Person-Centered Thinking for Families

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1 Person-Centered Thinking for Families

2 What is Person Centered Thinking?

3 Person centered thinking is a set of principles and core competencies that is the foundation for person centered planning.

4 Person centered thinking tools provide practical strategies. They help to gather meaningful information and facilitate conversations. They help to make sure that the focus remains on the perspectives of the person affected by the issue or outcome.

5 Many service organizations report that Person Centered Plans are more likely to be implemented and achieve positive outcomes when these skills are being used.

6 PERSON CENTERED THINKING Underlies and guides respectful listening, which leads to respectful action Supports people in having positive control over the life they desire and find satisfying. Where they: Are recognized and valued for their contributions (current and potential) to their communities; and Are supported in a web of relationships, both natural and paid, within their communities

7 Traditions Spend the most time together Seeking answers Parents See who they are beyond the disability

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11 Important To Important For & The Balance Between

12 IMPORTANT FOR Issues of health: Prevention of illness Treatment of illness / medical conditions Promotion of wellness (e.g.: diet, exercise) Issues of safety: Environment Well being ---- physical and emotional Free from Fear

13 IMPORTANT FOR Issues of health: Prevention of illness Treatment of illness / medical conditions Promotion of wellness (e.g.: diet, exercise) Issues of safety: Environment Well being ---- physical and emotional Free from Fear Medications Diet restrictions Sensory issues Public safety concerns and support needed Adaptive equipment Communication

14 IMPORTANT TO What is important to a person includes those things in life which help us to be satisfied, content, comforted, fulfilled, and happy. It includes: People to be with /relationships Status and control Things to do and Places to go Rituals or routines Rhythm or pace of life Things to have

15 IMPORTANT TO What is important to a person includes those things in life which help us to be satisfied, content, comforted, fulfilled, and happy. It includes: People to be with /relationships Status and control Things to do and Places to go Rituals or routines Rhythm or pace of life Things to have Who are the people in your child s life that are most influential What soothes them and calms them when they are sad or hurt How have holidays been traditionally appreciated and celebrated What possessions have the most power and meaning

16 Health & Safety Dictate Lifestyle Health & Safety Being Valued

17 All Choice with No Responsibility

18 Health & Safety Being Valued TLCPCP People Status &Control Things To Do/ Places To Go Routines Pace of Life Things To Have

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20 Relationship Map Routines & Rituals Good Day / Bad Day 2-Minute Drill Reputation 4 Plus 1 Questions Donut Learning Log Communication Chart Working / Not Working Matching One Page Profile

21 Relationship Map Routines & Rituals Good Day / Bad Day 2-Minute Drill Reputation 4 Plus 1 Questions Donut Learning Log Communication Chart Working / Not Working Matching One Page Profile

22 One Page Profile Who am I?

23 s One Page Description What People Like and Admire about Insert Photo Here What is Important to How to best support For a good match: characteristics needed to be present or absent

24 One Page Profile Qualities Appreciation Important TO You To Balance For Support and help you might need from others

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27 Even though the one page profile has the same things I ve already told doctors, it seems to make a real difference having it written down, and in such a positive format.

28 We gave the triage nurse Dan s one page profile and they read through it. After that, the nurse spoke to Dan in a way that he could understand. Without having the one page profile, I don t think that the experience would have gone so smoothly. Dan would have had to listen while we described him to others which he finds very uncomfortable. It is an excellent way for people to understand and get to know Dan quickly.

29 One Page Profiles Things we keep in mind: Identify the purpose - A one-page profile can be a general introduction to the person. With this purpose, the most important information about the person would be included. A one-page profile can also be specific in terms of a place or context. Examples include: hospital, school, employment, home, etc. Keep it up to date - You must keep the information in a one-page profile up to date - this means reviewing it with the person on a regular basis. You can use the working and not working tool, and other personcentered tools to help you to do this.

30 Matching Support Who are the best people to support me?

31 Supports Needed Skills Required PERSONALITY CHARACTERISTICS Want Don t Want NICE TO HAVE (SHARED INTERESTS) TLCPCP

32 Matching for Kerri Supports Needed Skills Required Diabetes Management Use agreed upon guidelines to help Kerri manage her diabetes Recognize and respond to symptoms indicating low blood glucose levels PERSONALITY CHARACTERISTICS Chatty likes to talk about family Demonstrates a kind and positive attitude most of the time Doesn t take it personally if Kerri doesn t want to do what she had planned flexible Keeps commitments Looking good everyday Able to help Kerri with her personal cares. Help Kerri establish a welcoming home A good sense of style to share with her Able to help Kerri develop her own home without taking control from her NICE TO HAVE (SHARED INTERESTS) Scrapbooking Complex paint by numbers Making Puzzles Going to Movies Home decorating Party Planning Women s styles Long walks with long conversations TLCPCP

33 Supports Needed 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 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 Skills Required Some knowledge of cost comparison, budgeting, and savvy shopping Ability to use an electric razor and some knowledge of beard trimming 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. 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

34 Communication Chart What am I saying with my behavior as well as my words?

35 Communication Chart When this happens I do this It usually means And I want you to #2 #1 #3 #4 In the environment What s just gone on The trigger The action What others notice Can be seen, heard, and felt by others Meaning of the the action What the emotions and feelings are What s going on inside What other people should do or say in response Or not do or say.. TLCPCP

36 Wyatt s Communication Chart What is happening? Wyatt does this It may mean this We need to do this An adult is giving Wyatt instructions or asking about something that has recently happened. 1. He avoids eye contact, eyes are moving around, eyebrows go up and down, tries not to smile 1. I hear you, but I m feeling ornery. Not going to admit to anything! 1. Tell him something funny then try again. 2. He looks directly at you and his eyebrows go up (and stay up) 2. I hear you, and I m going to do what you ask or tell you the truth about what happened.. 2. Smile and let him know you re pleased with him. Wyatt is playing with his friends He shows his teeth and growls. This typically follows Wyatt using words that others don t understand. He s frustrated with his friends and feels they aren t listening. Remind Wyatt s friends that he is trying to talk to them. Ask Wyatt to try again and be patient with his friends. Anytime Wyatt gets aggressive (hits, kicks, pinches) with his friends or their toys Wyatt is frustrated that his friends don t understand what he s trying to share. Help him talk to his friends, encourage him to apologize, and ask him if he needs some time alone to relax and take care of his body TLCPCP

37 Communication Chart Things we keep in mind: Remember that all behavior is meaningful and we can often learn what is important to and for someone from communications that might be seen as negative. The temptation can be to try and 'fix' behavior rather than listen to it.

38 Working / Not Working What did we do that worked and what didn t work?

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40 Student perspective Parent perspective Teacher perspective

41 Family s Perspective Beth s Perspective After a change in medication Nothing We think she s dizzy and afraid of falling She can t walk as well as she did before the new medicine She s often angry She doesn t have seizures Generic medicine is less expensive than brand name med TLCPCP She is getting aggressive She s not herself no longer a sweet person She s afraid to walk, seems fearful of falling Behaviors started after changing seizure med from brand name to generic We think the generic isn t working like the brand name did

42 My 15-year-old daughter has often had to take a back seat. She lets us know the issues affecting her and we work together on what we can do to rectify this. We ve always talked about things but having something to refer to (What s Working / Not Working) has certainly lessened the arguments and stress in the family.

43 By using the What s Working and Not Working I have been able to have better conversations with my son s teachers. It has helped me to frame the things that are not working as a request for a solution that I want to work with professionals to find.

44 What s Working and What s Not Working Things we keep in mind: In the resulting discussion, always start with where there's agreement and common ground Honestly capture people's perspectives, even if you disagree with them It s important to be unconditionally constructive. No matter how tempted you are to take sides, you don't.

45 In summary

46 Person Centered Thinking is Based around a person with the person at the center of the planning process. A commitment to achieve what is important to the person now and in the future. An ongoing process of listening, learning and action that helps a person to have positive control over the life that they choose.

47 Firstperson Services firstpersonservices.com The Learning Community for Person Centered Practices tlcpcp.com Helen Sanderson Associates helensandersonassociates.co.uk

48 Introductory course in Person Centered Thinking that give participants direct experience in using these tools help you to build up a personcentered description of someone and enable you to: Discover what is important to a person in their day-to-day life now and for the future. Find out what is working and what is not working in a person's life, and what they want to change. Identify what support a person needs to live the life they choose. Create action plans so that the person has more of what is important to them in their life, with the support that they require. Reflect and act on the action plan.

49 Howard Center Burlington HCRS of Southeastern Vermont Springfield Green Mountain Support Services Morrisville

50 Contact information: Roy Gerstenberger

51 Q & A