Transcript Outcomes - Learning Community

Person Centered Thinking
Day 2
Presented By:
TLC-PCP 2012 www.learningcommunity.us
Purpose of the day
Learn how to
1. gather information that leads to a deeper
understanding of the people we support
2. organize and use that information to help
people get the lives they value
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How Today Works
• You will be asked to use discovery tools and share what you
have written with a learning partner
Don’t use these methods till you’ve tried them on yourself.
• Learn how to gather information using:
Relationship Map
2-Minute Drill
Routines and Rituals Communication Chart
Good Day /Bad Day Reputation Exercise
And organize that information to keep the person at the
center of everyday support and planning .
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Working Agreements For the Day





Cell phones on vibrate
Misery is optional
Respectful listening
All questions are valid
Only share what you are comfortable
sharing
Today you will not be asked to explore “ important for” . To
ensure you are comfortable learning and have positive control;
we will not ask you to share your own issues of health and
safety.
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Learning about Support
Power Over
Power With
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Questions That Help You Get to Support
Rather Than Fixing
• What can other people do to help you be successful with
what is important to or important for you?
• When things were not working for you, did anyone ever do
something that helped you to cope?
• What did they say or do?
• When you were having a bad day did anyone do something
that made the day a bit better?
• When you were having a good day did anyone do something
that made the good day even better?
• What support would you like?
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7 Questions you should be able to
Answer for each Person you Support
1. What is important to the person?
2. What is important for the person?
3. Is the connection between important to and for addressed?
4. Is there a “good” balance between important to and important for?
5. What does the person want to learn, what do we need to learn?
If the person is to get the balance described and we are to learn:
6. What needs to stay the same (be maintained or enhanced)?
7. What needs to change?
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Developing a
PERSON CENTERED DESCRIPTION
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We Use a Personal Description…
• To create a positive picture of who the
person is and how to best support
(including any challenges).
• To create a shared understanding of good
support between person, family and
providers.
• To inform action planning
• To recruit and select providers/staff who
are well matched
• And….
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A Description Requires Experts
• The person who knows how to develop a
description is a Process Expert
• The person(s) with the information that goes
into the description are Content Experts
For Today’s Training:
The trainer is the Process Expert
You are the Content Experts
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First Think
PURPOSE
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Answer these questions first
• What is the purpose?
• How will it be used?
A great description that is not used
is worse
than a mediocre one that is
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Management
Tools
Important To
Important For
& The Balance
Between
Everyday
Learning Tools
Discovery/
Listening
Tools
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Help people get better lives
Not just better paper…
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Developing your own person centered description
__________’s Person Centered Description
Date of the 1st plan
________________________________________________
Dates description changed
__________________________________________
Purpose of the description
To learn how a variety of structured conversations can be used to
develop a person centered description that can be used to drive
action.
TLC-PCP 2012 www.learningcommunity.us
Discovery Tools
6 methods for collecting information
Relationship Map
• Rituals and Routines
• Good Day/Bad Day
• Two Minute Drill
• Communication Chart
• Reputations
TLC-PCP 2012 www.learningcommunity.us
The “Relationship Map”
1st Discovery Tool
Family
People Map
for:
People
whose job is
to support
me at home
and other
places
People who
support me
at work or
school
Friends
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Reflect
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DISCOVERY
Gathering Discovery Information
Before we try this with each
other…
Facilitation Skills
are necessary
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Facilitation Skills
Used By Process Experts To:
Have meaningful conversations
Ensure that the person we plan
with remains in charge as we learn
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Having a conversation
Not an interview (or an
interrogation)
Linear:
Branching:
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Questions that help us learn more
of what we need to know
•
•
•
•
•
So tell me more about that…
What do you like about…
What is it about this…
What is happing for you then?
Are some mornings better than
others…
• What do you take in your coffee…
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Our Mantra for the Exercises
Guess:
look at what is written
and guess in your head
Ask:
ask your partner if your
guess is correct, have a
conversation
Write:
write down what you
learn
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Discovery Tools
6 methods for collecting information
• Relationship Map
Rituals and Routines
• Good Day/Bad Day
• Two Minute Drill
• Communication Chart
• Reputations
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Morning Ritual
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__________ ‘S MORNING RITUAL
Look at the example Morning Ritual in your workbook.
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Develop Your Own Morning Ritual
• Write down your morning ritual
• Start with how you wake up and end with leaving or when you feel
your morning routine is completed.
• Include favorite products you use. For example: shaving cream?
Soap? Hair products? Tea? Coffee black? Soda? Quiet time?
• Include as much detail as you are comfortable with-do ensure you
include enough details so that you can learn how to collect
sufficient information
• Tell us how long it takes – indicate what time it starts and what time
it ends.
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Rituals and Routines
Rituals guide us through our days and
bring consistency, comfort and control
•
•
•
•
•
•
Morning
Going to bed
Mealtimes
Transition
Birthday
Cultural/Holiday
•Not
Feeling Well
• Spiritual
• Vacation
• Comfort
• Celebration
• Grief/Loss
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Reflect
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Discovery Tools
The Tools Work Together
• Relationship Map
Rituals and Routines
Good Day/Bad Day
• Two Minute Drill
• Communication Chart
• Reputations
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Good Day
Bad Day
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Write Your Name
__________________________
Bad Day
Good Day
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Good Day/Bad Day
A really good day / A day that is too challenging
Good Day at Work
•What happened that contributed to
your good day?
•What do you look forward to doing?
•Who do you look forward to seeing?
• What happens that gives you
energy to deal with difficult
situations?
•What motivates and interests you
at work.
Bad Day at Work
•What threw your day off?
•Made the day bad for you?
•Made you frustrated? Bored?
•Took the fun out of it?
•Be sure to include those daily
frustrations
It is a work day. Write down a composite of the good moments your partner has had on a
work day and bad moments.
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Organizing Discovering Information
Into the Person Centered Description
1st Learn what is Important TO your partner
from their Morning Ritual and Good Day Bad
Day.
Then practice pulling Best Support from
discovery information in consultation with
your partner.
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For Example - Organizing Discovery Information
Into Important TO
Morning Ritual
___Important To__
Get up two hours before
leaving
Morning coffee alone
Talk with kids over breakfast
Good Day
15 minutes
alone before
first meeting
Not being rushed.
Having time to focus on myself and
my family before I start work
Bad Day___
Demands for
consultation
NOW.
To organize my work before
starting my work
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Learning about SUPPORT from
Important TO
What other people
need to know or do
Important To
Example
Example
Not being rushed -Having
time to focus upon myself and
my family before work
Time to organize my
work before beginning
my work
Don’t rush me, don’t ask me
to move faster.
Give me time to myself when I’m
organizing my work
Have a conversation and using the “guess, ask, write” process, add to the support list. As
you add each item, ask “Is there something that other people need to know or do to support
you with that?
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Add to your person centered description
Important TO me
I
What others need to know and do to best support me
h
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Reflect
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Discovery/Listening Tools
6 methods for collecting information
• Relationship Map
• Rituals and Routines
• Good Day/Bad Day
Two Minute Drill
• Communication Chart
• Reputations
TLC-PCP 2012 www.learningcommunity.us
2 Minute DrillImagine that…
• You know the person best and you have a 24
hour flu. You have to have someone else
provide support for 1 day.
• It is someone you trust but who doesn’t
know the person.
• You want to give them an overview, a
summary in 2 minutes of what they need to
know to support the person successfully.
• What would you say?
TLC-PCP 2012 www.learningcommunity.us
Discovery/Listening Tools
6 methods for collecting information
• Relationship Map
• Rituals and Routines
• Good Day/Bad Day
• Two Minute Drill
Communication Chart
• Reputations
TLC-PCP 2012 www.learningcommunity.us
Communication Chart
•Listening to Behavior
•Recording Communication
The Communication Chart supports
discovery and informs action.
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When we listen …
• Communication becomes more
complex
• People become more interested in
other ways of communicating
• A few people who didn’t use
words begin to do so
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Communication Chart
What is happening
I Do
It Means
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You Should
Communication Chart
When this is happens
#3
 In the
environment
I do this
#1
 The action
 What others
 What’s just gone
notice
on
 The “trigger”
 Can be seen,
heard, and felt
by others
It usually means
#2
 Meaning of the
the action
 What the
emotions and
feelings are
 What’s going on
inside
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And I want you to
#4
 What other
people should
do or say in
response
 Or not do or
say…..
Communication Chart For Carl
What Is
Happening
What The Person
Does
What It May
Mean
What We Should
Do
Carl has friends staying at
his apartment
Quit bathing, shaving,
brushing teeth, wearing
clean clothing, missing
work, missing
appointments with
support staff, missing
medications
Carl is being distracted –
usually by friends who try
to tell him how his life
“should” be like: you don’t
need meds, you can get a
better job
start reminding him about
why he wants to take his
medicine (can be1:1, small
group, or big meeting);
ask if he needs help with
his friends
Carl is living his life
call/page people says
More than likely he had a
“everything is going
fight or has a problem
wrong” and “wants to talk
to ya”
Ask questions to find out
what “everything” really
means and offer advice
When he wakes up
He’s grouchy (snap at you
or tell you to “lay off” or
won’t talk)
He’s really tired or hasn’t
taken his meds
Let him be or if he needs
to talk just talk to him,
check to see if he has
taken his medication and
remind him if he hasn’t
In conversation discussing
something about his life
He says “True”
He agrees with you and
will work on the issue
Have him confirm what he
is going to do and then
follow up to see if he did
what he said he would.
Tell him you’re proud of
him
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Communication Chart For Chuck
What Is
Happening
What The
Person Does
What It May
Mean
What We Should Do
It is Sunday
Calls afterhours and
leaves you a voice
mail that includes
scripture or singing of
a gospel song
Chuck had a great day at
church!
Do nothing.
Anytime
other than
Sunday.
Calls and leaves you a
lengthy voice mail that
sounds like a sermon.
Chuck might be having
some mental health
issues.
He may have forgotten to
take a dose of
medication.
Call Chuck and ask if he remembered to
take his medication, he will likely check
and then tell you yes, he forgot.
For the next few days, call Chuck in the
morning and offer supportive reminders
to take his meds.
Anytime
Makes any mention of
“Ruby Red Lights”, even
just a passing reference.
Anytime
Stops eating and tells you
that his food has been
poisoned or that there is
blood in his food.
Chuck is experiencing
Drop by and see Chuck. Check his med box.
auditory hallucinations.
Stick around and chat for awhile (be on the
(Ruby is deceased and by
look-out for any signs that he may be
history is one of the “voices”
experiencing hallucinations or delusions.
Chuck hears when he is
Contact his Psychiatrist and take recommended
hallucinating)
next steps. (Schedule an appointment, increase
visits to daily, etc.)
Chuck is experiencing
delusions and auditory
hallucinations.
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www.learningcommunity.us
This is an EMERGENCY! Call the Mobile Crisis Unit and
support Chuck in being assessed for possible admission.
Stay with Chuck until they arrive. Offer reassurances
that you are there to help keep him safe. Do NOT try
and convince him that his food is not poisoned.
Like & Admire
Great Things About Rhonda
•Loving
•Adaptable
•A good trainer
•Patient and tolerant
•A good listener
•Knows what she wants
•Outspoken
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What is Happening
Rhonda does
We Think It Means
And We Should
You are pushing
Rhonda
Locks her chair
I don’t want to go
there
Figure out with
Rhonda where she
wants to go
Rhonda is at the
front door
Kicks the door
I want to go out
Help her outside
(unless there is too
much pollen, about
to rain, etc.)
Rhonda has stopped Catches your eye,
eating
pulls down napkin
I’m done eating
Take leftovers away
now
You didn’t remove
her food
I told you I was
finished and you
didn’t listen
Clean up and do
better next time
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Rhonda sweeps the
food off her tray
Reflect
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Discovery/Listening Tools
6 methods for collecting information
• Relationship Map
• Rituals and Routines
• Good Day/Bad Day
• Two Minute Drill
• Communication Chart
 Reputations
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Reputation
Exercise
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Name: ___________________________________
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Write your name here
Positive Reputation
To begin with don’t write
In this section on your own
worksheet.
First others will write on this
section for you.
3 Mild Negatives
Once you have your worksheet
back, write down your own 3
MILD negatives.
Note: you will share this with a
partner
Now is there something that
others don’t know that you
would add? Do so.
Cross out what doesn’t ring
true for you.
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Example:
Workaholic
Stubborn
Loses Things
Le
Learning From and Addressing Negatives
Positive Reputation
3 Mild Negatives
Important to
2nd Step
.
1st Step
For each negative ask,
“Is there something
about this negative that is
actually positive?”
Put that positive here.
Thinking with your
partners about the
negatives they shared.
Address each negative
one at a time.
Is there something about the
negative that tells us something
about what is important to your
partner?
Write that in your description pg
How to best support
There are 3 steps to
addressing each negative.
3rd Step
If a negative is actually a
negative at times; ask what do
others need to know or do to
support your partner at this
time?
Write desired supports in your
description pg.
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Learning From and Addressing Negatives
An Example
Positive Reputation
3 Mild Negatives
Important to me
2ndStep
1st Step
3 steps to address each
negative
Example
Strong Commitment
to Work
Workaholic
To both work and learn with
like minded people from
other states and countries
even if it takes more time to
do so
How to best support me
3rd Step
Tell me to balance my
attention to work by
scheduling regular time off
for me and family.
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Reflect
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Discovery/Listening Tools
6 methods for collecting information
Relationship Map
Rituals and Routines
Good Day/Bad Day
Two Minute Drill
Communication Chart
 Reputations
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Management Tools
• Donut
Matching
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2nd Management tool
Matching
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Characteristics of people
I like to work with
Characteristics of people
I like to hang out with
Characteristics of people
I don’t like to work with
Characteristics of people
I don’t like to hang out with
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Friends and Family Picnic
Imagine you have contracted a new disease from a mosquito bite.
• The bite causes a rash and then 2 weeks of paralysis.
• During the paralysis you will need personal care for everything.
You have contacted my organization to provide your care, we are on
the phone reviewing what is important for you…
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Matching
Supports wanted/ needed
List here:
* What supports do you need?
* What do you need others to do for
you while you are recovering?
Personality characteristics
needed (and to avoid)
List here:
* What are the characteristics of the people in
the your life who currently have the best
relationship with you?
* What characteristics do you think will best
match you and the purpose this person will
serve in your recover?
“Patience is a personality characteristic”
Skills required
List here:
* What skills must the person we recruit have?
* Include those skills that must be taught and
the recruit/s must agree to learn.
Shared common interests
(* indicates important shared
interests)
List here:
•What interests do you want the person we recruit
to share (have in common with you)?
* Think about things you enjoy that if better
supported could help you have a better life or make
your recovery easier to bear.
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Learning Personality ‘Characteristics’ that need to be
Present or Absent in Supports
To learn the characteristics
that need to be present,
ask:
To learn the characteristics
that need to be absent, ask:
• Who is closest to the person? • Who does the person avoid?
• Who enjoys spending time with • Who dislikes spending time with
the person?
the person?
• Who helps make good days
happen for the person?
• Who helps the person have bad
days?
• What characteristics do these • What characteristics to these
people have in common?
people have in common?
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Matching Staff to Support Kerri
Supports wanted and
needed
Skills Needed
Personality Characteristics
Needed
Diabetes
Management
•Use agreed upon
guidelines to help
Kerri manage her
diabetes
• Recognize and
respond to
symptoms indicating
low blood glucose
levels
Looking good
everyday
Able to help Kerri
with her personal
cares .
A good sense of style
to share with her.
Help Kerri establish
a welcoming home
Able to help Kerri
develop her own home
without taking control
from her TLC-PCP 2012 www.learningcommunity.us
Shared common
interests
Chatty –likes to talk
about family
Scrapbooking
Complex paint by
numbers
Demonstrates a kind and Making puzzles
positive attitude most of the Going to movies
time.
Doesn’t take it personally Home decorating
if Kerri doesn’t want to do
what she had planned –
Party Planning
flexible
Women’s styles
Keeps commitments
Long walks with long
conversation
Supports Needed
Skills Required
Assistance shopping
(grocery, clothing personal,
etc)
Assistance with personal
grooming (advice on
clothing, reminders on
grooming, assistance with
shaving)
Assistance with
housekeeping chores
 Laundry
 Cleaning & organizing
personal space
Some knowledge of cost
comparison, budgeting, and
savvy shopping
Ability to use an electric
razor and some knowledge
of beard trimming
Assistance with
management of lawn
maintenance business
 Making phone calls
 Maintaining calendar of
appointments
 Managing payments &
record-keeping
 Ensuring quality
control on lawn jobs
 Assistance with
maintaining lawn
maintenance
equipment






Basic knowledge of
laundry methods & use
of high efficiency
equipment
Organizational skills,
basic housekeeping
skills
Organizational & recordkeeping skills
attention to detail
good interpersonal skills
(for working with
business customers)
basic knowledge of lawn
maintenance techniques
- mowing, weed eating,
and blowing, mulching,
trimming.
Matching Staff for Andrew
PERSONALITY CHARACTERISTICS
NEEDED
•Organized, but not in a rigid kind of way
•Flexibility, spontaneity
•Not afraid of the Texas summer heat!
•Good judgment
•Sense of humor – the silly, funny kind (as
opposed to a dry or sarcastic kind)
•Preferably male – but not limited to the right
female!
NICE TO HAVE (SHARED INTERESTS)
•Knowledge of, interest in small engine repair
•Distance running
•Ghost hunting, watching the Ghost hunters
show
•Experience with lawn maintenance
•Riding dirt bikes
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Are you the person we’re looking for???
WHAT?
§
§
§
§
§
§
a paid position, to provide assistance to our son Andrew
15-20 hours per week
Good pay – a whole lot better than minimum wage!
Very flexible hours; flexible and fun work environment
Ideal for a college student!
Work involves assisting Andrew with lawn maintenance jobs,
independent shopping, going to the movies, etc.
§ Position paid by Medicaid waiver program
HELP WANTED!
WHO?
§ must be 18 + years of age
§ Preferably male - but if you’re the right female don’t let that stop you
from contacting us!
§ Not afraid of the Texas summer heat
§ Mature, good judgment
§ Experience with/interest in small engines, lawn maintenance work, and
running a PLUS!
§ A sense of humor required
WHEN?
§
Position available immediately
WHERE?
§ Our home in the Hillside community
WHY?
Andrew has a disability causing him to struggle with concepts like
time and money and sometimes making good judgments. He is
very capable in many ways, but needs assistance to maximize his
talents and abilities. As a 22 year old young man, he is NOT isn’t
interested in having the support & assistance of his parents any
more than necessary. J
Dad is a local police officer; Mom works from home and travels for work
Contact Jill for more information: XXX-XXX-XXXX (H) or XXX-XXX-XXXX
Are you the person we’re looking for? Do you know that person?
Please give us a call, let’s talk about it!
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Reflect
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YOUR PERSONAL DESCRIPTION
How does it look?
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Looking at your Description
• Take a look at what you and your partner wrote, on
your description
• Put the pages in the following order –

Cover page, relationship map, introduction, important to, characteristics,
know and do to support and communication chart
• How does it look?
• Would someone who has never met you know –




Who you are?
What is important to you?
How you need to be supported?
Who you would want to provide that support?
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Use a One Page Description
 In a specific situation, for a specific purpose
 A positive way to introduce the person
 Tells others key information about
•
What people like and admire
• What is most important to
• How to best support
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’s One Page Description
What People Like and Admire about
Supports
Insert
Photo
Here
What is Important to
Needs To Stay Happy, Healthy & Safe
Supports, continued
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How to Develop a One Page Description
• Put your Name on Your One Page Description
• Purpose:

The Purpose of Your One Page Description is to
introduce yourself to your co-workers and share the
support you appreciate at work.
• Using your Person Centered Description write
KEY information about what



Others like and admire about you
What is Important TO you at work
What support you appreciate at work
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Pleasant
Outgoing
Good role model
Dependable
Friendly
Caring
Hard working
Understanding
Positive
Determined
Confident
Intelligent
Courageous
funny
Feeling safe.
People not smoking around me.
Doing needlecraft during downtime.
Being independent.
The people who support me.
Looking sharp
Working and making money.
Quiet time.
Having my own apartment.
Mountain Dew.
I need to feel safe and secure.
Ask me if I need your help before just doing something FOR me.
Please give me your full attention when I’m trying to talk to you.
Please respect my routine and belongings.
I enjoy being around people, but sometimes need some alone time.
I enjoy people who have a sense of humor.
I really need you to listen when I’m upset & trying to explain why.
I feel uncomfortable in tight spaces.
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Management
Tools
Important To
Important For
& The Balance
Between
Everyday
Learning Tools
Discovery/
Listening
Tools
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Person Centered Description
Like and
Admire
Important
for
Important
to
Person
Centered
Description
Instructions
for
Supporters
Things to
Figure Out
Characteristics
of Supporters
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Learning Wheel
What needs to stay the same?
What needs to change?
Person
Centered
Description
Action
Planning
PCT Tools
Implementation
& Learning
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TLC-PCP 2012 www.learningcommunity.us
Next Steps
What Would You Like To Do?
Who will do it
and who can
help?
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By when?
Evaluation
Please take a minute to complete the
evaluation form in your packet.
TLC-PCP 2012 www.learningcommunity.us
The Learning Community for Person Centered Practices
envisions a world where all people have positive control over
the lives they have chosen for themselves. Our efforts focus
on people who have lost or may lose positive control because
of society's response to the presence of a disability. We foster
a global learning community that shares knowledge for that
purpose. All are welcome to share and learn.
TLC-PCP 2012 www.learningcommunity.us
Thank you!!!
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TLC-PCP 2012 www.learningcommunity.us