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

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

3. Why the lifecourse framework?
Choice
Community
Options
Integration
Opportunity

4. 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

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

6. 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

7. 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?

8. Starting with self-advocates & Families

9. Starting with self-advocates & Families

10. Listening to providers & case Managers

11. Listening to providers & case Managers

12. Understanding The Perspective of State Agency Staff

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

14. Implementing the Lifecourse
LifeCourse 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

15. 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

16. 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

17. 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

18. 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

19. 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

20. 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

21. 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

22. 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

23. Thank You! Indiana Division of Disability and Rehabilitative Services
Kylee Hope, Director
Julie Reynolds, Director Strategic Initiatives
Kim Opsahl, Consultant