Indiana’s Trajectory toward Supporting Families Charting the LifeCourse Showcase May 17, 2017

Why the lifecourse framework? WIOA HCBS Settings Person Centered Planning Workforce Funding

Why the lifecourse framework? Choice Community Options Integration Opportunity

A Case for TRANSFORMATIONAL CHANGE Everyone exists within the context of family and community Traditional Disability Services Integrated Services and Supports within context of person, family and community

Where to BEgin? This is how challenges from previous slides translate to the Division’s work and priorities today.

Starting with self-advocates & Families During Fall 2016, the Division hosted a series of Family Forums and more focused stakeholder meetings to gather feedback on ways to improve the PCP/ISP approach The Division “set the stage” by sharing information on the LifeCourse Framework and by using the trajectory tool to facilitate the discussions. Held over 50 presentations that reached well-over 1,000 individuals

What We Don’t Want for Hoosiers with Disabilities Charting a Trajectory for Supporting Families Vision for a Good Life for Hoosiers with Disabilities Key Questions: What are we doing today that supports our vision for a good life for Hoosiers with disabilities? What should or could we be doing better to support our vision for a good life for Hoosiers with disabilities? What We Don’t Want for Hoosiers with Disabilities Key Questions: What are we doing today that moves us away from our vision for a good life for Hoosiers with disabilities and toward what we don’t want in their lives?

Starting with self-advocates & Families

Starting with self-advocates & Families

Listening to providers & case Managers

Listening to providers & case Managers

Understanding The Perspective of State Agency Staff

Establishing the Vision Implementing LifeCourse across the Division Changes to the person-centered individualized support plan Case Management Innovation Workgroup

Implementing the Lifecourse LifeCourse 101 - Build Common Understanding and Awareness LifeCourse 102 – Deeper Dive and Hands-On Experience Statewide Kick-Off – Pulling the Community Together CoP Leadership CoP State Team CoP Stakeholder Statewide Audience Division and Council Leadership CoP Structure, Outcomes, Work Plan DDRS Advisory Council Develop & Implement Work Plan Engaged Stakeholders Information & Implementation Stakeholders: All Levels Inform & Education

PCISP: Under Construction Our Opportunity General Dissatisfaction with Current Practice That Emphasized Process Versus Person. CMS’s 2014 Person Centered Planning Regulation Need to Integrate the State’s IT Systems Our Inspiration Our History of “Good” Person-Centered Practice Tennessee, Kentucky, and Washington State Our Involvement with the National Community of Practice for Supporting Families

PCISP: Under Contstruction Resetting Expectations Focus: Empowering the Individual to Lead their Own Team Include People Chosen by the Individual Held at Times and Locations Convenient for the Individual Facilitator Selected by the Individual Team Discussions Facilitated Using Person Centered Planning and LifeCourse Tools

PCISP: Under construction LifeCourse Framework Infused Throughout the Process Focus on Holistic Planning Emphasis on Supports Beyond Goods & Services Tools Available to the Individual, Family, and Case Manager to Use, As Desired

PCISP: Under Construction Focus on Pre-Meeting Preparation Guidance for All Stakeholders Common Understanding and Expectations Concrete Tools and Actions to Prepare Guidance for Case Management Technical Aspects Clarify What and How To Using Missouri Guide as Starting Point Supporting the Individual Pre-Meeting Planning Agenda Focused on Individual’s Preference Prepare the Individual to Lead the Discussion

PCISP: Under Construction Support Plan Elements About Me? Information About the Individual and Their Team Addressing Each Domain Outcomes and Strategies Team Discussion on Outcomes Actions/Activities for My Safety Includes HCBS Settings & Relevant Risk Plans Identify Natural, Generic, and Paid Support Historical Appendix Case Manager Contact Team Meeting Frequency

Case Management: Key to Success Alignment with LifeCourse Principles “help[ing] individuals and families of all abilities and all ages develop a vision for a good life, think about what they need to know and do, identify how to find or develop supports, and discover what it takes to live the lives they want to live.” Reset Case Management Vision and Expectations person-centered focused on identifying needs and preferences, navigating resources and connecting to supports aligned with their needs. Defined Case Managers Role as: An expert navigator; An advocate; and A partner in the process

Case Management: Key to Success Innovation Workgroup Purpose: developing recommendations to implement the Division’s Vision Focus first on changes to support the PCISP process Next, on broader changes that align with needs of individuals and families Membership includes self-advocates, families, case managers, providers, and state agency staff Infused LifeCourse Principles and Tools Throughout the Work

Next Steps LifeCourse Structure PCISP Re-Design and Case Management Pilots for the Willing Advisory Council Modernization Infusing Across and Within the Division PCISP Re-Design and Case Management Finalize Approach, Plan Elements & Guidance Address Regulatory Changes Develop and Implement Broad Training Other Opportunities Improved Engagement with F2F Groups Systems Evaluation Legislation

Thank You! Indiana Division of Disability and Rehabilitative Services Kylee Hope, Director Julie Reynolds, Director Strategic Initiatives julie.reynolds@fssa.in.gov Kim Opsahl, Consultant kaopsahl10@gmail.com