achieve person centered planning must be based on the following values and principles: 32. Person-centered planning is an individualized process designed to respond to the preferences and desires of the individual. 33. Each individual has strengths and the ability to express preferences and make choices. 34. The individuals choices and preferences shall always be honored and considered. 35. Each individual can contribute to the community, and has the ability to choose how supports and services may help them meaningfully participate in and contribute to the community. 36. Person-centered planning processes maximize independence, create community connections, and work towards achieving the individuals dreams, goals, and desires. 37. A persons cultural background shall be recognized and valued in the planning process. 38. Essential ElementsPerson-centered planning must include evidence that the following are included: 39. 1.Person-Directed. The individual controls the planning process. 40. 2. Capacity Building. Planning focuses on an individuals gifts, abilities, talents, and skills rather than deficits. 41. 3. Person-Centered. The focus is continually on the individual with whom the plan is being developed and not on fitting the person into available services and supports in a standard program. 42. 4. Outcome-Based. The plan focuses on increasing the experiences identified as valuable by the individual during the planning process. 43. 5. Presumed Competence. All individuals are presumed to have the capacity to actively participate in the planning process. 44. 6. Information and Guidance. The PCP process must address the individuals need for information, guidance, and support. 45. 7. Participation of Allies. For most individuals, personcentered planning relies on the participation of allies chosen by the individual, based on whom they feel is important to be there to support them. 46. 8. Health and Welfare. The PCP process addresses the health and welfare needs of the individual, as well as strategies identified by the individual to maintain his/her life in the community setting of his/her choice.. 47. 9. Documentation. The planning results should be documented in ways that are meaningful to the individual and useful to people with responsibilities for implementing the plan. 48. . In the last ten years, individuals with developmental disabilities and/or mental illness have used this process to pursue their goals to live, work, and be involved in the community with the support they need and want. 49. The philosophy of personcentered planning has been embraced statewide as the method for individuals who need long-term care to plan for supports and services to enable them to maintain their lives in their homes, neighborhoods and community, and to maintain or obtain connections with other community members. 50. Thank You for your Participation! 51. For more information please contact: The Office of Services to the Aging

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