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EFSLMP PILOT PROVIDER TRANSFORMATION WEBINAR #4 JULY 13, 2017 1:00P – 2:30P EASTERN Individualized Planning and Services Gail Fanjoy and Dale Verstegen EFSLMP National Subject Matter Experts

Individualized Planning and Services Gail Fanjoy and Dale ......Individualized Planning and Services Gail Fanjoy and Dale Verstegen EFSLMP National Subject Matter Experts. Gail Fanjoy

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Page 1: Individualized Planning and Services Gail Fanjoy and Dale ......Individualized Planning and Services Gail Fanjoy and Dale Verstegen EFSLMP National Subject Matter Experts. Gail Fanjoy

EFSLMPPILOT PROVIDER TRANSFORMATIONWEBINAR #4

JULY 13, 2017 1:00P– 2:30PEASTERN

Individualized Planning and Services

Gail Fanjoy and Dale VerstegenEFSLMP National Subject Matter Experts

Page 2: Individualized Planning and Services Gail Fanjoy and Dale ......Individualized Planning and Services Gail Fanjoy and Dale Verstegen EFSLMP National Subject Matter Experts. Gail Fanjoy

GailFanjoy•41yearsinthefield•CEOofKatahdinFriends,Inc.(KFI)•SubjectMatterExpertwithEFSLMPfor3yearsworkingonprovidertransformation•HelpedtoguideKFI’stransformationbeginningintheearly80’s•FormerPresidentMaineAPSE,2termnationalTASHBoardmember,MaineEmployment1st Coalition•GrandmotherofIsiah!

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Page 3: Individualized Planning and Services Gail Fanjoy and Dale ......Individualized Planning and Services Gail Fanjoy and Dale Verstegen EFSLMP National Subject Matter Experts. Gail Fanjoy

DaleVerstegen•30yearsinthefield•SeniorResearchAssociate,TransCen•SubjectMatterExpertwithEFSLMPfor4yearsworkingonprovidertransformationandcapacitybuilding•Helpedover40organizationswithprovidertransformation•PresidentoftheNationalAssociationofCommunityRehabilitationEducators(ACRE)•GrandfatherofAdelind andAthena!

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Page 4: Individualized Planning and Services Gail Fanjoy and Dale ......Individualized Planning and Services Gail Fanjoy and Dale Verstegen EFSLMP National Subject Matter Experts. Gail Fanjoy

TwoStepsForward,OneStepBack…

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Page 5: Individualized Planning and Services Gail Fanjoy and Dale ......Individualized Planning and Services Gail Fanjoy and Dale Verstegen EFSLMP National Subject Matter Experts. Gail Fanjoy

“Ourworldisdeterminedbythesizeofourworld.It’snotsomuchthe

dimensionsofthatworld,butthemental,emotional,spiritual,andphysical

opportunitiesweareexposedto.”

GlennVanEkeren,Speaker’sSourcebook II,quotedbyLeslieL.Wilson,M.S.inthearticle:WhyAreWeReinstitutionalizingPeopleDuringthe

Day?,TASHNewsletter,Volume23,Issue6/7,June/July1997

Quote

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Page 6: Individualized Planning and Services Gail Fanjoy and Dale ......Individualized Planning and Services Gail Fanjoy and Dale Verstegen EFSLMP National Subject Matter Experts. Gail Fanjoy

PLANNINGSTRATEGIES:DiscoveryandPersonalAssetInventory

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Page 7: Individualized Planning and Services Gail Fanjoy and Dale ......Individualized Planning and Services Gail Fanjoy and Dale Verstegen EFSLMP National Subject Matter Experts. Gail Fanjoy

§Growinginrelationships§Increasingcommunitypresence&participation§Increasingchoice&control§Contributingtocommunitythroughemployment§Developingmorevaluedroles&competencies

PLANNINGSTRATEGIES(2)Person-Centered Planning

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Page 8: Individualized Planning and Services Gail Fanjoy and Dale ......Individualized Planning and Services Gail Fanjoy and Dale Verstegen EFSLMP National Subject Matter Experts. Gail Fanjoy

PollQuestion#1BaseduponyourPerson-CenteredPlanningprocess,howwouldyourateyoureffectivenessonincreasingaperson’schoiceandcontrol?1.Never(theplanningprocessdoesnothingtoincreasepeople’scontrolinanyaspectoftheirlives)

2.Rarely(10%- 25%ofthetimetheplanningprocesswillresultinpeoplehavingincreasedchoiceandcontrolinoneormoreaspectsoftheirlives)

3.Sometimes(30%– 50%ofthetimetheplanningprocesswillresultinpeoplehavingincreasedchoiceandcontrolinoneormoreaspectsoftheirlives)

4.Often(60%- 80%ofthetimetheplanningprocesswillresultinapersonhavingincreasedchoiceandcontrolinoneormoreaspectsoftheirlives)

5.Always(90%- 100%ofthetime,theplanningprocessresultsinpeoplehavingincreasedchoiceandcontrolinoneormoreaspectsoftheirlives)

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Page 9: Individualized Planning and Services Gail Fanjoy and Dale ......Individualized Planning and Services Gail Fanjoy and Dale Verstegen EFSLMP National Subject Matter Experts. Gail Fanjoy

Thisisn’tjustabout“WHERE”,butmoreimportantly, “WHOWILLYOUMEETTHERE?”

PLANNINGSTRATEGIES (3)CommunityAssetInventory

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Page 10: Individualized Planning and Services Gail Fanjoy and Dale ......Individualized Planning and Services Gail Fanjoy and Dale Verstegen EFSLMP National Subject Matter Experts. Gail Fanjoy

DiscussionQuestions:Whatstrategiesareyouusingtolearnaboutaperson’sinterests,preferences,andskills?

Howareyouassistingpeopleto“expandtheirworld”byexposingthemto“mental,emotional,spiritual,andphysicalopportunities”?

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Page 11: Individualized Planning and Services Gail Fanjoy and Dale ......Individualized Planning and Services Gail Fanjoy and Dale Verstegen EFSLMP National Subject Matter Experts. Gail Fanjoy

§UsingDiscoveryinplaceoftraditionalassessments.§Miningforskillsandinterestsbasedonpeople’sgiftsandcapacities,notdeficits.§Sharingordinaryspacesinrelationshipwithothers(notfieldtrips,outings)§Determiningwhatworksandwhatdoesn’tworkintermsofenvironment,learningstyle,stamina,etc.§Developingactivitiesthat“testyourtheories”forskillsandinterests.(Jeannette)

SETTINGTHESTAGEFOREMPLOYMENT

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Page 12: Individualized Planning and Services Gail Fanjoy and Dale ......Individualized Planning and Services Gail Fanjoy and Dale Verstegen EFSLMP National Subject Matter Experts. Gail Fanjoy

§Aunitofserviceisanhournotaday.§Schedulesofsupportdesignedaroundreallifeneedsanddesires,notartificialtimesofday.Flexiblesupportsthatcanwraparoundajob.§Serviceprovidedbasedonpeople’sgifts,interests,andcapacities,notdeficits.§Sharedsupportsbasedoninterestsandpreferences,personalities,geography,andsupportneeds.§Staffschedulesanddutiesaroundtheirpreferences,skills,andinterests(CreativeScheduling).§EmphasisonEmploymentFirst!

SETTINGTHESTAGEFORINCLUSIVECOMMUNITYSUPPORTS

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Page 13: Individualized Planning and Services Gail Fanjoy and Dale ......Individualized Planning and Services Gail Fanjoy and Dale Verstegen EFSLMP National Subject Matter Experts. Gail Fanjoy

People’sHOMESnotagencyfacilities

BASEOFOPERATIONS…

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Page 14: Individualized Planning and Services Gail Fanjoy and Dale ......Individualized Planning and Services Gail Fanjoy and Dale Verstegen EFSLMP National Subject Matter Experts. Gail Fanjoy

BASICPREMISEOFSOCIALROLEVALORIZATION

Peoplearemuchmorelikelytoexperience“thegoodlife”iftheyholdsociallyvaluedroles.It’snotjustaboutwherepeoplegoandwhattheydo,it’shelpingthemtodevelopvaluedroles.

Page 15: Individualized Planning and Services Gail Fanjoy and Dale ......Individualized Planning and Services Gail Fanjoy and Dale Verstegen EFSLMP National Subject Matter Experts. Gail Fanjoy

Howcanweturnaninterestoraskillintoasociallyvaluedroleinadditiontopaidemployment?§Jennyisagardener

§Melissaisabaker

§Lennyisapublicspeaker/trainer

§RobertisamemberoftheKnightofColumbus

ExperiencingRespectbyHavingValuedRoles

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Page 16: Individualized Planning and Services Gail Fanjoy and Dale ......Individualized Planning and Services Gail Fanjoy and Dale Verstegen EFSLMP National Subject Matter Experts. Gail Fanjoy

OperationalizingEmploymentSupports

§Individualized,competitiveintegratedemployment§CustomizedthroughDiscovery§Entrepreneurial(Self-employment)§Jobcoachingandlongtermsupportsifnecessary(SupportedEmployment)§Nurturenaturalsupports

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Page 17: Individualized Planning and Services Gail Fanjoy and Dale ......Individualized Planning and Services Gail Fanjoy and Dale Verstegen EFSLMP National Subject Matter Experts. Gail Fanjoy

CoreyOwnsarecyclingbusiness;VRpaidforsuppliesatstart-up;Waiverpaysforjobcoaching

Receives24/7homesupportswitharoommate

Volunteersatafoodbank

Memberofthelocalsnowmobileclub

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Page 18: Individualized Planning and Services Gail Fanjoy and Dale ......Individualized Planning and Services Gail Fanjoy and Dale Verstegen EFSLMP National Subject Matter Experts. Gail Fanjoy

Courtney§HighSchoolgraduate§Homeowner§Friend§Volunteer§Churchmember§Kayaker§Creditbuilder§Business owner

SeeingthePersonasTheirInterestsandGifts…

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Page 19: Individualized Planning and Services Gail Fanjoy and Dale ......Individualized Planning and Services Gail Fanjoy and Dale Verstegen EFSLMP National Subject Matter Experts. Gail Fanjoy

§Profoundcognitiveimpairment§Autisticdisorder§Cerebralpalsy§Seizuredisorder§Staticencephalopathy§Ataxiawithlowtone§Nonverbal§Doesnothaveself-protectivereflexes§Noreliablecommunicationsystem

NotTheirLabels

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Page 20: Individualized Planning and Services Gail Fanjoy and Dale ......Individualized Planning and Services Gail Fanjoy and Dale Verstegen EFSLMP National Subject Matter Experts. Gail Fanjoy

Wage employment 15 hrs/wkSelf-employment 6 hrs/wkVolunteers 15 + hrs/wk;

Home and community paid supports 25 hrs/wkVolunteer

Employee

Home Owner

MeetRobert

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Page 21: Individualized Planning and Services Gail Fanjoy and Dale ......Individualized Planning and Services Gail Fanjoy and Dale Verstegen EFSLMP National Subject Matter Experts. Gail Fanjoy

Good Neighbor

Member of Lifestyle Fitness Center

Devout Catholic

Member Knightsof Columbus

OtherValuedRoles…

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Page 22: Individualized Planning and Services Gail Fanjoy and Dale ......Individualized Planning and Services Gail Fanjoy and Dale Verstegen EFSLMP National Subject Matter Experts. Gail Fanjoy

Wednesday:◦ 7:00– 8:30FitnessCenter◦ 9:00– 1:00Volunteersatseniormealprogram

◦ 1:00– 3:00Self-employment◦ Restoftheday– Connectswithfriendsorvolunteers

Thursday:◦ 7:30– 8:30FitnessCenter◦ 9:00– 11:00Self-employment◦ 1:00– 3:00Homesupports◦ 3:00– 8:00Wageemployment

Monday:◦ 7:00– 8:30FitnessCenter◦ 9:00- 12:30Volunteersatseniormealprogram

◦ 1:00- 3:00Self-employment◦ 3:00– 5:00Volunteersatachurch

Tuesday:◦ 7:00– 8:00FitnessCenter◦ 8:30– 10:30Homesupports (mealplanning,shopping,payingbills,etc.)

◦ 11:00– 1:00Volunteersatachurchthriftstore(pairedwithanotherpersonsupported)

◦ 1:00– 2:30Volunteersatadifferentchurchfoodpantry

◦ 3:00– 8:00Wageemployment

Robert’sScheduleofSupports

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Page 23: Individualized Planning and Services Gail Fanjoy and Dale ......Individualized Planning and Services Gail Fanjoy and Dale Verstegen EFSLMP National Subject Matter Experts. Gail Fanjoy

Saturday:◦ Morning– Doeshouseholdtasksbyhimself

◦ Earlyafternoon–Goestoarestaurantforcoffee

◦ 4:00– 5:30Attendschurch

Sunday:◦ 8:30– 1:30Wageemployment

Healsoattendscommunitysuppers,goestoKnightsofColumbusevents,spendstimewithfriends.

Friday:◦ 7:00– 8:30FitnessCenter◦ 8:30- 10:00Mealprepwithanotherpersonsupported

◦ 10:00- 12:00Employmentsupportgroupwith2otherssupported

◦ 12:00– 2:30Homeandcommunitysupports(runerrands,supportwithlaundryandotherhouseholdtasks,etc.)

◦ Restoftheday– Connectswithfriendsorvolunteers

Robert’sScheduleofSupports(2)

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Page 24: Individualized Planning and Services Gail Fanjoy and Dale ......Individualized Planning and Services Gail Fanjoy and Dale Verstegen EFSLMP National Subject Matter Experts. Gail Fanjoy

Slide 24

PhasesofDiscoveryandAssessment

Source: Assess for Success, 2007

Awareness of Self

Awareness of the World

Exploration

Preparation

Employment

Page 25: Individualized Planning and Services Gail Fanjoy and Dale ......Individualized Planning and Services Gail Fanjoy and Dale Verstegen EFSLMP National Subject Matter Experts. Gail Fanjoy

Slide 25

Exposure

Interest

Motivation

Page 26: Individualized Planning and Services Gail Fanjoy and Dale ......Individualized Planning and Services Gail Fanjoy and Dale Verstegen EFSLMP National Subject Matter Experts. Gail Fanjoy

Whatshouldworkexperiencesinclude?

Discovery:talents,likes,dislikes,skills,supportneeds,whereIfitin,interests(PositivePersonalProfile)

Exploration:wherecanIdothethingsIlikeandamgoodat?

Trialanderror:theabilitytolearnbydoing

Therealworld:learnitwhereyoudoit…nosimulationsinfakeenvironments

Meaningfulexperiences:relatedtodiscovery,realisticexpectations,personaldevelopment

Businesspartnerships:whorecognizesandneedsthestudents’talentstoimprovetheirbusiness?

Page 27: Individualized Planning and Services Gail Fanjoy and Dale ......Individualized Planning and Services Gail Fanjoy and Dale Verstegen EFSLMP National Subject Matter Experts. Gail Fanjoy

TypesofWorkExperiencesLessIntensiveCareerExploration/WorkSiteToursJobShadowingInformationalInterviewsWorkSamplingMentoring

Page 28: Individualized Planning and Services Gail Fanjoy and Dale ......Individualized Planning and Services Gail Fanjoy and Dale Verstegen EFSLMP National Subject Matter Experts. Gail Fanjoy

TypesofWorkExperiencesMoreIntensiveServiceLearningVolunteeringOn-the-JobTrainingInternships– PaidandUnpaidApprenticeshipsCompetitive,PaidEmployment

Page 29: Individualized Planning and Services Gail Fanjoy and Dale ......Individualized Planning and Services Gail Fanjoy and Dale Verstegen EFSLMP National Subject Matter Experts. Gail Fanjoy

CareerExplorationExamplesWorkSiteToursTalkswithEmployersFieldTripsWhentoConsiderAsyouthbeginawarenessofadultoccupationalopportunitiesFunctionInitialExposuretojobsandcareers

Page 30: Individualized Planning and Services Gail Fanjoy and Dale ......Individualized Planning and Services Gail Fanjoy and Dale Verstegen EFSLMP National Subject Matter Experts. Gail Fanjoy

Volunteering/ServiceLearningExamplesVolunteerforcommunityandsocialprogramsFormalvolunteerserviceinastructuredcommunityserviceprogramWhentoConsiderAsadjunctsoralternativestootherworkexperiencesFunctionLearningtheresponsibilityoffollowingthroughTakingdirectionsCommunityinvolvement

Page 31: Individualized Planning and Services Gail Fanjoy and Dale ......Individualized Planning and Services Gail Fanjoy and Dale Verstegen EFSLMP National Subject Matter Experts. Gail Fanjoy

InternshipsExamplesFormalarrangementwithanemployertolearnidentifiedworkskillsFormaltimelimitedworkexperiencepairedwithcourseinstructionPaidorunpaidstudentco-opWhentoConsiderAsadjunctstoaspecificcourseofstudy,mostcommonlyduringlatehighschoolorinpostsecondaryeducationortraining

Page 32: Individualized Planning and Services Gail Fanjoy and Dale ......Individualized Planning and Services Gail Fanjoy and Dale Verstegen EFSLMP National Subject Matter Experts. Gail Fanjoy

Marketing“Preparation”ortheWorkExperience

• OFFERSLOWRISKTO EMPLOYERSWHOCANPREVIEWYOUTHWORKERS

• OFFERSYOUTHLOWRISKOPPORTUNITYTO EXPLORECAREERS

• FEARS,CONCERNS,ACCOMMODATIONS, ISSUESCANBEWORKEDTHROUGHDURINGTHELOW-RISKPERIOD

• MEETSTHENEEDSOFBOTHYOUTHAND EMPLOYER

Page 33: Individualized Planning and Services Gail Fanjoy and Dale ......Individualized Planning and Services Gail Fanjoy and Dale Verstegen EFSLMP National Subject Matter Experts. Gail Fanjoy

PollQuestion#2Howoftenareyourecommendingastrategyorservicewithemployersinadvanceofjobplacement?qNeverqVerylittleqSometimesqMostofthetimeqAlways

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Page 34: Individualized Planning and Services Gail Fanjoy and Dale ......Individualized Planning and Services Gail Fanjoy and Dale Verstegen EFSLMP National Subject Matter Experts. Gail Fanjoy

Benefits toEmployers fortakingonajobseekerforaworkexperience

TheycangetanearlyviewoftheupcomingworkforceTheycantryoutajobseekerinatime-limitedtrialWhenajobseekerworksout,theycannowhireanewemployeethatisfullytrained,eliminatingthetrainingcostsTheyarecollaboratingwiththeircommunityinaverypublicway– whichwillberecognizedbycustomersTheyreceivevalue-addedsupportthroughtheemploymentservicesprovider

Slide 34

Page 35: Individualized Planning and Services Gail Fanjoy and Dale ......Individualized Planning and Services Gail Fanjoy and Dale Verstegen EFSLMP National Subject Matter Experts. Gail Fanjoy

Slide 35

BestPractices inCommunityEmploymentServices

SupportedEmploymentCustomizedEmploymentEvidence-basedPracticesTransitionandSchool-to-WorkPracticesMotivationalInterviewingUseofNaturalSupports

Page 36: Individualized Planning and Services Gail Fanjoy and Dale ......Individualized Planning and Services Gail Fanjoy and Dale Verstegen EFSLMP National Subject Matter Experts. Gail Fanjoy

Slide 36

SupportedEmployment

Meettheneedsofindividualswithseveredisabilities

Alternativetotraditionalshelteredandcompetitiveemploymentmodels

Assumesthatallindividuals,regardlessofthenatureorextentoftheirdisabilities,shouldhavetheopportunityandsupporttoworkinthecommunity

Identifyand/ormodifymeaningfuljobsinthecommunity,providetrainingandsupportonthejob

Page 37: Individualized Planning and Services Gail Fanjoy and Dale ......Individualized Planning and Services Gail Fanjoy and Dale Verstegen EFSLMP National Subject Matter Experts. Gail Fanjoy

Slide 37

CustomizedEmployment

Individualizingtheemploymentrelationshiptomeetthespecificneedsofboth:• Employers• Employees

Employmentdevelopmentmayincludedifferenttypesofworkplaceflexibility:• FlexingJobTasks• Flexinghoursandstaffing• Jobrestructuring• Reasonableaccommodations

Page 38: Individualized Planning and Services Gail Fanjoy and Dale ......Individualized Planning and Services Gail Fanjoy and Dale Verstegen EFSLMP National Subject Matter Experts. Gail Fanjoy

Slide 38

UseofNaturalSupports

KeyFactors:

SupportstypicallyavailableintheworkplaceandnotprovidedbutfacilitatedbyaJobCoach

Mayincludearidetowork,awordofpraise,aqualitycontrolcheckoraremindertogotolunchbyaco-worker

Advantages:

MinimizestheneedfordirectJobCoachintervention

Greateropportunitiesforassistance

Enhancedintegration

Increasedsocialization

Moreresourcestochoosefrom(co-workerortechnology)

Page 39: Individualized Planning and Services Gail Fanjoy and Dale ......Individualized Planning and Services Gail Fanjoy and Dale Verstegen EFSLMP National Subject Matter Experts. Gail Fanjoy

ANDREW’s file said…Autism & significant verbal processing delay22 – just completed h.s.Work experiences: stocking and cleaning 6th gr. reading & 8th grade math skillsImpulsive & inflexibleInappropriate behaviors (aggressive)

CUSTOMIZEDEMPLOYMENT: ITWORKS!

Page 40: Individualized Planning and Services Gail Fanjoy and Dale ......Individualized Planning and Services Gail Fanjoy and Dale Verstegen EFSLMP National Subject Matter Experts. Gail Fanjoy

Whatwesaid:What we said…Passion is Music Plays the piano and saxophoneGood clerical and computer skills— fast typistLoves gardening and lifting weightsNeeds verbal information presented slowly Likes clean, organized environments –hates noisy, chaotic placesLikes structured, consistent tasksHates to be interrupted

CUSTOMIZEDEMPLOYMENT: ITWORKS! 40

Page 41: Individualized Planning and Services Gail Fanjoy and Dale ......Individualized Planning and Services Gail Fanjoy and Dale Verstegen EFSLMP National Subject Matter Experts. Gail Fanjoy

Andrew is employed at Rock River

Registers CD’s by genre and recording labelShelves CD’s, maintains libraryDownloads songs into databaseFiles prospecting letters and collates mailings for Business Development

41CustomizedEmployment:ItWorks!

Page 42: Individualized Planning and Services Gail Fanjoy and Dale ......Individualized Planning and Services Gail Fanjoy and Dale Verstegen EFSLMP National Subject Matter Experts. Gail Fanjoy

DiscussionQuestion:Whatstrategiesareyouusingtoengagejobseekersindiscoveryandassessmentoutinthecommunity?

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Page 43: Individualized Planning and Services Gail Fanjoy and Dale ......Individualized Planning and Services Gail Fanjoy and Dale Verstegen EFSLMP National Subject Matter Experts. Gail Fanjoy

SurveyRemindersCompletePre/PostSurveysforWebinar#4:§Pre:https://www.surveymonkey.com/r/ZNYTFCM

§Post:https://www.surveymonkey.com/r/ZNGG3NT

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Page 44: Individualized Planning and Services Gail Fanjoy and Dale ......Individualized Planning and Services Gail Fanjoy and Dale Verstegen EFSLMP National Subject Matter Experts. Gail Fanjoy

Webinar#5:Reorganizing StaffforTransformative Change (WorkforceFocus)§ August2,2017,1:00– 2:30pmET

§ Facilitators:DaleVerstegen;RickMcAllister

§ ReadingAssignment:“Module6:ReorganizingStaffforTransformativeChange”

§ Topics:DeterminingStaffingNeeds;DispersedClusterApproach;RevisitingJobDescriptions;FillingStaffPositions:Recruiting,Interviewing,Orienting,Training,Evaluating,Supporting,EmpoweringandRetainingStaff;TeamBuildingandSelf-DirectedTeams

Surveys

§ Pre:https://www.surveymonkey.com/r/ZFWZW8F

§ Post:https://www.surveymonkey.com/r/ZFG3QX2

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