An introduction to Person-centred Active Support (PCAS)

1. An introduction to Person-centred Active Support (PCAS) Ruth Jeffrey 30th January 2019

2. Slide 2 Outline • Background • Values into action and the importance of engagement in meaningful activities and relationships • The essentials of active support • Practical exercise • Recap and summary

3. Slide 3 Background • Not a new approach • Early recognition that living in the community required a different way of supporting people if they were to really have a good life. • Enabling and empowering people to participate in opportunities available was critical • Designed to help bridge the gap between what people could do themselves and what was needed for successful participation • Initially designed for those with severe and profound intellectual disability • Substantial research evidence that good active support = better outcomes for people supported Person-centred Active Support, 2nd edition c Pavilion Publishing, 2017

4. Slide 9 Quality of life domains emotional well-being: Feeling safe, happy, satisfied, having a sense of self-esteem. Helped by having safe, stable and predictable environments; positive feedback and opportunities to succeed. interpersonal relations: affiliations, affection, intimacy, friendships, interactions material well-being: adequate and appropriate accommodation; ownership, possessions, employment; income. personal development: Purposeful activities, learning new skills and knowledge, education . physical well-being: health care, mobility, wellness, nutrition self-determination: choices, personal control, decisions, personal goals social inclusion: natural supports, integrated environments, participation Rights: privacy, dignity, barrier free environments, contributing to society

5. Slide 12 Values into action: what would you see? Inclusion • Taking part • Ordinary activities everywhere • With other people • Independence • Broadening experience • Just enough help and support • Experiencing success • Choice • Broadening experience • Communicating their decision • Having their decisions respected All quality of life domains require the person to be actively taking part in all aspects of their life. We call this participation ‘ENGAGEMENT IN MEANINGFUL ACTIVITIES AND RELATIONSHIPS’

6. Slide 4 Engagement in meaningful activities and relationships Person-centred Active Support, 2nd edition c Pavilion Publishing, 2017

7. Slide 5 Engagement defined Engagement is: • doing something constructive with materials; eg laying a table, loading a washing machine, making a collage, listening to a radio, watching bubble tube in snoezelen • interacting with people; e.g. talking or listening to them or paying attention to what they do – making eye contact, watching someone show how to do something • taking part in a group activity; e.g. watching the ball and running after it in football, rolling ball down shute at bowling alley. Person-centred Active Support, 2nd edition c Pavilion Publishing, 2017

8. Slide 7 Some practical examples Disengagement Engagement cutting the grass asking newsagent for magazine swimming polishing furniture Paying for shopping at supermarket waving to/talking with the neighbours writing a story using the computer teaching someone else Working out a maths problem playing a board game Person-centred Active Support, 2nd edition c Pavilion Publishing 2017 • just sitting or standing • pacing about aimlessly • sitting in the car • not acknowledging or responding to contact • rocking, finger-flicking • getting agitated or angry waiting for staff

9. Slide 6 Activity: are they engaged? Which of the examples demonstrate engagement in meaningful activities and relationships? Person-centred Active Support, 2nd edition c Pavilion Publishing 2017

10. Engagement?

11. Engagement?

12. Slide 8 Example of disengagement