Person Centered Planning: Longterm Care

1
Person Centered PlanningLong-term Care

• Dr.Sally Burton-Hoyle Autism Society of Michigan
• burtonhoyle_at_aol.com

2
Person-Centered Planning Agenda

• What is Person-Centered Planning (PCP)?
• What Person-Centered Planning (PCP) is NOT!
• How Do You Explain PCP to the Community
• The PCP Process For Non-traditional Communicators
• Working With the Families in the PCP Process
• Role-Playing the PCP Process
• Final Thoughts

3
What is Person Centered Planning?

• Person centered planning is not new and it is
  not hard. It is really as easy as listening to
  persons, their spokespersons and their families.
  Person centered plans are an approach to help
  people and their families figure out things like
• Where to live
• How to spend time each day
• Who to spend time with
• Hopes and dreams for their future

4
Person Centered Planning Is NOT

• Safety plans
• Weight/calorie reduction
• Medication compliance
• Hygiene improvement
• Walking programs
• Assessments/Care Plans
• I Team meeting
• Therapists reports
• How to make life easier for staff!

5
Person Centered Planning IS

• Honoring a persons behavior as communication
• Choice over many aspects of their life
• Control over what each day includes and doesnt
  include
• Freedom
• Assisting an individual to determine what makes
  their life worth living

6
Cornerstones of Person Centered Planning

• Presuming competence
• Reframing behavior as communication
• Respecting cultural diversity
• Providing critical supports for health and safety
  across the lifespan so people may live where and
  with whom they want

7
Person Centered Planning (PCP) Process Mandates

• All participants accept and understand the
  philosophy and practice of PCP
• Be certain that pre-planning has been held prior
  to the event
• Demonstrate the presumption of competence by
  speaking directly to the focus person, not to
  their family or guardians
• Have available wipe-off board, picture album,
  assistive technology or personal interpreters
  necessary for the person to communicate desired
  outcomes
• Pay attention to the focus person throughout
  the process. All comments need to go to this
  person!

8
What is this PCP exactly?

• In small group discussion complete the following
• Describe what PCP is and why it is a good idea
  for the state of Michigan.
• What are benefits of PCP as opposed to
  traditional planning?
• How do you respond to persons who say that PCP is
  a waste of time for persons with Dementia or
  Alzheimer's?

9
The PCP Process For Non-Traditional Communicators

• All behavior is communication.
• Anything you can see, hear, touch or count is a
  behavior.
• A persons behavior tells us what they think
  about other people, and their living and working
  environments.
• Reframing behavior as communication is the first
  step in understanding the person who does not
  communicate in a traditional manner.

10
Tips For Communicating with Person Who Are
Non-Verbal

• Focus on the person.
• Ask questions directly to the person.
• If there does not seem to be recognition of you
  or questions you are asking, ask person if it is
  okay if you ask their Focus Person to answer
  questions. The Focus Person is a person trusted
  by the individual, and may be a sibling, staff or
  family friend, that has been identified through
  the use of a photo album, or by the person
  gesturing or pointing to.
• Write the question on a wipe-off board and show
  it to the person. Always give the person time to
  process questions.
• Look at the persons behavior as communication as
  an answer to your question.
• Presume competence!

11
Behavior is Communication

• Give two examples of behavior and what the
  communicative intent of the behavior was.
• Give an example of how you communicate through
  your behavior.
• Do you always need words to communicate what you
  want or do not want?
• As neurological processes decline the ability to
  retrieve and express information from auditory
  modality lessens. Be visual- use words and
  pictures to communicate with persons who do not
  communicate traditionally.

12
Working With the Family

• Understand that all families do the very best
  that they can!
• Families have been mistreated and lied to in the
  past.
• Families are operating on the first and worst
  information that they were given regarding the
  condition of the person.
• Let families tell you their history with the
  system
• Ask families what their greatest fears are in
  relation to the person and their condition.

13
Working With the Family

• Families must understand the person-centered
  planning process.
• The process mandates that only persons that the
  individual desires or requires will be invited to
  the PCP.
• Families must be reassured that if they are not
  invited to the planning that they can still
  receive information about the plan.

14
Components of the pre-plan

• Where would you like to have event?
• What would you like to talk about?
• What do you want to make sure is not discussed?
• Whom would you like to have help you in your
  planning?
• Who should not be at your planning event?
• What time of day are you at your best for the
  plan to occur?
• What snacks or refreshments should we have at
  event?

15
Pre-plan (cont.)

• Who will invite guests to the event?
• The best date for event is______.
• The best way for us to know if you are happy with
  what is being said at your event is for you to
  tell us or indicate in some way through a sign or
  gesture. What will this sign or gesture likely
  be?
• Who do you want to take notes at your event?
• Would you like to develop a crisis plan to be a
  part of your PCP?
• Anything else..

16
Person centered plan

• Who is here to help me plan my life?
• What are the most important things that have
  happened to me so far in my life?
• Who are the people and the places that are most
  important to me?
• What are barriers that may keep me from enjoying
  more of these people and places?
• What are my likes and dislikes?
• What things in my life make sense?
• What things in my life do not make sense?

17
Person centered plan (cont.)

• What is my current daily schedule? (weekday and
  weekend)
• What would be an ideal daily schedule? (weekday
  and weekend)
• What are my strengths and interests?
• How could we improve my daily schedule so that it
  included more of what I like?
• What are activities in the community that I may
  become involved in?

18
Person centered plan (cont.)

• The outcomes I would like to see for me include
• Timeline for these outcomes includes
• Who is going to make sure that outcomes are being
  met?
• When can we get together next to see how things
  are going?
• What is the best thing about this process?
• What might improve this process?
• Final Thoughts

19
Role-Playing and Person Centered-Planning

• Choose a group of no more then four people.
• Determine the following roles for this activity
• The person who is having plan developed
• Facilitator
• Note-taker
• Supportive friend/ally
• Develop questions
• Assist the customer in facilitating their plan
• Develop outcomes that represent the desires of
  the customer.
• Present your plan to the class.

20
PCP Evaluation

• I chose when and where the meeting would be.
• I controlled who came to my meeting.
• Every question about me was asked to me.
• People talked directly to me.
• I had fun at my meeting.
• The team talked about things I wanted to talk
  about.
• The meeting was a positive experience

21
PCP Evaluation (cont.)

• I chose who facilitated the meeting.
• The team talked about my strengths and interests.
• The team talked about how my day could be better
  and more enjoyable!
• The team is going to meet until my life is the
  way I want it.

22
Final Thoughts

• PCP should be a party with a purpose
• PCP should yield information that everyone needs
  in order to better support the individual.
• The kind of language used and the length of time
  for each meeting should be dictated based on
  individual need.
• PCPs are mandated for each consumer of the
  mental health system
• PCPs should be enjoyable and self-esteem raising
  experiences for all involved!