Module 10Implementing

personalised social support

Training Kit : Personalised Social Support 2012

Shirin Kiani and Annie Lafrenière (Technical Resources Division)

Handicap International 2012

Overview

1. Where to start… when developing a social support service:

– Situation and stakeholders analysis– Setting up, informing/accessing the service

2. Focus on PSS outline– the 8 stages of PSS

Developing a social support service….

Where to start ?

• Develop knowledge on :– The target public and stakeholders– The intervention area / territory– All stakeholders present in the region – Social acceptance of PWD in the community

• Ask yourself these questions :– Why is social support needed ?– Who does what, how, with whom and where?– What is our objective ?

• Identify and create partnerships with informal and formal groups, institutions, services (public, associative, private).

• Determine the nature and form of the service:– Form : resource center, Social action bureau,

Community worker network, or other– Nature: listening/guidance/information/support service

Can you explain what your service is?What is its objectives?How it is organised ? Do you know how it was developed ?

• A database and/or directory of stakeholders facilitate PSS and encourage networking efforts, providing knowledge about field actors and the target public.

HOW are people informed (or will be) about your (PSS) service?

How do (or will) they access it ?

Information and access to PSS services

To ensure information and access to PSS services, several possibilities :

– information sessions, leaflets, media (radio, newspaper), etc.

– outreach services annexed to a resource center for example to ensure access for the most vulnerable

– social change events in the center and/or in community, along with the PSS service

– socializing events targeting PwDs, family members and other members of the community

– Etc.

Developing a social support service….

Focus on the PSS OUTLINE

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The PSS outline can take various forms depending on the service and might not cover all the stages

Not everybody will need to go through all the stages

PSS has a beginning and an end

A personalised project is about a social role and daily living activity

The goal of PSS is not to respond to 1 personal specific need (get a wheelchair, etc.), it is to empower a person so they can own their own life.

PSS is about change, and persons can go through different phases and emotions during the process

PSS… key points to remember

1. Initial contact / consideration of the

demand

WHY ?

• make contact• understand the demand of the person and how they

came in contact with you• provide information on the PSS service and/or other

resource in the community• assess if further support needed or not• If outreach : focus on information about the service, and

briefly ask the person if s/he would need support.

HOW?• open discussion• listening and communication

2. Diagnosing the situation

SOCIAL DIAGNOSIS : WHY ?

• Understand the global situation of a person

• Collect and analyse needs, level of satisfaction, hopes/dreams, priorities and personal / environmental factors.

• Observation on person’s empowerment, communication skills and other life skills

• Provide information / guidance

• Assess if further support is needed

SOCIAL DIAGNOSIS : HOW ?

STEP 1 : BRIEF OVERVIEW OF SITUATION

• Get an overall but succinct picture of the person’s situation : – collect information daily living activities / social roles

– information on person’s capacities, environment

• Identify disabling situations

• Determine initial needs and priorities for further analysis (initial demand + needs expressed by the person)

Daily living activities and social roles

• Daily living activities, or life habits, are every day life activities.

• Social roles are the parts that people play as members of a social group.

Can you give examples of daily living activities and social roles ?

Example of daily living activities:

- personal care (bathing, health care, etc.)- interpersonal relationships (sexual, emotional, social

relations)- communication- community life (religious practice, etc.)- education- work

Etc.

Examples of social roles:

- husband / wife- mother / father- brother / sister- daughter / son- citizen- colleague- employee- student- friendEtc.

Needs and priorities… who’s right ?

It is important to be aware of your own judgments, and the judgments of the other person…

What do you think counts more ??

- Your analysis (subjective and objective) of the person’s situation and difficulties, and what needs to be done ?

AND / OR

- The person’s subjective manner of dealing with the situation, no matter level of difficulty is noted?

HOW TO CONDUCT A SOCIAL DIAGNOSIS

STEP 2 : COMPLETE YOUR ANALYSIS FOR PRIORITIES

• Updating and completing data collection, for the needs/priorities identified

• Analyse the data with questions of bridges and person’s capacities also

• Consult other professionals (doctors, physiotherapists, psychologists, etc.)

• Ensure the participation of social environment, other persons, groups, etc.

Environmental factors

Daily living activity / social role

Interaction

Risks

Cause

Personal factors

Social participation Disability

To facilitate the data collecting : DCP model

(review module 1)

© RIPPH/SCCIDIH 1998

Conducting interviewsInterviews consist of 2 aspects :

• Collecting information

• Observing the person and your behavior: focus on attitudes, paraphrasing, adapting to person, …

Importance to have +++ good communication skills; listening and observing

Tips for good communication (review activities of module 4)

• Greet the person in a welcoming manner and show your availability

• Speak about personal, positive issues• Start from shared experiences• Emphasise strengths and positive issues • Pose simple and clear questions, reformulating if

needed• Pay attention to non-verbal communication• Create a good atmosphere• Show determination, commitment, belief and a will

to improve the situation

• Disassociate listening from discussion • Stay attentive to what is observed (seen and heard)

without looking to interpret and understand it• Opt for open questions (why....? how...?)• Re-launch the discussion when necessary • Summarise what is said as the interview

progresses and reformulate what has been said

Tips for good communication (review module 4)

LET’S PRACTICE !!

Think about 2 daily living activities in your life, one where you feel 100% satisfied, while the other feels more difficult.

Practice in pairs, using the DCP model to do an analysis of the other’s situation, with regards to these 2 activities / roles.

3. Defining and negotiating a project

What is a personalised project ?(review module 9)

LIFE PLAN, LIFE PROJECT

PERSONALISED PROJECT PERSONALISED PROJECTPERSONALISED PROJECT

forms part of a person’s life project has goals, objectives has a beginning and an end chosen according to our needs, hopes and priorities needs to be planned may require resources it can be followed-up, readjusted, lead to success or

failure

Defining a project : WHY ?

• For the person to become a player in their personal development or changes in their environment.

• To change the idea of assistance, project oneself in the future and gather resources to bring about change.

Project cycle

• Review person’s social needs and priorities

• Choose 1 project to work on, with 1 or 2 objectives, or goals, that must be:– SPECIFIC– MEASURABLE– REALISTIC AND ACHIEVABLE– TIME LIMITED

Defining a project : HOW ?

Can you give examples of objectives for the following daily living activities ?

→Community life →Work→Education

• Example 1: Someone who has never left the house, never had any friends, never went to school. This person wants to work.

• Example 2: A child who never attended school, never met with other children and who’s parent would like for that child to attend school.

Remember… the power of preparation

4. Defining a plan of action

WHY ?• To plan activities of a personalised project• To understand who does what, when, and the resources needed.

HOW ? Make a list of ACTIONS and ACTIVITIES for 1 (or more)

OBJECTIVE Determine resources needed (human, financial, material)

Name the people concerned and who does what Determine the duration

Objective, actions and activities

Resources (financial, material, human)

Person / stakeholder responsible and involved

Time, schedule, completion date

Activities

5. Contract

WHY ?

• To represent the agreement between the facilitator and the person supported

• To ensure active participation and shared responsibilities

HOW ?• Can be verbal or written• Name the people concerned, what needs to be

reached and when• Specify rights and obligations or each party

6. Project implementation and

monitoring

WHY ?• To support the person in the realisation of their project – build up self-reliance

HOW ?• Providing ideas and support

– Help with necessary readjustments– Encourage, give feedback, explanations

• Holding discussions with partners concerned, keeping the network alive– Collect opinions and reactions– Consult with stakeholders involved– Organise meetings

7. Intermediary results analysis

WHY ?• Measure change : see the distance covered, capacities

improved, skills developed, etc.• To ensure the relevance of the project (see limits)• Assess the relevance of the support provided

HOW ?• One or more interviews (ideally at least once a month)• Readjust action plan if needed• Assess feasibility of the project

Possible tools : ‘’personalised file’’ + ‘’log book’’

8. Finalizing the social support

WHY ?• To show the person’s development in their project• To give a summary of all steps taken• To propose, next steps

HOW ?• Measure objectives set and results achieved• Show successes and difficulties• Evaluate impact on the person and their environment• Negotiate, define next steps

NEXT STEPS…

Finalizing the support… negotiating:– an exit strategy (guidance and follow-up

possible, if necessary)– another personalised project (with or without

support)

LIFE PLAN, LIFE PROJECT

PERSONALISED PROJECT with PSS

PERSONALISED PROJECT with PSS

PERSONALISED PROJECT without PSS

Link to practice

* Give participants 10 minutes to answer this question individually on a piece of paper, and then do a roundtable with each person sharing some of their answers.

Based on what you have learned, what stages of PSS do you (or have you) implement(ed) in your work experience(s) ?

What stage is (or would) for you be more challenging ? Who could support you ?