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Conversation about OUTCOMES Mark Sweet PhD Trainer & Consultant DISABILITY RIGHTS WISCONSIN 608 267 0214 msweet@drwi.org disabilityrightswi.org. OUTCOMES Planning has a long & mostly positive history
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Conversation about OUTCOMES Mark Sweet PhD Trainer & Consultant DISABILITY RIGHTS WISCONSIN 608 267 0214 msweet@drwi.org disabilityrightswi.org
OUTCOMES Planning has a long & mostly positive history 70s-80s: The Principle of Normalization the same rhythms & patterns of living for people with disabilities as those without where, what, with whom from the perspective of the person receiving support
HMO CMO MCO M = MANAGEMENT, MANAGED • OUTCOMES is the new word • PEONIES: Personal Experience Outcomes… familiar and largely supported idea Wisconsin’s method of auditing ____________________________________ good ideas are as good as those who try to implement them
Personal Futures Planning Person Centered Planning Outcomes Interviews to learn what the person receiving support wants: where, what, with whom, with what accommodations or assistive technology
An OUTCOMES Interview to understanda member’s point of view (usually by a social worker or nurse) Subjects identified by members to address their priorities 12 quality of life outcome areas from the member’sPoint of View Outcomes =/= Services services are ways of achieving outcomes What before How
I decide where and with whom I live. • I make decisions regarding my supports and services. • I decide how I spend my day. • I have relationships with family and friends I care about. • I do things that are important to me.
I am involved in my community. • My life is stable. • I am respected and treated fairly. • I have privacy. • I have the best possible health. • I feel safe. 12. I am free from abuse & neglect.
I like my home (my job) (my room mate) Is this anOutcome or a status report for now? What reasonable follow-up? I want a new home (new job) (new room mate) Outcome or a status report for now? What reasonable follow-up?
I need a new door at my house for $10,000. Is this an Outcome or one method? • What reasonable follow-up? _____________________________________ • What makes a good outcomes interview? • What about people who can not communicate easily?
Behavior Communication Assertiveness___________________________________ Even unskillful action has message value With ease of language what would s/he say? What is s/he trying to assert?
What do you see or hear …? • When is it more likely to happen? • What might s/he understand? • What might s/he be experiencing? • What other usable information? • What might s/he be trying to accomplish? • What might s/he need or want more / less? • Point of View(POV) Desired Outcomes How could you prepare?