Better Services To Older People through Person Centred Planning What is Person Centred Planning?

A way of listening to the choices people make about the way they want to live… Person Centred Planning …and making it happen

The Medical/Behavioural Framework □Start with what is wrong with the person □Find out what they cannot do □Train them to become more independent □Use their ‘strengths’ to meet their ‘needs’ □‘Make’ them healthy and safe © The Learning Community for Essential Lifestyle Planning, Inc. 2006

An Alternative Approach important to □Learn what is important to the person and what support they require □Address issues of health and safety within this context □Put what has been learned into practice □Keep learning and look for opportunities for build community connections © The Learning Community for Essential Lifestyle Planning, Inc. 2006

Importan t to Importan t for Importan t to Importan t for Health and Safety Dictate Lifestyle All Choice, No Responsibility Balance © The Learning Community for Essential Lifestyle Planning, Inc Importan t to Importan t for

Types of Person Centred Planning  PATH  MAP  Personal Futures Planning  Essential Lifestyle Planning © The Learning Community for Essential Lifestyle Planning, Inc. 2006

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: (with apologies to Abraham Maslow) PATH MAP Personal Futures Planning Essential Lifestyle Planning (ELP) © The Learning Community for Essential Lifestyle Planning, Inc. 2006

Planning For Talking about you Starting with what’s wrong Health and safety dictate where you live Dead Plans - ”Updated annually” Moving from… Planning With Talking with you Starting with what is important Health and safety are addressed where you want to live Living Plans - change with the person Towards... © The Learning Community for Essential Lifestyle Planning, Inc. 2006

Listen Understand What you hear depends on what you are listening for © The Learning Community for Essential Lifestyle Planning, Inc. 2006

People’s rituals can reveal what is important to them  Morning ritual  Going to bed  Transition  Birthday  Cultural/Holiday  Spiritual  Holiday  Comfort & Celebration © The Learning Community for Essential Lifestyle Planning, Inc. 2006

Important to person Important for person What else do you need to learn/know? What is - © The Learning Community for Essential Lifestyle Planning, Inc. 2006

Developing and using plans – 5 parts 1. Think about what you want to learn 2. Gather information 3. Develop a first plan 4. Use the plan and 5. Record what you learn © The Learning Community for Essential Lifestyle Planning, Inc. 2006

Helping people to get better lives Not just better plans © The Learning Community for Essential Lifestyle Planning, Inc. 2006

A Plan is not the Outcome! Our Planning Motto © The Learning Community for Essential Lifestyle Planning, Inc. 2006

Person centered planning is a set of promises  To listen  To listen to what is being said and to what is meant by what is being said  To keep listening  To act on what we hear –  To always find something that we can do today or tomorrow, and  To keep acting on what we hear © The Learning Community for Essential Lifestyle Planning, Inc. 2006

Person centered planning is a set of promises  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 © The Learning Community for Essential Lifestyle Planning, Inc. 2006

7 questions that you should be able to answer for each person you support 1.What is important to the person? 2.What is important for the person? 3.Is what is important for being addressed in the context of what is important to? 4.Is there a “good” balance between important to and important for? 5.What does the person want to learn, what else do we need to learn? If the person is to get the balance described and we are to learn: 6.What needs to stay the same (be maintained or enhanced)? 7.What needs to change? © The Learning Community for Essential Lifestyle Planning, Inc. 2006

If we are to have a person centered system, one that supports self-determination - Those who use the services will: 1. Know what they want; 2.Have enough control over the public funding to buy those pieces that need to be paid for; and 3.Have organizations that provide what they want to buy © The Learning Community for Essential Lifestyle Planning, Inc. 2006

The organizations that offer services and supports will need to  Support people in developing descriptions of how they want to live (person centered plans)  Implement the plans that are developed  Be active participants in the on-going learning that shapes living plans  Change what they do and how they do it to support people in their evolving visions of how they wish to live © The Learning Community for Essential Lifestyle Planning, Inc. 2006

Discontent is the engine of change  Good plans create a kind of mirror – they reflect how people want to live  Discontent comes from comparing what is with what could be  There are 2 kinds of discontent – □ Optimistic, and □ Cynical © The Learning Community for Essential Lifestyle Planning, Inc. 2006

Optimistic discontent requires trust based on – □A history of acting on those things that can be changed immediately □Honesty about those things that take time □Signs of progress in acting on the things that take time □Where change is new trust must be created © The Learning Community for Essential Lifestyle Planning, Inc. 2006

Cynical discontent  One of the things that good plans do is hold a mirror up to the system and create discontent with what is.  Without hope for change this level of discomfort becomes intolerable.  Without hope for change you get denial, distortion, or departure o People say this is no different from what we have always been doing o Plans are distorted to suggest that what people want is what is already offered o The people who have the most passion for change leave (depart) when they see no hope for change © The Learning Community for Essential Lifestyle Planning, Inc. 2006

Learning new ways of seeing/looking/evaluating what causes discontent when what could be/what should be is not present Discontent creates pressure for change Change happens at 2 levels © The Learning Community for Essential Lifestyle Planning, Inc. 2006

2 levels of change Level 1 change –  those changes that can be made without becoming a change target – without changing core structures, responsibilities, etc. e.g. helping people with their morning rituals, honoring what is important that doesn’t require that people move or major changes in staff responsibilities © The Learning Community for Essential Lifestyle Planning, Inc. 2006

2 levels of change Level 2 changes –  Changes that make you a change target  New responsibilities, practices, structures © The Learning Community for Essential Lifestyle Planning, Inc. 2006

Planning a Way Forward © The Learning Community for Essential Lifestyle Planning, Inc. 2006

Perspectives What makes sense? What needs to be maintained? What doesn’t make sense? What needs to change? People using services Staff working in services Managers of services Commissioners of services

Outcome

Action

Review

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