Support client self - direction

1. Support client self -direction

2. Support client-direction… SESSION TOPICS: • Definition of self-direction • Principles of self-directed support • Traditional care v’sself-directed support • Achieving self-direction • The unique client • Psychological, emotional, social and spiritual • needs • Resources and networks

3. Support client self-direction… SESSION TOPICS: • Risks and self-directed care • The support worker • Code of conduct • Difficulties of self-directedcare • Behaviour

4. Self Direction “ Self-direction means the interventions, training, and skills by which clients with a chronic condition, disability, or disease can effectively take care of themselves and learn how to do so”.

5. Principles of self-directed support… • Collaborative and active partnership between client and service provider • Client-centered care • Shared responsibility for outcomes • Empowerment and enhanced capacity as goals of care • Care is lifelong

6. Traditional Care v’s Self DirectedSupport…

7. COLLABORATIVE AND ACTIVE PARTNERSHIP BETWEEN CLIENT AND SERVICE PROVIDER

8. CLIENT - CENTRED CARE

9. SHARED RESPONSIBILITY FOR OUTCOMES

10. EMPOWERMENT AND ENHANCED CAPACITY AS GOALS OF CARE

11. SUPPORT IS LIFELONG

12. ACTIVITY 1… Brainstorm Achieving Self Direction

13. Achieving self-direction… • Communicate and engage effectively with • clients and service providers • Conduct comprehensive, holistic assessments • Plan and provide care collaboratively • Support and empower clients • Deliver care using a variety of approaches • Possess care knowledge

14. Achieving self-direction… • Use decision supports, information and • communication management systems effectively • Identify and respond to clinical risks • Engage in continuous quality improvement activities

15. Communication… Communicate and engage effectively with clients and service providers. Informed choices – information that is relevant. valid and accessible Ask questions to clarify – assist client put into words the situation they are facing Eg:What is happening in your life that you are not happy about or feel out of control or simply want to change

16. Communication… Inform regarding options – list the different options or help the client list them Eg: The option for a person feeling overwhelmed might be counselling or personal development group or medication (last option) Facilitate the decision making – help the client think about the possible positive and negative consequences of each option and the risks and constraints associated with their choice/s

17. Communication… Explain how to make the decision – explain to the client how to adopt the new behaviour or how to put the actions in place Eg: the worker might need to explain the process of receiving treatment for a mental health issue, such as being assessed by mental health professional, possibly being referred to a psychiatrist.

18. Activity 2… Brain storm inclusions for holistic assessment

19. Conduct comprehensive, holistic assessments… • Including assessment of: • client health risk factors; • psychosocial concerns and supports; • self‑management capacity

20. Plan and provide supportcollaboratively … • Collaborating with clients and other service providers to define problems, set goals and actions, and problem solve.

21. Support and empower clients… To: access appropriate information; develop skills required for their self-direction; develop and maintain health related behaviours; use available technologies to support self-direction;

22. Support and empower clients… access and use available self‑management tools; access support networks; manage health risks; communicate their needs and choices; and understand their strengths, areas for development, and capacity and willingness to self‑manage.

23. Deliver supportusing a variety of approaches… • Including: • group services, • individual sessions, • telephone‑based support, and • the use of other communication technologies to support care.

24. Possess support knowledge… Awareness of: the interaction between factors that influence client behaviour; the importance of personal, religious and cultural beliefs, and their impact on individual choices; the impact of one’s own beliefs on one’s ability to support clients;

25. Possess support knowledge… the range of services and treatments available; the range of self‑management support tools available to clients the range of support networks available to clients; evidence‑based guidelines for care;

26. Possess support knowledge… the roles of other members of the health care team; Maintain carer professional development, implement knowledge into practice.

27. Achieving self-direction… • Managerial and corporate level: • Use decision supports, information and • communication management systems effectively • Identify and respond to risks • Engage in continuous quality improvement activities

28. ACTIVITY 3… http://www.youtube.com/watch?v=X1OcfvaTjl0

29. The uniqueness of a client… • Every client is unique,based on their: • Psychological needs • Biological needs • Social needs • Emotional needs

30. Psychological, social & emotional needs… • Traditionally carried out by family, friends, relatives or community members. • In todays world there is: • breakdown in familiesand extended families • loosening of links between people • community bonds are changing & weakening

31. Psychological, social & emotional needs… • critical events – • disasters, • conflict/s, • accidents and health problems • world unrest

32. Psychological supportneeds… • Time for self reflection • Counseling when needed • Do something fun • Minimise stress • Write a journal • Learn something new • Receive from others

33. Physical supportneeds… • Eat regularly and healthily • Preventative medical care • Massages • Wear clothes of choice • Vacations, day trips • Dancing, swimming, walk, physical activity

34. Emotional supportneeds… • Enjoyable company • Contact with friends • Read favorite books • Cry when sad • Laugh • Express outrage

35. Spiritual care needs… • Make time for reflection • Be open to inspiration • Have faith • Go to church • Meditate • Sing • Identify what is meaningful • Contribute to causes

36. Activity 4… Brain storm information gathering on networks, support groups, resources

37. Required Resources… • Support Groups • Personal helpers and mentor programs • Accommodation support • Activity centres • Employment services • Counselling Services • Health services • Training and education

38. Required Resources… • Peer worker groups • Disability support services • Child and family services

39. Networks… A network is a structure of one or more links Generally with a common interest Social Networks – facebook, twitter, Myspace Business Networks - linkedin To give people the power to share, be more open and connected.

40. Networks… Sexual Learning Friendship Church Group Support

41. Networks… • Peer worker groups • Disability support services • Child and family services

42. Risks and self-directed support… • Risks and constraints can be in the areas of: • Finance • Transport • Cognitive ability • Language • Culture • Communication

43. Risks and self-directed support… • Duty of Care - page 22 • Anti discrimination – page 22/23 • WHS Legislation – page 22/23 • Manual Handling and risk - page 23

44. ACTIVITY 5… Discuss in detail the risk factors of self-directed support.

45. The Carer…

46. Code of Conduct… • Being accountable to the clients to deliver a safe and effective services • Giving clients choice of service options • Community inclusion • Confidentiality and privacy • Respecting the rights and dignity of the client • Equality • Empowering clients

47. Code of Conduct… • Avoiding conflict • Caring, responsible and diligent • Positive influence • Attentive to the client • Acquiring relevant knowledge and skills • Adherence to equal opportunity, health and safety and discrimination legislation

48. Activity 6… • In small groups discuss the difficulties you may encounter in meeting the clients needs. • How to address the difficulties.

49. Difficulties… • Client not coping • Lack of funding • No appropriate service/s • Lack of transport • Lack of support staff • Inability to match a worker with the client • Lack of resources

50. Difficulties… • No support workersupport • Communication Barriers • Family intrusions