A PCP is a Life Plan for ME!!

How to use this training This training has three parts that work together, kind of like a sandwich. Slides (the bread) include basic information Notes (the meat or cheese filling) include extra information Forms (the lettuce, tomato, and other goodies) can be printed and used as work sheets. (There will be link to the forms on the slide the form goes with)

A PCP is a Life Plan for ME!! I can now plan what I want to learn and do I get to choose!!! I can tell the agency what I want/need them to do to help me. When I finish the PCP, everyone will agree on the plan for ME!

What is a PCP? A PCP is a person centered plan, it is a plan for me. I will have at least one a year, but I can ask for another one at any time. The plan is how my services will make my goals happen.

Why do I need a PCP? What I have for services depends on my needs and goals. My big goals can help me with Getting a job Making Friends Living healthier Feeling safer Getting involved in my community Making choices and having control Most importantly it’s a life plan for me!

What’s in it for me? I can set big goals that I want to do Everyone* can help me get there! A goal is something I want to do or learn, it is written in my words, and I can understand it. I might get help on my goal from family, friends, or someone in my community. *Everyone means family , friends, and neighbors .

Service Options My caseworker can tell me what options I qualify for. It may be one, or all of the services below. Community Supports Home Supports Career and Employment Supports Technology Supports

Community Supports Community Supports (day program) can: help me find places in my community to join explore ways get out and meet new people volunteer in a place that interests me learn to do something new teach me skills to get around my community work with me to be safe and healthy I can have support from up to three agencies It can be in the community It can start at my house, I don’t have to go to center It can be the evening

Employment Supports Click here for the form on I can explore what I want to do or am interested in I can get help with understanding my benefits at work I can work part time or full time, I can make minimum wage (7.50 per hour) or more I can own my own business I can be a boss (employer) Click here for the form on employment support options Need to create document

Home Supports Home supports come to where I live, and call home. Home supports can: Help me learn things like cooking, how to do the laundry, keeping a schedule, things that will help me be more independent. Help me learn how to take care of myself with things like eating healthy and doing activities that get me moving Home supports is not the place you live it is a service.

My Plan. My Services. Services are about helping me live my life, not about what my provider agency needs, or what is convenient for them. I don’t have to make up hours if I take a day or two off from community supports Staff need to listen to me and help me figure out how to go somewhere or do something when I live with other people who do not want to do the same things. I can ask my staff to help me figure out how to do things if they are happening at the same time as my ADLs

Remember! A goal is something I want to do or learn, it is written in my words, and I can understand it. Daily activities like brushing my teeth or showering are not goals! ADLS (activities of daily living) are services . You can get help, with these, but they are services NOT goals.

Choice + Control = Responsibility It is my responsibility to make sure understand and agree to my plan. I can think about how my plan will help me to learn the skills that will help me to be more independent and find supports in the community. I can get help in accomplishing my goals, but they are my goals to follow through with.

Examples of goals I will explore my new neighborhood by visiting the places I can walk to. I will plan a BBQ and invite my family and friends for the fourth of July. I will find opportunities for volunteering at my library or day care center. I will choose what I want to do on holidays I will get more skills at work so I can earn a raise. Click here for the form about goals My goals need to help me accomplish these 5 things: Choice (My goals will help me to have more choice in my life) Social role (How can take part in my local community in ways that myself and others value?) Presence (How can I be more actively involved in my community) Relationships (Will my goals help me build relationships in any of my relationship circles?) More abilities and experiences (Will my goals help me gain new abilities and experience new things?) Goals may not, and do not have to be a Mainecare service. Remember! Activities like brushing my teeth and taking meds are written in my PCP, but they are NOT goals!

About me! Who lives with me? What do I own or control I would not want to be without? What are the activities I do regularly? Where do I go? How often do I go there?

Who do I want in my life? Relationships Think about…… What am I doing when I am happy? who am I with? where am I? Who do I like and want to spend my time with? Click here for a form to help me learn who the people in my circle are. Who are the people in my life? Family Work Community Do you get to see them enough? Do you want to see them more? Are there people that you don’t get to see you would like to? How do I keep in contact, skype, snail mail, email, phone calls?

What do I want? Choice and Control What would give me more choices and more control over my life? Do I want to: Do my own banking, budgeting, cooking? Be healthier, eat better, to move more? Know more about getting around my community? A job? What would it look like where I live? Happy, Health, Well project resources have lots of good information on eating well and being active, click here: http://muskie.usm.maine.edu/cfl/HHW/materials.html What makes me feel my best? Who am I with? What am I interested in or curious about? Where can I explore or learn more? There may be many opportunities that I am not aware of. If the only kind of sandwiches I have ever eaten is peanut butter and jelly, I may not know there are hundreds of things that can go in a sandwich, and I may be missing out on combinations I never knew about.

What do I want? Community Are there things I want to do IN the community? Are there things I want to do FOR my community? Are there clubs, organizations or community activities I might want to join? Would I like to be a member of Speaking Up For Us? Is there a class I might want to take? Click here for a form with a list of community organizations Remember to put SUFU in your PCP! Community: I may have more than one community. There is the community where I spend my day, there is the community where I live, and I may belong to a community with a shared interest; a faith community is one example.

What do I want? Health and Safety What do I need to feel good? What do I need to be healthy? What I you need to be safe? Do I feel safe: In my community? In my home? with the people who are around me? If not what would make me feel safer?

Timeline Part 1: I will choose where my meeting is, who comes to it, and what we talk about with my caseworker. Part 2: I will meet with community, home, and work supports staff to talk about my goals and the services I want Part 3: I will meet with my case manager and look over my goals and services decide what works for me. Part 4: THE MEETING! I will have at least one meeting a year, but I can ask for a meeting at any time I want or need to change goals, or have changes in my life. My case manager will review my plan every 90 days and see if any changes need to be made.

Who helps with what? My Caseworker will: The Agency will: Plan for my meeting at a date, time, place, etc. that works for me. Talk to me about choice Check in with me after my meeting The Agency will: Agree to support me to meet my goals me with Provide the services I choose Family and Friends can support me in planning Professionals: OTs, PTs, Drs., or Advocate can help with advice and support. After the meeting the caseworker needs to check in to see if I got what I wanted, and if the meeting went OK (Quality Assurance)

Can I choose who will be there? YES!!!! I am the most important part. Who has to be there? My guardian, if I have one My case manager My correspondent, if I have one I may choose to have: My, family and/or friends Agency staff, community, work, or home supports. Professionals – OT, PT, Dr Having an advocate there is MY choice, I can invite one! The meeting needs to include input from service providers but agency staff do not have to be at my meeting if I choose. It can be helpful to have provider support staff at my meeting to complete the team and make sure my needs will be met.

What will happen at the meeting? What has to happen at the meeting I will know what time it starts and stops The agenda will be followed Everyone will listen to me My goals and services will be talked about in a positive light People’s opinions will be respected Tough conversations will be handled with respect There are conversations that I will need to have, including talking about employment What you can choose not to include : If there are things I do not want to talk about in a group of people, this can be done at another time, and I can choose to be there or not as I want. There have to be certain conversation subjects at my meeting: Employment Health and Safety Guardianship Unmet needs Coordinating Goals Across Service Areas (this means how services will work together to increase my involvement in the community?) Communication (Do I need any help with how I communicate, do I have any barriers to communication?)

I can ask people to slow down I can ask people to explain in terms you understand Who am I comfortable with? I can limit how many people are at the meeting! Goals can be short term. I can ask my Case manager if I want to change a goal, I don’t have to wait until my next annual plan. People can offer other options for me to think about but it is not their job to talk me out of something I want because it is more convenient for them

Who can help if you don’t agree? If I don’t agree, I need to speak up or nothing will change! Here is who I can speak up to: Staff Case manager Advocate Think about filing a Grievance, your case manager has to help you

Resources Here is a link to the PCP Training Manual on the state’s DHHS website. http://www.maine.gov/dhhs/oads/disability/ds/pcp-action-plan/PDF/PCP%20Manual7-31-13.pdf

Resources 24 Stone Street, Ste 204, Augusta, ME 04330 V/TTY:   207-626-2774 Toll Free V/TTY:  1-800-452-1948 The Disability Rights Center (DRC) is Maine's protection and advocacy agency for people with disabilities. It is a non-profit agency independent of state and federal government. Here is a link where you can find out who the advocate for your area is: http://drcme.org/DSA_Patient_Advocates.html

SUFU would like to say thank you for the technical support to: SUFU member Paul Picard DHHS, Office of Aging and Disability Services Disability Rights Center