Principles and Practices of Person-Centered Planning: Provider Network for UPCAP February 9, 2006

1. Principles and Practices of Person-Centered Planning:Provider Network for UPCAPFebruary 9, 2006 Pam Werner Specialist Michigan Department of Community Health 320 S. Walnut Lansing, MI 48913 E-mail: wernerp@michigan.gov Phone: 517-335-4078

2. Introductions

4. Independence Plus Initiative: • Goal #4: To introduce into the MI Choice 1915 c Waiver for Elders and persons with physical disabilities the concepts, principles and practices for supporting arrangements that provide consumers/beneficiaries choice and control over defining, selecting, directing and purchasing needed services and supports.

5. History of Person-Centered Planning • Documented by Canadian advocates and Judith Snow • Adopted by national advocates & service delivery systems • 1976 Lanterman Act requires an IPP, becoming law in California • 1994 Howell Group of Michigan publishes definitions • 1995 advocates lobby for inclusion in the technical amendments of the Michigan Mental Health Code • April 1996 person-centered planning process is required when developing a plan of service (330.1712) • 2005 Michigan Medicaid Long Term Care Talk Force recommends and requires the implementation of person-centered practices

6. What is Person-Centered Planning? • process • relationships • responsibility • shifting power • choice • trust • respect • partnerships

7. Preplanning FundamentalsThe Person Chooses: • who is invited to their meeting • where the meeting is held • when the meeting is held • what is and is not discussed • who assists in the facilitation • who will assist in carrying out activities in the plan

8. FundamentalsWe Need to: • Listen to what the person is telling us • Understand what the person wants • Know what we can and can’t do • Provide choices, flexible services and supports • Develop a group of champions/support network to support the persons desires and preferences • Assist the person in developing partnerships and community connections

9. Person-Centered Planning is not: Doing whatever anyone wants without looking at: Health & Safety When addressing health and safety: The individual must be a partner in discussing their concerns Supports to address health and safety need to be documented

10. Medical/Behavioral Framework • Start with what is wrong with the person • Assess issues of health and safety • Determine what the person can/cannot do • Assessments of adaptive behavior • Strengths and needs list • Plans that describe how to keep the person healthy and safe and that “make” them more independent

11. An alternative approach • Start with how the person wants to live • Learn what is important to the person in everyday life • Assess issues of health and safety • Assess what the person might want to learn to get more of what is important

12. An alternative approach • Plan with the person • Describe what is important to the person • Describe what others need to know or do to support the person • Addressing any issues of health or safety in the context of how the person wants to live • Offer opportunities for learning that help the person get more of what the person wants

13. An alternative approach • As the person is getting more of what is important in everyday life • Look for opportunities for them to spend time in places and doing things where they are welcomed by the others there • As you build connections look for opportunities to establish and nurture relationships • Seek to discover what the person might like in the future and help them move in that direction

14. Principles and Values ofPerson-Centered Planning • Every person has strengths, gifts, and contributions to offer. • Every person has hopes, dreams and desires. • Each person, and those who love the person, are the primary authorities on his or her life. • Every person has the ability to express preferences and to make choices. • A person’s choices and preferences shall always be respected.

15. What about people who don’t use words to talk? • What makes the person happy or sad? • What comforts the person? • Ask those who know the person best • Share knowledge ask questions We must listen creatively:

16. People Map Home & Supports Friends Family Community Participation

17. What is a Natural Support? • Natural Support is someone who is involved in a person’s life, other than just for pay • Natural supports are built person by person • Natural supports must be reciprocal with both individuals benefiting • Natural supports can be family, friends, neighbors, co-workers, club members, and anyone the person chooses to spend time with

18. Person-Centered Stories

19. Some Thoughts…….. • Quality Person-Centered Planning takes time • People who spend the most time with the person need to receive adequate amount of training, mentoring and coaching • Subcontract agencies need training, mentoring and contract requirements to support person-centered planning • Discussion of consumer choice and control needs to be kept in the forefront with consumers leading as equal partners

20. More Thoughts…… • All documentation requirements need to be examined. • Paper must have a purpose • We need to strive for a balance between paper and delivering valued chosen services • To truly implement person-centered processes agencies must operate as team

21. Organizational Elements Necessary to Promote Person-Centered Processes • Vision • Leadership • Organizational culture rooted in trust and respect • Team development, participation, and support provided throughout the organization • Viewing all problems and issues through the lens of helping people get the lives they want • Developing/strengthening consumer, family and advocacy partnerships • Developing/strengthening community alliances