1. A Working Alliance: Person-Centred Planning and Employment Brian McClean Brothers Of Charity Roscommon

2. Social Role Valorisation Raise consciousness Challenge perceptions Provide valued social roles Promote social inclusion Wolf Wolfensburger 1934 - 2011

3. From the bedroom door… Mild intellectual disability Autism Schizophrenia Attended specialised treatment service till 18. Home for four years behind the bedroom door Suicidality Assaulted his mother Coercion and physically assaulted 4 month stay in acute psychiatric hospital

4. …To the Factory Floor Rapport Shaping Diary Treatment of intractable medical conditions Mental Health Review Individualised costing Low arousal Residential Job Car Maintenance Class

5. FIVE STEPS IN BEHAVIOUR SUPPORT Low Arousal Rapport Building Predictability Communication Incentives Aidan Brendan Cormac Darragh Number of Incidents ABB+CB+C B+C+D+E B+C+D+E B+C+DB+C+D B+C+D+E+F B+C+D+E+F A = Baseline B = Low Arousal C = Rapport Building D = Visual Sequencing E = Escape Communication Training F = Differential Reinforcement Weeks An Evaluation of an Intervention Sequence Outline in Positive Behaviour Support for People with Autism and Severe Escape-Motivated Challenging Behaviour McClean and Grey, 2012 Journal of Intellectual and Developmental Disabilities

6. Readiness for Work Safety Exchange Heart Purpose Identity Engagement Paradise

7. Vision based planning Every person should have a vision statement of what is Important to him or her… Important for him or her… And a circle of support able to speak from a position of love and concern

8. Paradise Positive Emotion Flow Meaning

9. To be seen and met as a fellow human being with the capacity to discover one’s personal vision is to be encouraged determine for oneself, the things that happen in one’s own life. If, as staff, our actions inspire others to dream more, to learn more, to do more and to become more, we are working as effective skilled helpers.

10. Not All Services Are Effective Mover (N = 20) Mean Non Mover (N = 22) Mean Fdf1df2Sig Adaptive Behaviour Scales – Support Needs 132.594.021.6140.000 Autonomy 9.65.210.5140.002 Mental Health (HONOS) 8.515.510.1140.003 Adaptive Behaviour Scales – Challenging Behaviour 44.638.34.8140.034 Year of Birth 197319701.0140N.S. Acceptability of the Vision Statement 57.753.57.7140.008 Working Alliance Inventory 66.658.526.4140.000 Acceptance of Risk -Taking 15.213.35.5140.024 Additional Cost Of Vision (€56)€10,8133.6140N.S. Empowerment Instrument 95.592.42.8140N.S. Role Clarity 87.185.50.4140N.S. Standards 21.420.22.5140N.S. Structure 31.229.04.9140N.S. Conflict 13.512.72.4140N.S. Responsibility 25.624.90.6140N.S. Warmth 19.418.51.4140N.S. Ability to express 3.84.20.1140N.S.

11. 79% of the variance is explained Variable Entered into the Equation-2 Log likelihood Cox & Snell R 2 Nagelkerke R 2 Adaptive Behaviour Scales – Support Needs39.33.361.48 Working Alliance Inventory20.28.594.79

12. The Working Alliance The extent to which frontline staff and family members –agree about the goals –share a mutual respect and trust –have a common appreciation of the person