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Planning for alternative tomorrows with hope

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Page 1: Planning for alternative tomorrows with hope - dmh.mo.gov · Cindy Hanebrink, Shelly Cannon-Herrick, Dorae Biller, Joshua Paul, Phil Ryan, Kimbra ... Aniyah will go into Julie and

Planning for

alternative

tomorrows

with hope

Page 2: Planning for alternative tomorrows with hope - dmh.mo.gov · Cindy Hanebrink, Shelly Cannon-Herrick, Dorae Biller, Joshua Paul, Phil Ryan, Kimbra ... Aniyah will go into Julie and

State Behavior Resource Team

Helen Richardson, Dustin Fish, Cindy Hanebrink, Shelly Cannon-Herrick,

Dorae Biller, Joshua Paul, Phil Ryan, Kimbra Shelton, Courtney Snider, James Taylor,

Terri Werner, and Teri Wondra

Presented by and in collaboration with

Page 3: Planning for alternative tomorrows with hope - dmh.mo.gov · Cindy Hanebrink, Shelly Cannon-Herrick, Dorae Biller, Joshua Paul, Phil Ryan, Kimbra ... Aniyah will go into Julie and

Dr. King said “I have a dream.”

He did not say, “I have an annual plan and quarterly goals and objectives.”

Person-Centered Thinking

Page 4: Planning for alternative tomorrows with hope - dmh.mo.gov · Cindy Hanebrink, Shelly Cannon-Herrick, Dorae Biller, Joshua Paul, Phil Ryan, Kimbra ... Aniyah will go into Julie and

Objectives

Attendees will:

1. Understand and identify what person-centered thinking is

2. Learn ways to create an agency wide system focused on Universal Strategies pertaining to Person Centered Thinking

3. Learn creative, practical, strength based strategies for assisting individuals in identify their gifts and talents

4. Learn how to use different data collecting tools for person centered planning

Page 5: Planning for alternative tomorrows with hope - dmh.mo.gov · Cindy Hanebrink, Shelly Cannon-Herrick, Dorae Biller, Joshua Paul, Phil Ryan, Kimbra ... Aniyah will go into Julie and

The Philosophy of Person Centered Thinking is

• A focus on seeing what’s strong, rather than what’s wrong.

• A core belief that all people have gifts to share.

• A realization that Community connections, natural supports and community involvement is essential.

• About being intentional about respecting the culture, ethnicity, religion, and gender of the individual.

Page 6: Planning for alternative tomorrows with hope - dmh.mo.gov · Cindy Hanebrink, Shelly Cannon-Herrick, Dorae Biller, Joshua Paul, Phil Ryan, Kimbra ... Aniyah will go into Julie and

Building the Support Team

• Family members, friends and/guardians

• Teachers, paraprofessionals

• Friends, peers, acquaintances

• Direct support professionals (staff, care givers, personal care attendant, etc.)

• Other support professionals (support coordinator, social worker, etc.)

Page 7: Planning for alternative tomorrows with hope - dmh.mo.gov · Cindy Hanebrink, Shelly Cannon-Herrick, Dorae Biller, Joshua Paul, Phil Ryan, Kimbra ... Aniyah will go into Julie and

Meet Aniyah

“Chi” is what gives you power to the oxygen in the air we breath and the vitamins and minerals in the foods we eat.

It is what we live off in the air, food, sunlight, water and even in our thoughts.

Every human possesses a soul, and the energy that our souls transmit to our hearts, minds and bodies is our Chi.

What is Chi?

Page 8: Planning for alternative tomorrows with hope - dmh.mo.gov · Cindy Hanebrink, Shelly Cannon-Herrick, Dorae Biller, Joshua Paul, Phil Ryan, Kimbra ... Aniyah will go into Julie and

Build on what’s strong and not what’s wrong

Page 9: Planning for alternative tomorrows with hope - dmh.mo.gov · Cindy Hanebrink, Shelly Cannon-Herrick, Dorae Biller, Joshua Paul, Phil Ryan, Kimbra ... Aniyah will go into Julie and

Gifts

Page 10: Planning for alternative tomorrows with hope - dmh.mo.gov · Cindy Hanebrink, Shelly Cannon-Herrick, Dorae Biller, Joshua Paul, Phil Ryan, Kimbra ... Aniyah will go into Julie and
Page 11: Planning for alternative tomorrows with hope - dmh.mo.gov · Cindy Hanebrink, Shelly Cannon-Herrick, Dorae Biller, Joshua Paul, Phil Ryan, Kimbra ... Aniyah will go into Julie and

• What are the great things about you

• What do you like about you

• What are some things you’re good at? Proud of?

• What do people thank you for?

• What do others say about you

Talents

Page 12: Planning for alternative tomorrows with hope - dmh.mo.gov · Cindy Hanebrink, Shelly Cannon-Herrick, Dorae Biller, Joshua Paul, Phil Ryan, Kimbra ... Aniyah will go into Julie and

When thinking about gifts, We consider the three H’s

•Gifts of the hands – these are the things

you know how to do

•Gifts of the head – these are things you

know about

•Gifts of the heart- these are things you are

passionate about

….And More Gifts

Page 13: Planning for alternative tomorrows with hope - dmh.mo.gov · Cindy Hanebrink, Shelly Cannon-Herrick, Dorae Biller, Joshua Paul, Phil Ryan, Kimbra ... Aniyah will go into Julie and

We must also Teach the skills that make

us more connected to others

• Warm smiles

• Sense of humor

• Concern for others

• Courage

• Honesty

• Dependability

• Responsibility

• Good listener

• Encourager

Skills

Page 14: Planning for alternative tomorrows with hope - dmh.mo.gov · Cindy Hanebrink, Shelly Cannon-Herrick, Dorae Biller, Joshua Paul, Phil Ryan, Kimbra ... Aniyah will go into Julie and

What is the secret?

Page 15: Planning for alternative tomorrows with hope - dmh.mo.gov · Cindy Hanebrink, Shelly Cannon-Herrick, Dorae Biller, Joshua Paul, Phil Ryan, Kimbra ... Aniyah will go into Julie and

Person

Centered

Planning

Concepts

Page 16: Planning for alternative tomorrows with hope - dmh.mo.gov · Cindy Hanebrink, Shelly Cannon-Herrick, Dorae Biller, Joshua Paul, Phil Ryan, Kimbra ... Aniyah will go into Julie and

If I had an hour to save the world,

I’d spend 55 minutes defining the problem.

- Albert Einstein

Page 17: Planning for alternative tomorrows with hope - dmh.mo.gov · Cindy Hanebrink, Shelly Cannon-Herrick, Dorae Biller, Joshua Paul, Phil Ryan, Kimbra ... Aniyah will go into Julie and

A learning culture requires –

• That everyone is heard & feels their voice matters

• Learning is continuous – not just during review or planning meetings

• What is learned is recorded as it is learned

• People are supported in acquiring the skills they need – and opportunities to enhance skills are routine

• The process of building a set of person centered information around the person can start in various ways, with a number of tools

• Person Centered Planning Tools:• Rituals and Routines• What’s Important TO and Important FOR the PERSON• The Learning Log • Sorting What’s Working/What’s Not Working• Creating Vision Boards

Person Centered Thinking Concepts

Page 18: Planning for alternative tomorrows with hope - dmh.mo.gov · Cindy Hanebrink, Shelly Cannon-Herrick, Dorae Biller, Joshua Paul, Phil Ryan, Kimbra ... Aniyah will go into Julie and

Rituals and Routines

• Rituals are a set of actions or words preformed in a regular way.

• Routines are a sequence of actions regularly followed that happen about the same time and way every day.

Page 19: Planning for alternative tomorrows with hope - dmh.mo.gov · Cindy Hanebrink, Shelly Cannon-Herrick, Dorae Biller, Joshua Paul, Phil Ryan, Kimbra ... Aniyah will go into Julie and

• Daily rituals: How we do things.

• Comfort routines/Rituals: What helps when you have a bad day?

• Relationship routines/rituals: Much of the richness of “community” comes from the relationships that we have.

Kinds of Rituals and Routines

Page 20: Planning for alternative tomorrows with hope - dmh.mo.gov · Cindy Hanebrink, Shelly Cannon-Herrick, Dorae Biller, Joshua Paul, Phil Ryan, Kimbra ... Aniyah will go into Julie and

• Help individuals cope with difficult times, when there are changes in their world.

• Help individuals establish self control and self regulation.

• Capturing and honoring the routines of our individuals is a crucial part of helping them to make sense of, and feel in control of their own lives.

• Reflecting on people’s routines and rituals can also tell us a lot about what matters to people, how best to support them and what it takes for them to have a good day.

Why are they important?

Page 21: Planning for alternative tomorrows with hope - dmh.mo.gov · Cindy Hanebrink, Shelly Cannon-Herrick, Dorae Biller, Joshua Paul, Phil Ryan, Kimbra ... Aniyah will go into Julie and

Aniyah's Morning Rituals and Routines

Aniyah

Page 22: Planning for alternative tomorrows with hope - dmh.mo.gov · Cindy Hanebrink, Shelly Cannon-Herrick, Dorae Biller, Joshua Paul, Phil Ryan, Kimbra ... Aniyah will go into Julie and

Ask three simple questions:

•What is important to you?

•What is important for you?

•What do we need to learn from you?

A Core Concept and a Core Skill Balancing

Important to and Important for

Page 23: Planning for alternative tomorrows with hope - dmh.mo.gov · Cindy Hanebrink, Shelly Cannon-Herrick, Dorae Biller, Joshua Paul, Phil Ryan, Kimbra ... Aniyah will go into Julie and

What is important TO Aniyah What is important FOR Aniyah

Yoga

Spend money on things she wants

Finding a job

Become more independent

Attend Church and other community activities

Treat others kinder

Be healthier and maintain a healthy lifestyle

Budget money

Find a job

Maintain clean home

Opportunities to do things she wants (Church)

Learn boundaries with housemates

Treat others kind

What else do you need to learn/know

Some similarities:

Health, employment, responsibility and independence, behavior

A Core Concept and a Core Skill Balancing

Important to and Important for

Page 24: Planning for alternative tomorrows with hope - dmh.mo.gov · Cindy Hanebrink, Shelly Cannon-Herrick, Dorae Biller, Joshua Paul, Phil Ryan, Kimbra ... Aniyah will go into Julie and

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?

3/1 Yoga at YMCA (1 hour) Jordan (staff), Julie and Sabrina

Aniyah seemed to absolutely love attending her first Yoga class. She was smiling the entire time and seemed to really enjoy the stretching exercises

Aniyah did not like being told or made to do the positions correctly,but rather did them in her own way. Aniyah needs to participate at her own pace and on her own terms.

3/4 Church (1 ½ hours) Carly (staff) Aniyah seemed to really enjoy singing in the church choir. She also seemed to like visiting with people before and after church.

Aniyah did not like that the church service is long. Toward the end she wanted to go home.

3/6 Goodwill on Main St. (30 min) Jordan (staff), Julie and Sabrina

Aniyah began organizing and arranging the women’s pants according to size. She had a blast and is really good at this!

When it was time to go, Aniyah didn’t want to go and began to yell and knocked down a clothing rack.

3/7 House (30 min) Jordan (staff), Julie and Sabrina

If the doors to Julie and Sabrina’s bedroom are closed, Aniyah will not enter their rooms.

Aniyah will go into Julie and Sabrina’s bedrooms and take items when their bedroom doors are open

The Learning Log

Page 25: Planning for alternative tomorrows with hope - dmh.mo.gov · Cindy Hanebrink, Shelly Cannon-Herrick, Dorae Biller, Joshua Paul, Phil Ryan, Kimbra ... Aniyah will go into Julie and

As you are building your agency system, think of which agency staff will

• Sort “what is working” from “what is not working”

• Monitor effectiveness and move to alternative format when entries no longer reflect new learning

• Make sure ideas and observations are put to use after recording learning

• Transfer information from learning log to plan

• Look for patterns in what emerges

The Learning Log

Page 26: Planning for alternative tomorrows with hope - dmh.mo.gov · Cindy Hanebrink, Shelly Cannon-Herrick, Dorae Biller, Joshua Paul, Phil Ryan, Kimbra ... Aniyah will go into Julie and

What is Working or Making Sense and What is Not Working or Not Making Sense

What is Working/The “Up” Side/What is Working Right Now

USE THIS INFORMATION TO BUILD THE AGENDA

OF THINGS THAT ARE TO STAY THE SAME

Individual’s perspective

Family’s perspective

Staff’s perspective

What is Not Working/The “Down” Side/What is Not Working Right NowIndividual’s perspective USE THIS INFORMATION

TO BUILD THE AGENDA OF THINGS THAT NEED

TO CHANGE

Family’s perspective

Staff’s perspectiveDISAGREEMENTS

Formal

InformalAniyah’s chores

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

Aniyah has more success when she has control over what chores she completes and when she completes them. She also prefers to have music playing while completing her chores.

Assist Aniyah in completing a visual chore chart so she can self-monitor her own behavior. Staff using the setting expectation tool to strengthen and reinforce Aniyah completing her chores—which will enhance her goal of being more independent.

Page 27: Planning for alternative tomorrows with hope - dmh.mo.gov · Cindy Hanebrink, Shelly Cannon-Herrick, Dorae Biller, Joshua Paul, Phil Ryan, Kimbra ... Aniyah will go into Julie and

Date/How Long Task Who Was There What worked well What didn’t work well Initials

1. 03/07 30 min Sweep the kitchen floor

Staff (-) Aniyah will sweep the floor only if her favorite music is playing and she has control over when she completes her chores.

(-) Staff reminding Aniyah to do her morning chores. Aniyah became angry and cursed at staff, before she began sweeping the floor

JP

2.

3.

4.

+ Objective independently completed as written on the first attempt following initial prompt

- Objective not completed, completed on a later attempt, or assistance was required following initial prompt

R Continued refusal

Ways to incorporate person-centered thinking into

data collection

Page 28: Planning for alternative tomorrows with hope - dmh.mo.gov · Cindy Hanebrink, Shelly Cannon-Herrick, Dorae Biller, Joshua Paul, Phil Ryan, Kimbra ... Aniyah will go into Julie and

ABC Behavioral Data Sheet

• Record each instance of one behavior, as well as the antecedent (what happened right before the behavior), the consequence (what happened right after the behavior), and what you believe the individual got out of the behavior.

• Date ___________________________________Time of observation________

Antecedent Behavior Consequence What has been learned?

Staff informed Aniyah she

would not be able to go to

Yoga today , as staff’s

vehicle wouldn’t start and

there wasn’t anyone else

available to take her.

Aniyah became upset and

began to curse and yell at

staff. She threw her water

bottle across the room,

and hit the staff member.

Staff member used the

stay close hot tool and

pivoted from the junk

behavior (the cursing and

yelling). Empathy, open-

ended questions and

encouragement were used

by staff until Aniyah started

to lower her voice and

appeared calmer. Staff

directed her to a calming

activity (going for a walk in

Staff will ensure to have a

transportation back up plan in

place so Aniyah can attend her

scheduled community events.

Use the setting expectations tool

to strengthen and reinforce Aniyah

to learn and practice self-

management techniques

Safety Crisis plan will be developed

with Aniyah and her planning

team.

Page 29: Planning for alternative tomorrows with hope - dmh.mo.gov · Cindy Hanebrink, Shelly Cannon-Herrick, Dorae Biller, Joshua Paul, Phil Ryan, Kimbra ... Aniyah will go into Julie and

What is a Vision Board

Collage of Words

Life ValuesGoals

Dreams

Self-MotivatingFUN

Page 31: Planning for alternative tomorrows with hope - dmh.mo.gov · Cindy Hanebrink, Shelly Cannon-Herrick, Dorae Biller, Joshua Paul, Phil Ryan, Kimbra ... Aniyah will go into Julie and

QUESTIONS??