Map It! Self-Determination and Building a Full Life in Your Community Institute on Best Practices in Inclusive Education & Pre-Conference Westwood Conference Center in Wausau, WI July 29, 2019

Bio Dan Krohn is a Community Partnership Specialist at TMG. For the last 12 years, his work has been focused on partnering with people to build full lives in their communities by using his expertise in Community Based Supports and Person Centered Thinking. Dan has worked with TMG since 2017, using his talents to support people, families, schools, and service providers in the successful navigation of the Wisconsin IRIS Waiver. He lives in Milwaukee with his wife and two boys.

Workshop Objectives LEARN ABOUT a framework for person-centered thinking and self-direction that empowers individuals with disabilities to enjoy full citizenship and maintain choice and control over their long-term services and supports. LEARN ABOUT individuals whose life experience includes control and choices leading to full citizenship. LEARN STEPS and strategies to supporting opportunities for advocacy and empowerment. Speaker notes: Understand the values and practices that form the foundation of a culture of partnership in. Understand how person-centered thinking can be effectively operationalized and integrated into the fabric of a self-directed LTSS program. Reflect on your relationships through the lens of partnership and person-centered thinking. Apply the partnership lens to the organization or program you work with.

Who is TMG? Leader in community-based long term supports, quality management and service design for 30+ years. IRIS Consultant Agency (ICA) since 2008, partnering with over 15,000 people. Self-Directed Personal Care (SDPC) Oversight Agency supporting over 8,000 individuals who have chosen SDPC. Quality oversight for community-based services since 1986. Health and human services system analysis, design and training. Locally-based operations with over 600 staff in communities throughout Wisconsin. Speaker Notes: TMG began its rich history in 1986 providing oversight to the newly developed community options programs supporting people to live in the community. We were the first company to be awarded the contract to provide this quality oversight and have worked closely with the Department of Health Services to develop the processes and systems. In addition to this quality oversight, TMG provided consulting services. These consulting services were primarily in the area of long-term care and quality. Slide Bullet: Locally-based operations with 600 staff in communities throughout Wisconsin. TMG remained a relatively small company of approximately 20-25 employees performing this quality oversight until the growth of IRIS and Family Care throughout Wisconsin. In 2008, we became the first IRIS Consulting Agency and now partnering with over 13,000 people. In 2009, TMG began work as the Oversight Agency for Self-Directed Personal Care. SDPC connects to over 5500 individuals using IRIS. We have almost 600 locally based staff throughout Wisconsin. In February 2016, TMG was acquired by Magellan Health. This was part of a long journey who wanted to retire, and more importantly to find a partner who shared TMG’s mission and values and had the same commitment to continue to cultivate the excellence in self-determination and self-direction and was already happening here at TMG and then look at how that could be exported to other states. This is our TMG Website Home page. You can find a more information about the things we talked using the left menu bar on this page.

This slide must be used on all external speaking presentations. Magellan Health helps millions of Americans live healthy, vibrant lives. We are one company with two unique platforms – Magellan Healthcare and Magellan Rx Management. We connect behavioral, physical, specialty and social needs with high-impact clinical programs to ensure care that’s individualized, coordinated and cost-effective.

Clearing the Path Ahead TMG partners with people to: Develop valued roles and community connections. Identify their short term and long term goals. Access local resources. Create individual support and services plans. Support responsible use of their plan budgets. Support people to find meaningful days through employment and community engagement. Start by talking about the relationship between DHS and TMG, and then talk about the evolution of the IRIS program. Then talk about the reason we do this: to support the people we partner with. This is slide 5 from the SD Conference presentation, with Stacy's picture on it. It talks TMG’s role in partnering with people who self-direct. Speaker’s Notes: TMG partners with people to assist them in being successful when using a fully self-directed program. We take steps to make certain that people feel supported in a way and at a level that is meaningful to them. The type of support can look different for each person, but one aspect is always consistent-the person is always in “the drivers’ seat”. TMG is in the passenger seat as their partner, helping navigate or spotting the resources along the way.

Empowering People: Commitment to Citizenship. Creating Meaningful Lives in Their Communities Commitment to Citizenship. Commitment to person-centered thinking and practice. Commitment to partnering with the whole person.

Citizenship *7 Keys to Citizenship developed by Simon Duffy and Wendy Perez. Graphic used by permission, citizen-network.org.

Using a Strengths-Based Lens We Practice Using a Strengths-Based Lens Shift to strengths-based approach Identifying strengths Gifts of the head, hands, heart, and human connection* Finding strength in perceived weakness Everyone has strengths. Do you believe that? What does ABCD stand for? How do you use the ABCD framework in your work? Do you? * From the ABCD Institute

Community Organization Why Connect? Person Home Staff Work Staff Family Person Gardening Club Sports Club Friends Church Greeter Club Book Club Community Organization Dog Walking Group

What Creates Community? Roles Experiences Time Citizenship + + =

What Creates a Role? Genuineness Frequency Regular and Predictable Opportunities for relationships

Activity to Role Swimming Knitting Drawing Swim Team Event Support Knitting Tutor at Yarn Club Drawing Art Fair Event Promoter Turn over to group to share experiences from their kids in school

Local Places where Roles Happen http://www.mellenwi.com/calendar/ Remove? http://www.mellenwi.com/calendar/ https://www.meetup.com/

What will your first step be?

My Community Map

My Community Community Resources Transportation

My Community Community Supports Community Activities

My Community Home Health & Wellness

My Community Education Shopping

Employment & Meaningful Days My Community Employment & Meaningful Days

Jo’s Community Map

Beth’s Community Map

Group Activity

Thanks! Confidentiality Statement By receipt of this presentation, each recipient agrees that the information contained herein will be kept confidential and that the information will not be photocopied, reproduced, or distributed to or disclosed to others at any time without the prior written consent of Magellan Health, Inc. The information contained in this presentation is intended for educational purposes only and is not intended to define a standard of care or exclusive course of treatment, nor be a substitute for treatment. The information contained in this presentation is intended for educational purposes only and should not be considered legal advice. Recipients are encouraged to obtain legal guidance from their own legal advisors. Confidentiality Statement