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Learning Objectives Key milestones in our history Working together to impact change

Learning Objectives Key milestones in our history Working together to impact change Outcomes and results Our roles to influence change Your role to influence change Challenges faced Tips for others Questions. Tri-Counties Regional Center

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Learning Objectives Key milestones in our history Working together to impact change

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  1. Learning Objectives • Key milestones in our history • Working together to impact change • Outcomes and results • Our roles to influence change • Your role to influence change • Challenges faced • Tips for others • Questions

  2. Tri-Counties Regional Center • One of 21 nonprofit regional centers; contracted by California Department of Developmental Disabilities • Operate under guidance of Lanterman Act legislation since 1969 • Support 12,300 people in Ventura, Santa Barbara and San Luis Obispo counties • 280 employees in six regional offices • 200+ service providers; more than 1400 programs and services

  3. Early Efforts (1995-2002) • Focused on person centered plan development. • We were helping some people get better lives… one person at a time. • Effort was usually by those who were Essential Lifestyle Planning (ELP) trainers…there was not broad adoption of the principles.

  4. A few naturals identified • The look of the plans changed • Not consistent or supported across the agency • No sustainability plan • Lack of buy in from leadership: no one person responsible • No system to support learning • Slow progress lead to cynical discontent Early Efforts What we learned

  5. “Never doubt that a small group of thoughtful, committed citizens can change the world. Indeed, it is the only thing that ever has.” ~ MARGARET MEAD Person Centered Change at Tri-Counties Regional Center

  6. Laying a Stronger Foundation • Omar Noorzad, PhD hired as Executive Director 2003 • Developed competencies as basis for selection and performance management • Code of Ethics-partnership • Operations (OPS) and Services Review Committee (SRC) • Universal Service Expectations

  7. “It’s time for you to !#%@&! or get off the pot! ~ MICHAEL SMULL The Catalyst

  8. Bold Steps at TCRC • People First Language • Developed Person Centered Thinking Taskforce • Pilot Teams - Start Small and Grow • Embed in Strategic Plan of organization • One Page Profiles • Ensure sustained attention of Leadership: Person Centered In All We Do

  9. “Person centered practices help us do our work better and take our good practice to the next level to provide great support.” - LIZ RODGERS, PCT TRAINER, EASTERN LOS ANGELES REGIONAL CENTER Training & Coaching People First Language Communities of Practice Positive & Productive Meetings Person Centered Reviews in Schools Person Centered Employee Development CA Gathering for Person Centered Practices

  10. What has Changed?Six organizationstell their story Tri-Counties Regional Center People Creating Success, Inc. PathPoint Channel Island Social Services Genesis Developmental Services Eastern Los Angeles Regional Center

  11. People who receive services are more involved in planning and conducting their own meetings • Resulting in better staff matches with the use of Matching Support skill • Contributing to a decrease in staff turnover and an increase in satisfaction of employees and persons served by the regional center • Implementing with part-time to full time workforce; additionally with unionized, entry to experienced level workforce The Impact What has changed as a result of this work.

  12. PCT Trainers/Mentors are building capacity in other parts of CA. • PCT provides a common language, set of standards and set of tools to communicate effectively, create clear goals and plans that actively support those we serve. • Research confirms PCT is a promising practice. • Organizations are modifying business practices and procedures to reflect a more person centered philosophy leading to individual, organizational and system level changes. The Impact What has changed as a result of this work.

  13. UCSB Evaluation Project Annual Services and Supports Survey Measuring & Aligning

  14. “Not only do the TCRC staff interviewed acknowledge the positive changes resulting from PCT Initiative and practices at the organizational level, they also believe that PCT practices have made changes on a personal level, affecting positively both their professional and personal lives.” ~MIAN WANG, PHD, UNIVERSITY OF CALIFORNIA, SANTA BARBARA Impact on Staff

  15. “Adults with developmental disabilities, receiving services from providers with a higher level of involvement in Person Centered Thinking practices, report a significantly higher perceived quality of life (QOL) than those served by providers with a lower level of involvement in Person Centered Thinking practices.” ~ MIAN WANG, PHD, UNIVERSITY OF CALIFORNIA, SANTA BARBARA Impact on Adults we Support

  16. Annual Services and Supports Survey

  17. Our Role in Growing Person Centered Practices: • What is one example of a level 2 change we assisted in to further strengthen our person centered practices? • How did this level 2 change make a difference? • Why is it important in our role to continue to move level 2 changes forward? TCRC Team Shares

  18. Your Role in Growing Person Centered Practices: • What is your role or what are the roles you currently have to influence level 2-3 change to strengthen person centered practices? • What is one example of a level 2-3 change you have contributed to? • What is one new way you might try to create more level 2-3 changes? Participants Share

  19. Ongoing Challenges • Time • Growing caseloads and documentation requirements • Capturing and sharing learning • Early resistance to change • Changing legislation in California • Budget reductions that affect caseload ratios • Staff turnover • Geography, size and scale

  20. Re-Imagined Person Centered Practices Collaborative Restored and Expanded Training Initiatives Technology Accelerators Influencing Level 2 and Level 3 Changes Five Levels of Staff Engagement Our Next Bold Steps

  21. Highlighting success stories through Spirit of Excellence, TCRC intranet • One Page Profiles becomes first page of IPP • Quarterly meetings with specialized providers (SLS, Employment) • Focused partnership with Family Resource Centers • Convening PCT Trainers and Mentors across California to share learning and identify needs/trends • Introducing other curricula and resources to reinforce person centered principles Influencing System Change

  22. Person Centered Collaborative evolving to a regional strategic leadership group • Two California Gatherings for Person Centered Practices • Statewide Collaborative Training Group practicing Positive and Productive Meeting Principles • Self Determination legislation requires training in person centered planning • DDS educational video regarding TCRC approach to medication error improvement planning • CMS ruling to include language about person centered planning • Efforts to secure electronic signature practices Influencing System Change

  23. Advice for Others Secure buy-in Establish the right leadership Train all staff Foster a culture of learning and innovation Align policies and procedures Implement together Getting Started

  24. Be strategic Engage stakeholders Establish accountability Develop training infrastructure Share learning Focus on outcomes Seek opportunities to influence Share success stories Advice for Others Sustaining the Practice

  25. “An agency making this journey needs to realize that this is an ongoing process. To achieve excellence one must maintain patience and persistence. Mastery may be elusive, but one must strive to move closer and closer to the target.” ~ RON DODGEN, CEO, GENESIS DEVELOPMENTAL SERVICES It’s a Journey not a Destination

  26. “Greatness is not a function of circumstance. Greatness, it turns out, is largely a matter of conscious choice, and discipline.” ~JIM COLLINS

  27. M Mary Beth Lepkowsky Assistant Director, Training & Organizational Development mlepkowsky@tri-counties.org (805) 884-7208 Tina Calderaro-Mendoza Person Centered Thinking Coordinator tinac@tri-counties.org (805) 823-2304 Tri-Counties Regional Center www.tri-counties.org Learning Community for Person Centered Practices www.learningcommunity.us For online viewing of “Building Capacity for Person Centered Practices” http://issuu.com/regionalcenter/docs/building-capacity-for-pct Thank you!

  28. Start anywhere…but start somewhere • Organization • Community • System

  29. “Change begins with planning with the person served and supported rather than planning for them.” ~ UCSB EVALUATION REPORT AIM for Change Awareness Implementation Measurement

  30. Staff Perspective: • Empowered individuals and families served • Enhanced satisfaction of individuals and families served • Built better community relations for families and individuals served Adult and Family Perspective: • Listened to and treated respectfully • Given choices to share issues that are important to them • Empowered to make decisions and set their own desired goals • Satisfied that their message gets fast response • They commented that communication is less formalized The UCSB Evaluation Impact of Person Centered Thinking on lives of adults and families served

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