What is Person Centered Planning

1. What is Person Centered Planning Dohn Hoyle, The Arc Michigan dhoyle@arcmi.org Elaine Taverna Community Living Services etaverna@comlivserv.com 734-722-6035

2. When did this start • Started in Michigan three decades ago • Formalized in 1991 through a pilot project by the State Department of Mental Health • PCP became part of the ReNEWed 1915(c ) Habilitation and Supports Waiver in 1995 • PCP was statutorily included as a requirement in the Michigan Mental Health Code effective 1996. • Embraced statewide as the method of supporting people who need long term care • 2004 Governor Granholm created the Medicaid Long Term Care Task Force • Task Force issued PCP as the key policy recommendation • PCP It is now required in the MI Choice Waiver

3. Current State Policy • Currently PCP is also included in the Medicaid Providers manual for supports and services to persons served through the Michigan public Mental Health System and for persons in Long Term Care served through the MI Choice Waiver

4. Why do I have to do this? • It is the preferred option • Honors the constitution and the Bill of Rights • Honors the American with Disabilities Act • Supports are designed based on what the person wants not fitting the person into a program • Puts people, their family and friends in charge of their own lives and planning • It results in better outcomes for people

5. How do I get started? • It requires a change in thinking- moving from medical model thinking to person centered thinking Change your language and you change your thoughts.”    Karl Albrecht “Change your thoughts, and you change your world”  Norman Vincent Peale

6. People First Language Change your language and you change your thoughts.”    Karl Albrecht Use Do not Use Individual or Person Participant, Resident, Client, Consumer Person’s home Setting, Residence, Facility Daytime Activity Program, service, center Uses a wheelchair He/She is wheel chair bound People with disabilities handicapped, disabled or worse Communicates with eyes, devices Gestures, etc Non-Verbal Bathroom assistance toileting, diapering Person is frustrated, upset Person is behavioral, Behavior patient Personal plan Assessment, plan of care, clinical plan Person has dementia, etc Dementia patient, senile Assistance with Meals Nutritional Services, Program Friendship Center, etc Senior Center ( consider a name that brings attracts people)

7. How Michigan’s system of Person Centered Planning is unique from others • Michigan’s system assures that the person and their allies directs the planning, it is not enough to just have the person present • Checks and Balances from Pre Planning through Discharge • Options must be flexible and meet the needs and desires of the individual and their allies • Real Life Outcomes ( a Place of one’s own, community membership, long term relationships, financial stability, control of transportation)

8. Person Centered Supports in Michigan • Person-Directed • Capacity Building • Person Centered • Network Building • Outcome Based • Community Accountability • Allows the person to live the life they choose

9. Person Centered Supports in Michigan “Change your thoughts, and you change your world”  Norman Vincent Peale Person Centered Planning Process for any and all supports and services • The individual and those who know them best controls the planning process • Focuses on the person’s gifts, abilities and talents rather then deficits • Offers flexible options that the person desires

10. Person Centered Supports • Maximizes independence • Recognizes that each person can contribute to their community • Supports individuals to meaningfully participate in their community • Recognizes and supports the importance of relationships in the person’s life • Recognizes and honors cultural diversity

11. Person Centered Supports • Increases the experiences that the individual desires • Presumes that the individual or those who know them best are the experts • Offers guidance, information and support • Addresses health and welfare by utilizing strategies the individual and those who know them best identify • Documents supports and services in ways that are meaningful to the person and their care givers

12. The Next Steps • Look honestly at how you provide supports and services all aspects from the written to the practices • Your mission and values • Requires Leadership buy in and then communicated expectations for staff, volunteers, business partners and stakeholders • Train, Train, Train • Develop and monitor outcomes for your organization ( how you do what you do and how it has impacted the people you support) • Self-advocate input • Accountability • Continuous systems improvement

13. TEAM EXERCISE

14. Pick one scenario and brain storm report out to the group Scenario One: • Mr. Jones is living in a Nursing Facility. He had a stroke and needs assistance with all his daily living needs. He is in his bed at breakfast time. You provide direct care to him and 12 others who live in his wing. You notice his tray has not been touched when lunch hour is over what do you do? Scenario Two: • Mrs. Green is looking for a place to live. She has visited many different assisted living places and homes that are licensed. Mrs. Green uses a walker and is legally blind. She has family who will visit her and drive her where she wants to go. She wants to live somewhere where she can come and go as she pleases, eat what she wants and when she wants, stay up late and sleep in and have visitors overnight. Mrs. Green wants to be able to have caregiver staff whom she likes and wants to live with people she can get along with. How do you help her find a place to live or how do you offer her a place to live that provides these options? Scenario Three: • Mr. Bean lives alone in his own home. Mr. Bean has pets that he adores. You are a paid caregiver for Mr. Bean, providing community living supports, homemaking and some personal care. As part of your job duties, he asks you to feed his pets, let them outside when they need to go to the bathroom and walk them once in a while. What do you do?