1. Achieving with Support
a supported life
supporting choice creating opportunity
Achieving with Support

2. Background Residential services 59 adults with intellectual disability
21 homes in West Auckland
Support in various aspects of life: daily-living, employment, social & community connections, aspirations

3. Living Arrangements Residential options: Support options:
Shared houses or own flats
Support options:
Sleepover staff or supported independent living

4. Supporting Development Through Transitions

5. Supporting Choice in Activities
40% in paid employment
Day services
Individualised timetable
Connections to community

6. Supporting Development to Promote Independence
Target skills: showering, dressing-self, cooking (steaming vegetables)
Task analysis
Chain one step after another
A systematic level of support
So when I first met MJ in February last year, he was a very different person than who he is today.
Morgan was considered as someone with very high needs of support in the trust. He had high risks of seizures and needed total support in dressing and showering. He would sit under the shower while a staff member washed him from head to toe. His risk of seizures were the centre of his care.
So when I started working with him, we started with setting goals. In the beginning, goals were set by doing observations and me coming up with ideas and discuss these with him. He wasn’t quite sure on how to set up goals when he wasn’t really confident in his ability to learn. So he agreed to work on increasing his independence with showering, dressing self, and cooking as well. It was good to see that as his independence increased, he began initiating his own goals like wanting to learn how to read road signs… or going on a big huge white cruise ships. But that’s another story altogether.
Anyways….

7. Supporting Development to Promote Independence
Ask-instruct-model prompt hierarchy (Mansell et al., 1987)
To wash arm
If no initiation within the specified time, provide ask prompt
i.e. “What’s the next step?”
If no initiation within the specified time, provide instruct prompt
i.e. “Ok, it’s time wash your arm.”
If no initiation within the specified time, provide model prompt

8. Supporting Development to Promote Independence
Video

9. How did we track progress?

10. Supporting Development of Daily Living Skills
Involving both the person and support workers
Example of teaching a support worker to do token economy

11. Facebook Messaging Needs a lot of support in reading and writing.
Participating in social media, but was not keen on doing voice-messages.
video

12. Connections into the Community
Two4nine- day service
Group or individual volunteering
Community group participation
Paid employment
The Mutes from Mars

17. Balancing Aspirations with Capacities