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A Working Alliance:   Person-Centred Planning and Employment

A Working Alliance:   Person-Centred Planning and Employment. Brian McClean Brothers Of Charity Roscommon. Social Role Valorisation. Raise consciousness Challenge perceptions Provide valued social roles Promote social inclusion. Wolf Wolfensburger 1934 - 2011. From the bedroom door….

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A Working Alliance:   Person-Centred Planning and Employment

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  1. A Working Alliance:  Person-Centred Planning and Employment Brian McClean Brothers Of Charity Roscommon

  2. Social Role Valorisation • Raise consciousness • Challenge perceptions • Provide valued social roles • Promote social inclusion Wolf Wolfensburger 1934 - 2011

  3. From the bedroom door… • Mild intellectual disability • Autism • Schizophrenia • Attended specialised treatment service till 18. • Home for four years behind the bedroom door • Suicidality • Assaulted his mother • Coercion and physically assaulted • 4 month stay in acute psychiatric hospital

  4. …To the Factory Floor • Rapport • Shaping • Diary • Treatment of intractable medical conditions • Mental Health Review • Individualised costing • Low arousal Residential • Job • Car Maintenance Class

  5. A B B +C B +C +D B +C +D +E B +C +D +E +F A = Baseline B = Low Arousal C = Rapport Building D = Visual Sequencing E = Escape Communication Training F = Differential Reinforcement FIVE STEPS IN BEHAVIOUR SUPPORTLow ArousalRapport BuildingPredictabilityCommunicationIncentives Aidan An Evaluation of an Intervention Sequence Outline in Positive Behaviour Support for People with Autism and Severe Escape-Motivated Challenging Behaviour McClean and Grey, 2012 Journal of Intellectual and Developmental Disabilities Brendan Number of Incidents Cormac Darragh Weeks

  6. Readiness for Work • Safety • Exchange • Heart • Purpose • Identity • Engagement • Paradise

  7. Vision based planning Every person should have a vision statement of what is Important to him or her… Important for him or her… And a circle of support able to speak from a position of love and concern

  8. Paradise • Positive Emotion • Flow • Meaning

  9. To be seen and met as a fellow human being with the capacity to discover one’s personal vision is to be encouraged determine for oneself, the things that happen in one’s own life. If, as staff, our actions inspire others to dream more, to learn more, to do more and to become more, we are working as effective skilled helpers.

  10. Not All Services Are Effective

  11. 79% of the variance is explained

  12. The Working Alliance The extent to which frontline staff and family members • agree about the goals • share a mutual respect and trust • have a common appreciation of the person

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