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Person-Person-Centered Centered
Practices andPractices and
Planning Planning
Presented by Presented by
The Department of Medical The Department of Medical Assistance Services (DMAS)Assistance Services (DMAS)
the Office of Intellectual Disabilitiesthe Office of Intellectual Disabilities
(formerly OMR) and (formerly OMR) and
the Partnership for People with the Partnership for People with DisabilitiesDisabilities
With funding through the Systems Transformation Grant (STG) from the federal Centers for Medicare
and Medicaid Services (CMS)
Today’s AgendaToday’s AgendaA.M.A.M.• An overview of person-centered
principles and a description of person-centered
thinking skills• Break• Virginia’s Individual Support Plan and
Process
P.M.P.M.• Lunch (12:00 – 1:15)• The nuts and bolts of transition
coordination under MFP
Welcome and IntroductionsWelcome and Introductions
Virginia’s Principles of Virginia’s Principles of Person-Centered Person-Centered
PracticesPractices
Virginia Person-Centered Planning Leadership Team
Virginia Systems Transformation Grant Resource Team
We see a Virginia where individuals of all ages and
abilities have the supports we need to enjoy the rights of life,
liberty, and the pursuit of happiness and the opportunity
to have a good life.
Principles of Person-Centered Principles of Person-Centered PracticesPractices
Having a good life means different things to different people. It includes joy and happiness, health
and safety, hopes and dreams, meaningful activities, intimate relationships with family and
friends, having a home, transportation, work, money (bank
accounts), and the ability to contribute to family and community.
Principles of Person-Centered Principles of Person-Centered Practices Practices (continued) (continued)
We believe that a good life is best led by the voice of the
individual and by following these person-centered
principles.
Principles of Person-Centered Principles of Person-Centered Practices Practices (continued)(continued)
“I am listened to.” “I have a voice.” “I listen to others.”
ListeningIndividual choices and descriptions of a
good life are respected and followed.
Principle1
“I have friends and family that I see often.” “I am part of my community.”
“I have found groups, organizations andsocial activities that interest me.”
CommunityRelationships with families, friends, and people in
the community are very important and at the center of planning.
Principle2
“I have choices.” “I am responsible for my choices.”“I am respected.”
Self-directionPersonal choice and control are supported.
Principle3
“I am able to contribute to family and community. “I learn new things.”
“People are nice to me.” “I respect others.” “I am nice to others.”
Talents and GiftsThe experience, talents, and contributions of
individuals, families, and communities arestrengthened and supported.
Principle4
“I am responsible for my choices.” “I receive quality support.”
ResponsibilityThere is shared responsibility for supports and
choices.
Principle5
Systems Transformation:Systems Transformation:looking through a looking through a
different lensdifferent lens
System Centered vs. System Centered vs. Person CenteredPerson Centered
System Centered Person Centered
Focuses on deficits and labels
Focuses on capacities, gifts, strengths, & dreams
Plans usually include ‘placement’ in a program
Plans support a rich and active community life based on the individual’s gifts & interests.
Inflexible, offering a limited number of program options
Flexible, finding new possibilities unique to each person
System Centered vs. System Centered vs. Person CenteredPerson Centered
System Centered Person Centered
Puts the professional in control
Supports individuals in making decisions
Distances people by emphasizing differences
Brings people together by discovering common experience
Budgets are structured to maintain invest-ments in programs, building and property
Budgets structured to provide individualized packages to support people
Person-Centered Person-Centered PracticesPractices
• Description of Person-Centered Thinking Skills
• Seven Questions• A tool for helping people find a new place to live
Important to/ Important to/ Important for Important for
and finding and finding the the balance balance
between between them them
Important toImportant to
What makes a person happy, What makes a person happy,
content, fulfilledcontent, fulfilled• People, pets• daily routines and rituals, • products and things, • Interests and hobbies, • places one likes to go
Important forImportant for
What we need to stay healthy, What we need to stay healthy, safe and wellsafe and well
• health and safety• things that others feel will
contribute to being accepted or valued in the
community
Finding the balance Finding the balance between important to and between important to and
important forimportant for
AND
Asking: What else do we need to know or learn?
Determining Staff Determining Staff ResponsibilitiesResponsibilities
•Core: responsibilities that have to be done in a certain way or there will be grave consequences
•Creativity and judgment: how to help someone satisfy what is important to him or her
•Not our paid responsibility
Matching StaffMatching StaffFor each person, what are the:
Supports wanted & needed
Skills needed
Personality
character-istics
(present/ absent)
Shared interests(nice to have)
Communication ChartCommunication ChartLearning, using, & recording
communication
What is happening
_______ does
We think it means
We should
What’s working/What’s working/What’s not workingWhat’s not working
• Analyzes situations from various perspectives
• The individual, family
member, staff member
4 + 1 Questions4 + 1 Questions
What have we tried?What have we learned?What are we pleased about?What are we concerned about?
And thenAnd thenWhat should we try/do based on what we have learned?
Learning LogLearning Log
• Helpful in situations where people are trying new things
• Looking at working/not working in specific situations
• Provides a way to grow plans and add to a living description
• May replace progress notes
Seven Questions Seven Questions that you should be able to answer for each person you support
• What is important to the person?• What is important for the person?• Is important for being addressed in the context
of what is important to?• Is there a good balance between important to
and important for?• What does the person want to learn; what else do
we need to learn?If the person is to get the balance described
and we are to learn:• What needs to stay the same (be maintained or
enhanced?)• What needs to change?
c The Learning Community for Person Centered Practices
Helping People Find a Helping People Find a New Place to LiveNew Place to Live
Developed by Peter Kinsella and
adapted by Michael Smull and Amanda George
Helping People Find a Helping People Find a New Place to Live New Place to Live cont’dcont’d
• Moving is done in partnership with an individual and his/her family
• It is important to know how, where and with whom a person wants to live
• It is helpful if a living description is already available. This may be in someone’s person centered plan.
Helping People Find a Helping People Find a New Place to Live New Place to Live cont’dcont’d
• Structured brainstorming process• Takes into consideration what’s
important to/important for • Moving should only happen if the
person is moving to somewhere that more closely matches what s/he wants
On the Partnership’s Website http://www.vcu.edu/partnership/c
dservices/whatisp-cp.htm
On the Learning Community Website
http://www.learningcommunity.us
For More InformationFor More Information