Nancy McCulloh, MS Project Coordinator Research and Training Center on Community Living

1. Training the Workforce Online 2013 AGE AND DISABILITIES ODYSSEY CONFERENCEJune 17-18, 2013 Duluth, Minnesota

2. Taylor Kearns MN DHS Disability Services Division Taylor.Kearns@state.mn.us Nancy McCulloh, MS Project Coordinator Research and Training Center on Community Living University of MN 320-253-5661(Work) mccul037@umn.edu http://directcourseonline.com/ (Learning Administrator for MN DHS CDS Site)

3. Today’s Direct Support Workforce • Turnover – 40 to 50% annually • Costs of turnover • Hiring & training = $2,000 to $5,000 per DSP • DSP vacancy increases stress on workforce • Negative effect on people receiving support • Training challenges • Limited quality and access • Rarely connected to professional competencies

4. Background: The DSP workforce • Gender: • 89% Female • 11% Male • Age: • Average age: 42 • Immigrant Status • 23% Foreign Born • Race • 47% White • 30% African American • 16% Hispanic/Latino • 7% Other

5. Historical Overview College of Direct Support • Conceptualized in 1998 • First Courses Launched in 2001 • Today • 36 states and 2 international sites • 16 statewide contracts • 229,000+ DSPs use daily • 6,498,000+ completed hours of training delivered • DirectCourse Over Brand Launched in 2011

6. Content Development Teams • College of Direct Support • College of Frontline Supervision and Management • University of MN • College of Employment Services • University of Massachusetts Boston • College of Personal Assistance and Caregiving • University of California San Francisco • College of Recovery and Community Inclusion • Temple University Philadelphia

7. Curriculum Development • National Editorial Board • National Experts • Varied stakeholder lenses • DirectCourse users and customers • Content Planning Panels • Author • Varied roles in the field • DSPs • Supervisors/Managers • Regulators • Advocates • DirectCourse users and customers

8. Instructional Design • Competency Based • NADSP competencies • DOL apprenticeship guidelines • DOL LTSS competency based training framework • Accredited by NADSP • THE ONLY accredited NADSP curriculum that has actually yielded certified DSPs • Adult learning • Highly interactive and multi-media • Reflective exercises • Self-paced, asynchronous, just in time • Used in combination with classroom and mentoring • Moving toward tablet and handheld devices

9. CDS Content Structure • Typical Course • 3 to 8 lessons • Typical Lesson • 3-8 learning objectives • 45 to 60 minutes • 240 + hours currently available • New Course Format • 8 to 20 shorter lessons • New Lesson Format • 1 learning objective • 15 – 20 minutes • More compatible with tablets and handheld • Module • Combination of lessons and courses

10. Learning and Performance Management System Monitoring and Tracking Features • Employee information • Assignments and testing • Assessments and remediation • Acknowledgements and discussions • Transcript and credit reporting • Classes and events • Competency checklists • Online grading • Surveys • Goal and performance measurement • Skills-based job profiles • Peer reviews • Development action plans • Individual employee and supervisor portfolios

11. Competency Based Training • Pre/Post tests • OJT assessments • Portfolio assignments

12. CDS Commitment to Evaluation • Evaluation Briefs • Independent evaluations • NIDRR funded experimental design study

13. DirectCourse:College of Direct Support Training PlanExample Moving Home Minnesota (MHM) Community Living Training and Technical Assistance Minnesota DHS Systems Change and Capacity Building

14. Moving Home Minnesota Change in service system People with complex needs move or return to community living from larger congregate care facilities New expectations for organizations supporting people who are transitioning Partnership between MN DHS and RTC at UMN Provide training, consulting and technical assistance around the state to support this initiative

15. Moving Home Minnesota Services available: Person-Centered Thinking and Planning Training Person-Centered Positive Behavior Support Training Peer Leadership & Self Advocacy DirectCourse: College of Direct Support Curriculum For more information and access to training contact: Nancy McCulloh mccul037@umn.edu 320-253-5661 http://directcourseonline.com/ All training components are offered free of charge to MHM participants

16. College of Direct Support How to use the CDS MHM Training Modules: Step 1: Review the training plan. Step 2: Customize the plan to meet needs. Step 3: Build staff reward program for module completion. Step 4: Create a completion timeline (30, 60, 90 day, etc.) for each module Step 5: Use built in competency measures to assess skill development

17. College of Direct Support Step 6: Assign learning modules to frontline supervisors and managers, first, and then to direct support professionals Suggested Prerequisite for supervisors: Professional Development for Supervisors (approximately 10 hours of training) College of Frontline Supervision and Management (CFSM) Course: Orientation and Training - Lesson 1 – 5 Course: Fueling High Performance - Lesson 1 – 5 Step 7: Reinforce learning by using facilitated discussion groups - discuss how content can be incorporated into daily practice.

18. College of Direct Support Suggested Prerequisite Courses for DSPs and Supervisors (approximately 32 hours of learning) Introduction to Rights and Choices – Lessons 1 - 4 Direct Support Professionals – Lessons 1 - 6 Maltreatment: Prevention and Response – Lessons 1 - 19 Safety at Home and in the Community – Lessons 1 - 19 Universal Precautions and Infection Control – Lessons 1 - 11 Introduction to Medication Supports – Lessons 1 - 6 Professional Documentation Practices – Lessons 1 - 9

19. College of Direct Support Suggested Core MHM Learning Modules Module 1: MHM - Understanding Person-centered Support and Strategies (approximately 8 hours of training) Person Centered Planning and Supports – Lessons 1 - 4 Teaching People with Developmental Disabilities – Lessons 1 - 4 Module 2: MHM - Understanding Person-centered Behavior Support Strategies (approximately 8 hours of training) Functional (Behavior) Assessment – Lessons 1 - 4 Positive Behavior Supports – Lessons 1 - 4 Module 3: MHM - Life in the Community I (approximately 8 hours of training) Community Inclusion – Lessons 1 - 4 You've got a Friend – Lessons 1 - 4

20. College of Direct Support Suggested Core MHM Learning Modules continued… Module 4: MHM - Life in the Community II (approximately 9 hours of training) Working with Family and other Support Networks – Lessons 1 - 4 Everyone Can Communicate – Lessons 1 - 5 Module 5: MHM - Understanding Unique Disability Needs (to be assigned based on individual being supported) Introduction to Developmental Disabilities – Lessons 1 - 4 (approximately 5 hours of training) Autism (approximately 2 hours of training) Cerebral Palsy (approximately 2 hours of training) Depression (approximately 2 hours of training) Brain Injury (approximately 2 hours of training) Diabetes (approximately 2 hours of training) Epilepsy (approximately 2 hours of training)

21. <Live Demo> www.directcourseonline.comwww.collegeofdirectsupport.com/umndemo

22. Questions and Comments? http://www.collegeofdirectsupport.com