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This resource provides information on obtaining ISP materials and templates online. It covers topics such as the ISP learning cycle, shared planning, personal profiles, agreements, and more.
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PC ISP 2015 Presented by Provider Development DBHDS Division of Developmental Services April 2015
Obtaining ISP materials ISP templates and videos are available online here: http://www.dbhds.virginia.gov/ Select links in the following order to access the ISP Professionals And Service Providers Developmental Services Provider Development Person-Centered Planning
The ISP Learning Cycle Before the Annual ISP Meeting Important TO Important FOR At the Annual ISP Meeting Part III Shared Planning After the Annual ISP Meeting Part II Personal Profile Part IV Agreements Person Part I Essential Information Part V Plan for Supports SIS START PC Reviews and Learning Documentation
Updates emphasize… Comprehensive supports and most integrated settings Measurability Employment First PC ISP Community participation Skill-development Psychotropic medication use Monitoring Choice and control Risk
Steve and Mary See ISP Training Packet pages 2 and 3
Part I: The Essential Information PART I: The Essential Information
Part I: The Essential Information Key updates: • Representation • Friends & Community Contacts • Psychotropic Medication use • Employment First • Exceptional Support Needs • Plan for Self-Sufficiency • Review of Most Integrated Settings
Part I: The Essential Information Representation CMS Final Rule guidance: People under guardianship or other legal assignment of individual rights, or who are being considered as candidates for these arrangements, should have the opportunity in the PCP process to address any concerns.
Part I: The Essential Information Page 4 Representation
Part I: The Essential Information F R I E N D S
Moving from Service Life to Community Life A Good Paid Life CommunityLife Service Life ‘Important to’ recognized Focus on connecting, building relationships and natural supports ‘Important to’ present • To and for present • Closest people are • paid or family • Few real connections • To and for present • Active circle of support • Included in community life • Important for addressed • No organized effort to address important to TLC-PCP 2013 www.learningcommunity.us
Part I: The Essential Information Friends & Community Contacts Supported by… Person-Centered Practices Settlement Agreement CMS Final Rule
Part I: The Essential Information Page 4 Friends & Community Contacts
Part I: The Essential Information C O N S E N T
Part I: The Essential Information Psychotropic Medication use • Per the Office of Human Rights the record should show: • the medication prescribed, to include dosage; • an acknowledgement, if appropriate, that the individual/decision-maker was made aware of the risk/benefits/side effects by the prescribing physician; • contact information for the prescribing physician for any further questions; • the signature of individual and/or decision-maker.
Part I: The Essential Information Psychotropic Medication use Page 4
Part I: The Essential Information Page 5 W O R K
Part I: The Essential Information S A F E T Y
Part I: The Essential Information Active Medical and Behavioral Support Needs
Part II: The Personal Profile Page 2 What support needs must be planned for with Steve? Practice
Part I: The Essential Information Active Medical and Behavioral Support Needs: Steve Page 6 Practice
Part I: The Essential Information Active Medical and Behavioral Support Needs: Steve
Part II: The Personal Profile Page 3 What active medical or behavioral support needs must be planned for with Mary? Practice
Part II: The Personal Profile Active Medical and Behavioral Support Needs: Mary Page 6
Part II: The Personal Profile Active Medical and Behavioral Support Needs: Mary Practice
Part I: The Essential Information CHOICE and CONTROL
Part I: The Essential Information The Plan for Self-Sufficiency Considers future plans for inclusion; Replaces “discharge plan” in the ISP; Applies to every individual.
Part I: The Essential Information Page 7 Steve
Part I: The Essential Information Page 7 Mary
Part I: The Essential Information I N C L U S I O N
Part II: The Personal Profile PART II: The Personal Profile
Part II: The Personal Profile Profile Areas: • My Meeting • Talents & Contributions • The Life I Want • My Life Today • Getting the Life I Want
What makes a person happy, content, fulfilled People, pets daily routines and rituals, products and things, Interests and hobbies, places one likes to go Part II: The Personal Profile Important TO 39
What we need to stay healthy, safe and valued Physical and emotional health Safety and security Things that make you valued in community Part II: The Personal Profile Important FOR Do you know the active medical and behavioral supports needed for each person? 40
Part II: The Personal Profile Do the individual’s desired outcomes relate to talents, preferences and needs as identified in the assessments and individual support plan?
Part II: The Personal Profile Do you know what is needed for health and happiness? TO FOR
Part II: The Personal Profile Page 10
Part II: The Personal Profile Page 11 What is important to YOU about work? Practice
Part II: The Personal Profile Page 12 What is important TO Steve about work? Practice
Part II: The Personal Profile What is important TO Steve about work?
Part II: The Personal Profile What is important TO Steve about work?
Part II: The Personal Profile What is important TO Steve about work?