Person-Centered Practices

1. Person-Centered Practices Donna L. Holt March 24, 2010

3. Implementing Person-Centered Concepts • Grants for systems change from Centers for Medicare and Medicaid Services (CMS) have helped support our work in development of a person-centered system. • Systems Transformation • Person-Centered Planning • Person-Centered Hospital Discharge Planning

4. The Person is at the Center

5. Person-Centered Concepts and Philosophy • Person-Centered Concepts: • Shift to thinking beyond diagnosis or illness as the basis for service delivery. • Person-centered thinking puts you in a different mindset. • Person-Centered Philosophy: • Recognizes that people with disabilities and those who are aging are unique individuals with unique needs, wants and desires. • Person-Centered allows us to move from a “care” role to that of a “support” role—supporting the person in the lifestyle he or she chooses and helping make dreams become reality.

6. Person-Centered Principles • Key Values and Principles • Foundation of a Person-Centered System • Applies to ALL people • A person-centered system involves person-centered thinking, planning and organizations

7. Person-Centered Thinking Training • Two Day Curriculum Based on model from The Learning Community for Person-Centered Practices • Introduces new PC tools which offer a framework to: • Listen for and identify desired outcomes • Put issues of health and safety into the context of what is necessary to be satisfied, content, comforted and happy • Engage in practical ways of learning with people and within agencies and organizations • Work to determine a plan (action steps) to achieve people’s preferred outcomes

8. “Important TO” The Person We Support • What “is important TO” a person includes: • People to be with / relationships • Things to do • Places to go • Rituals or routines • Rhythm or pace of life • Things to have • “Quality of life” • What is “important TO” a person includes what people are “saying”: • with their words • with their behavior

9. “Important FOR” The Person We Support • What is “important FOR” people includes only those things that we need to keep in mind regarding– • Issues of health or safety • Physical health & safety, including wellness and prevention • Emotional health and safety, including support needed • What others see as important to help the person be a valued member of the community

10. Balance

11. Person-Centered Planning is a Set of Promises • To listen to what the person says • To also listen for what is meant • To act on what we hear • To keep acting on what we hear • To be honest with the person when: • What is being requested will take time • We do not know how to help get what is being requested • What the person is requesting conflicts with staying healthy or safe, and we cannot find a good balance between “important to” and “important for”

12. Person-Centered Organizations • Person-centered organizations: • Support people in having the lives that they want within their own communities • Value and support those who work within the organization • Work to insure that the policies and practices are efficient and effective in supporting people who use services and employees • Work to have a culture of partnership, learning and accountability

13. Other Person-Centered Activities • Developing additional technical assistance modules: • Using person-centered thinking tools in: • Planning • Informal network assessment • Community assessment • Person-Centered Conference; Greensboro Embassy Suites; May 26th • Learning Communities

14. Contacts • Donna Holt, Program Evaluator NC DHHS Office of Long-Term Services & Supports Phone 919-855-4427 email Donna.Holt@dhhs.nc.gov website OLTS-- www.ncdhhs.gov/olts • Tanya Richmond, MSW, CRCC, LCSW UNC CARES, Jordan Institute for Families, UNC-CH Phone 919-962-6587 email Tanya_richmond@unc.edu website UNC CARES-- http://ssw.unc.edu/cares/pct.htm Notes: Some slides taken from slides developed by The Learning Community for Person-Centered Practices and Michael Smull http://www.learningcommunity.us • This document was developed under Grants No. 1LQCMS300077 and 1LOCMS030197/01 from the US Department of Health and Human Services, Centers for Medicare & Medicaid Services. However, the contents herein do not necessarily represent the policy of the US Department of Health and Human Services, and you should not infer endorsement by the Federal government. Please include this disclaimer whenever copying or using all or any part of this document in dissemination activities.