Person Centered Planning overview

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Person Centered Planning overview

• Meg Parsons Sophie Murphy Oct 2006

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Karingal Context

• 37 sites across South West Victoria, Northern
  Suburbs Melbourne, Western Suburbs Melbourne,
  Werribee, Bacchus Marsh, Geelong
• Employ 800 staff
• 1200 clients (not Job Network)
• Operations Disability, Job Network, Aged Care
  (as of 01/10/06), Corporate Services
• Programs Disability - Accommodation, day
  programs, community access, outreach, in-home
  support, respite, open employment, group
  supported employment
• Businesses packaging assembly, contract
  labour, land care, Training
• Job network Disability Employment Network
  ,Personal Support Program, Community Work, Work
  for the Dole ,
• Aged care hostel (dementia specific service)

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Why we chose Person Centered Planning

• Fits all program types
• Fits all quality assurance accreditations
  compulsory and optional
• Considered current best practice planning
  methodology
• Trialed across programs with great success
• Suited all client groups (most challenging, young
  people , transition)
• Suited all planning contexts issue specific or
  whole of life
• Most positive feedback from clients and carers

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Planning methodologies

• Medical model health needs
• Behavioural assessments of adaptive behaviour
• Program based what is available
• Value based what we think you should be able to
  do
• Integration physical presence
• Integration participation
• Normalisation social roles

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Evolution of planning methodologies

• Community values new ways of thinking and
  seeing
• Political movement voices of PWD, carers and
  families
• Professionalisation of human service provision
  growth in academic area away from medical field
  to sociological field

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Current planning paradigm

• Person centered planning and its hybrids
• Personal futures planning
• Essential lifestyle planning
• Circles of support

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What is different about a PCP style

• focus is on building a life not a service
• focus is on the person and their whole life
• crosses all life domains (work, home, recreation,
  partnerships)
• professionals are involved to offer specialist
  advice, knowledge and support
• power is shared with it leaning towards the
  person and their advocates
• focus is on gifts and aspirations
• combines likes, preferences with needs
• universal needs are as important as medical needs
• opens up new possibilities for the person
• has a future orientation
• comes up with non-traditional and often
  sustainable solutions

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Comparison of planning styles

• Traditional
• Deficit model
• Medical needs
• Focus on getting a service
• Staff/ agency has power
• Yesterday and today model
• Limited to service type
• Focus on difficulties or constraints of service
• Limited use of resources (information)
• Requires lots of information
• Limits contributors
• Locks people inside the square
• Can be comforting to carers and provider
• Build fear and mistrust
• Prescriptive method
• Builds negative reputations

• Person Centred
• Focus on gifts and strengths
• Universal needs
• Focus on getting a life
• Shared power
• Today and the future
• Whole of life
• Focus on person and getting a life
• Requires engages contributors
• Have to think outside the square
• Can be frightening to carers and providers
• Builds trust
• Flexible method
• Build positive reputations

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Why choose a PCP style

• enables planning across whole of life
• opens up possibilities for everyone (person,
  providers, families)
• enables people to make choices about THEIR lives
• travels with a person on their life journey (can
  travel across life domains, life areas and
  through life changes)
• effective and efficient
• builds critical knowledge of a person (what they
  like and want and need)
• successful proven success de-institutionalizat
  ion, challenging behaviours, severe multiple
  disabilities
• builds relationships and connections
• requires providers to build knowledge of person
• encourages collaboration across life domains
• encourages us to learn and think all of the time
• encourages us to walk a mile in anothers shoes

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With whom

• Disability Services employment, day programs,
  residential, in home support
• Aged care
• Palliative care
• Chronically ill
• Life coaches
• Schools transition planning, special needs
• Families/ couples
• Work places

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How to do it

• Plan WITH (not for)
• Listen
• Seek to understand
• Learn about the person and their life
• Collect information
• Seek balance in planning (important to (wants)
  important for (needs)
• Use a variety of tools pick ones relevant to
  the situation

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Exercise

• Good day/ bad day
• It is a work day. Start with getting up, end
  with going to bed. Write a composite of all of
  the good moments you have had on a work day and
  all of the bad moments. Others will see this so
  dont put anything too personal.
• (5-10 mins)

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Good day/ bad day part 2

• With the person next to you
• Read their list. Write a what is important to
  list
• For each item ask is there something that other
  people need to know or do to support you with
  that
• If YES add that to a new list
• Look at your lists. Is there anything that is not
  making sense right now ?
• What can be done to change that ?
• Is there anything we need to know more about ?

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Purpose

• To identify impediments to persons success
  (overt or hidden)
• Start to identify important rituals in a
  persons life
• Identify a starting point to planning
• Identify what is working and not working in the
  persons life
• Assist to redesign environment to meet needs
  where required
• Help to identify needs and wants and to get the
  balance right
• Assist the person to re-direct life where
  appropriate
• Assist in identifying goals and strategies

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For more information

• Meg Parsons ( Quality Manager)
• 0419 337 971
• mparsons_at_karingal.org.au
• Sophie Murphy (Training Manager)
• 0404 013 211
• smurphy_at_karingal.org.au