1. The Challenge of Developing a Person Centered System Michael Smull & Mary Lou Bourne Support Development Associates 1 © Support Development Associates

2. TLC-PCP 2012 www.learningcommunity.us 2

3. But it is more than planning Person centered planning – by itself Results in Better paper More often than it results in Better Lives © Support Development Associates3

4. And we have examples of best practice but we have to move from isolated examples to a person centered system © Support Development Associates4

5. The national context – business as usual is not sustainable Demand is going up and increases in public funding will not keep pace with increased demand The federal perspective is to talk about Long Term Supports and Services – not disability specific services © Support Development Associates5

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7. You have to create a new “path of least resistance” You can’t just change the destination Most of us do what we already know – Moving off the old path requires pressure that is greater than the resistance – You have to make it easier to do the new and harder to do the old © Support Development Associates7

8. External Pressure The external pressure that we typically respond to the most are the “3 whats” 1.What is required and inspected 2.What is measured 3.What is funded These three “whats” are established by the system managers --- © Support Development Associates8

9. We also respond to “internal pressures” Values, assumptions, and attitudes Structures & practices Skills Organizational culture © Support Development Associates9

10. Start Typical Practice External pressures 1.What is measured 2.What is inspected 3.What is funded Internal pressures 1.Values and assumptions 2.Structures & practices 3.Skills 4.Organizational culture

11. Typical Practice New Vision/Destination External pressures 1.What is measured 2.What is inspected 3.What is funded Internal pressures 1.Values and assumptions 2.Structures & practices 3.Skills 4.Organizational culture

12. How do you change the pressures and create a person centered system? © Support Development Associates12

13. A system requires 6 parts – working together 1.Vision, mission, and values that are routinely used 2.Effective ways to learn the outcomes that each person wants 3.Effective use of the skills needed for implementation © Support Development Associates13

14. Requirements of a person centered system - continued 4. Structures, processes, and policies that work together in supporting the 1st 3 5. A quality management system that measures effectiveness and identifies areas for improvement 6. Leaders that understand all of the above and engage in sustained and consistent actions for their implementation © Support Development Associates14

15. A Version of Our Vision People with Disabilities…  Have positive control over the lives they have chosen for themselves.  Are recognized and valued for their contributions (past, current, and potential) to their communities.  Are supported in a web of relationships, both natural and paid, within their communities. © Support Development Associates15

16. A Mission That Goes With the Vision Our organization provides effective and efficient services that move the people we support toward our vision while making the best use of public and private resources. © Support Development Associates16

17. Values How You Judge Everyday Behavior Everyone can have the life our vision describes. The people who use services and their families are the experts. We continuously seek to have the best outcomes for the people we support using the fewest public resources. We work collaboratively with all stakeholders in a culture of learning and accountability. © Support Development Associates17

18. The Basic Approach: 18 Person Centered Thinking leads to Person Centered Practices which lead to Person Centered Organizations which create Person Centered Systems that support Person Directed Lives © Support Development Associates

19. Important To Important For & The Balance Between Donut Matching 4 + 1 ?s Learning Logs Working Not Working Relationship Map Routines & Rituals Good Day Bad Day 2-Minute Drill Reputation Communication Discovery/ Listening Skills Management Skills Everyday Learning Skills © TLC-PCP 2012 www.learningcommunity.us

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23. TLC-PCP 2012 www.learningcommunity.us 23

24. It requires more than training © Support Development Associates24 Exposure Competence Habit TrainingCoaching

25. Key Roles Trainers – – Do formal teaching – Support coaches – Provide feedback Coaches – – Train by demonstrating – Take the skill from competence to habit Leaders – – listen and act on the learning © Support Development Associates25

26. Helen Sanderson Associates/Support Development Associates

27. SDA October 2010 27 It Goes Beyond Person Centered Planning… © Support Development Associates

28. What changes do we see in each level? 28 © Support Development Associates

29. Shifting to a Person Centered System Moving Away from This….Towards this Underlying Assumption System is the expert; dependent on the system Person is the expert in their life; enhance capacity of natural support Intake and Eligibility List of deficits; complex; no time frame Capabilities and strengths to build on; transparent and timely AssessmentComprehensive list of needs; system fully responsible Customized list, based only on support identified by the person, their family or loved ones PlanningHealth and safety is priority; goals identified by professionals; ameliorate problems Interests, comfort and satisfaction equally important to health and safety; outcome for the person MonitoringVerify; emphasis is compliance; establishes a blame culture Accountability for learning and improvement Financial Structure Slots, vacancies, programs fundedResources allocated to the person – move with them Quality Management Assess what’s wrong; comply with minimum Results oriented; shared learning Copyright SDA LLC29