Transcript Person Centered Planning It’s The Right to Do!

What is Person Centered
Planning
Dohn Hoyle, The Arc Michigan
[email protected]
Elaine Taverna
Community Living Services
[email protected]
734-722-6035
When did this start
 Started in Michigan three decades ago
 Formalized in 1991 through a pilot project by the State Department
of Mental Health
 PCP became part of the ReNEWed 1915(c ) Habilitation and
Supports Waiver in 1995
 PCP was statutorily included as a requirement in the Michigan
Mental Health Code effective 1996.
 Embraced statewide as the method of supporting people who need
long term care
 2004 Governor Granholm created the Medicaid Long Term Care
Task Force
 Task Force issued PCP as the key policy recommendation
 PCP It is now required in the MI Choice Waiver
Current State Policy
Currently PCP is also included in the
Medicaid Providers manual for supports
and services to persons served through
the Michigan public Mental Health System
and for persons in Long Term Care served
through the MI Choice Waiver
Why do I have to do this?
 It is the preferred option
 Honors the constitution and the Bill of Rights
 Honors the American with Disabilities Act
 Supports are designed based on what the
person wants not fitting the person into a
program
 Puts people, their family and friends in charge of
their own lives and planning
 It results in better outcomes for people
How do I get started?
It requires a change in thinking- moving
from medical model thinking to person
centered thinking
Change your language and you change your thoughts.” Karl Albrecht
“Change your thoughts, and you change your world” Norman Vincent
Peale
People First Language
Change your language and you change your thoughts.”
Use
Individual or Person
Person’s home
Daytime Activity
Uses a wheelchair
People with disabilities
Communicates with eyes, devices
Gestures, etc
Bathroom assistance
Person is frustrated, upset
Personal plan
Person has dementia, etc
Assistance with Meals
Friendship Center, etc
Karl Albrecht
Do not Use
Participant, Resident, Client, Consumer
Setting, Residence, Facility
Program, service, center
He/She is wheel chair bound
handicapped, disabled or worse
Non-Verbal
toileting, diapering
Person is behavioral, Behavior patient
Assessment, plan of care, clinical plan
Dementia patient, senile
Nutritional Services, Program
Senior Center ( consider a name that brings
attracts people)
How Michigan’s system of Person Centered
Planning is unique from others
 Michigan’s system assures that the person and
their allies directs the planning, it is not enough
to just have the person present
 Checks and Balances from Pre Planning through
Discharge
 Options must be flexible and meet the needs
and desires of the individual and their allies
 Real Life Outcomes ( a Place of one’s own,
community membership, long term relationships,
financial stability, control of transportation)
Person Centered Supports in Michigan
Person-Directed
Capacity Building
Person Centered
Network Building
Outcome Based
Community Accountability
Allows the person to live the life they
choose
Person Centered Supports in Michigan
“Change your thoughts, and you change your world” Norman Vincent Peale
Person Centered Planning Process for any and all
supports and services
 The individual and those who know them best
controls the planning process
 Focuses on the person’s gifts, abilities and
talents rather then deficits
 Offers flexible options that the person desires
Person Centered Supports
Maximizes independence
Recognizes that each person can
contribute to their community
Supports individuals to meaningfully
participate in their community
Recognizes and supports the importance
of relationships in the person’s life
Recognizes and honors cultural diversity
Person Centered Supports
 Increases the experiences that the individual
desires
 Presumes that the individual or those who know
them best are the experts
 Offers guidance, information and support
 Addresses health and welfare by utilizing
strategies the individual and those who know
them best identify
 Documents supports and services in ways that
are meaningful to the person and their care
givers
The Next Steps
 Look honestly at how you provide supports and services
all aspects from the written to the practices
 Your mission and values
 Requires Leadership buy in and then communicated
expectations for staff, volunteers, business partners and
stakeholders
 Train, Train, Train
 Develop and monitor outcomes for your organization (
how you do what you do and how it has impacted the
people you support)
 Self-advocate input
 Accountability
 Continuous systems improvement
TEAM EXERCISE
Pick one scenario and brain storm report
out to the group
Scenario One:
 Mr. Jones is living in a Nursing Facility. He had a stroke and needs assistance with
all his daily living needs. He is in his bed at breakfast time. You provide direct care
to him and 12 others who live in his wing. You notice his tray has not been touched
when lunch hour is over what do you do?
Scenario Two:
 Mrs. Green is looking for a place to live. She has visited many different assisted
living places and homes that are licensed. Mrs. Green uses a walker and is legally
blind. She has family who will visit her and drive her where she wants to go. She
wants to live somewhere where she can come and go as she pleases, eat what she
wants and when she wants, stay up late and sleep in and have visitors overnight.
Mrs. Green wants to be able to have caregiver staff whom she likes and wants to live
with people she can get along with. How do you help her find a place to live or how
do you offer her a place to live that provides these options?
Scenario Three:
 Mr. Bean lives alone in his own home. Mr. Bean has pets that he adores. You are a
paid caregiver for Mr. Bean, providing community living supports, homemaking and
some personal care. As part of your job duties, he asks you to feed his pets, let them
outside when they need to go to the bathroom and walk them once in a while. What
do you do?