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Person Centered Thinking Day 1 Developed by Michael Smull with Bill Allen, Marc Archembault, Sherrie Anderson, Mary Lou Bourne, Amanda George, Cherie Goss,

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Presentation on theme: "Person Centered Thinking Day 1 Developed by Michael Smull with Bill Allen, Marc Archembault, Sherrie Anderson, Mary Lou Bourne, Amanda George, Cherie Goss,"— Presentation transcript:

1 Person Centered Thinking Day 1 Developed by Michael Smull with Bill Allen, Marc Archembault, Sherrie Anderson, Mary Lou Bourne, Amanda George, Cherie Goss, Julie Malette, Michael Steinbruck, and Nolda Ware

2 Not just better plans… Help people get better lives © The Learning Community for Essential Lifestyle Planning, Inc. 2006

3 Service Life Community Life Important for addressed No organized effort to address important to To and for present Active circle of support Included in community life To and for present Closest people are paid or family Few real connections Moving from Service Life to Community Life A Good Paid Life Focus on connecting, building relationships and natural supports Important to present Important to recognized © The Learning Community for Essential Lifestyle Planning, Inc. 2006

4 A Good Paid Life Service Life Community Life Moving from Service Life to Community Life Important for addressed No organized effort to address important to To and for present Active circle of support Included in community life To and for present Closest people are paid or family Few real connections © The Learning Community for Essential Lifestyle Planning, Inc. 2006

5 Good plans create a kind of mirror – they reflect how people want to live Discontent comes from comparing what is with what could be There are 2 kinds of discontent: Optimistic Optimistic Cynical Cynical Discontent is the engine of change © The Learning Community for Essential Lifestyle Planning, Inc. 2006

6 A history of acting on things that can be changed immediately Honesty about those things that take time Signs of progress in acting on the things that take time Where change is new trust must be created Optimistic discontent requires trust based on- © The Learning Community for Essential Lifestyle Planning, Inc. 2006

7 One of the things that good plans do is hold a mirror up to the system and create discontent with what is. Without hope for change this level of discomfort becomes intolerable. Without hope for change you get denial, distortion, or departure People say this is no different from what we have always been doing Plans are distorted to suggest that what people want is what is already offered The people who have the most passion for change leave (depart) when they see no hope for change Cynical discontent © The Learning Community for Essential Lifestyle Planning, Inc. 2006

8 Level 1 change – those changes that can be made without becoming a change target – without changing core structures, responsibilities, etc. E.G. – helping people with their morning rituals, honoring what is important that doesnt require that people move or major changes in staff responsibilities 2 levels of change © The Learning Community for Essential Lifestyle Planning, Inc. 2006

9 Level 2 changes – Changes that make you a change target New responsibilities, practices, structures 2 levels of change © The Learning Community for Essential Lifestyle Planning, Inc. 2006

10 Supporting Dreams Being Mindful & Recording Learning Recognizing and Sorting Important To and Important For & Finding the Balance Between Them Defining Staff Roles and Responsibilities Matching Staff and Those Using Services Learning, Using and Recording Communication Supporting Relationships, Community Connecting Learning Log The 4 Questions Working/Not Working Skills needed to support people © The Learning Community for Essential Lifestyle Planning, Inc. 2006

11 Person Centered Thinking Skills - 1 & 2 Skill = Sorting important to from important for (and finding a better balance between) Skill = Sorting important to from important for (and finding a better balance between) Tool = Important to/for sort/table Skill = Determining staff responsibilities Skill = Determining staff responsibilities Tool = The donut © The Learning Community for Essential Lifestyle Planning, Inc Important toImportant for

12 Supports wanted and needed Skills needed Personality Characteristics (Present/Absent) Shared interests (nice to have) Person Centered Thinking Skills - 3 For each person – what are the… © The Learning Community for Essential Lifestyle Planning, Inc. 2006

13 Person Centered Thinking Skills - 4 Learning, using, and recording communication Person Centered Thinking Skills - 4 Learning, using, and recording communication What is happening ______ doesWe think it meansWe should © The Learning Community for Essential Lifestyle Planning, Inc. 2006

14 Person Centered Thinking Skills - 5 Three Mindful Learning Tools Tool #1: Analyzing situations using What works/doesnt work (also known as makes sense/doesnt make sense) © The Learning Community for Essential Lifestyle Planning, Inc What works/makes senseWhat doesnt work/make sense Persons Perspective Staffs Perspective

15 Person Centered Thinking Skills - 5 Three Mindful Learning Tools Tool #2:Using the 4 Questions to focus on learning and acting on that learning – What have we tried? What have we tried? What have we learned? What have we learned? What are we pleased about? What are we pleased about? What are we concerned about? What are we concerned about? And then What should we try/do based on what we have learned? What should we try/do based on what we have learned? © The Learning Community for Essential Lifestyle Planning, Inc ? ? ? ?

16 Person Centered Thinking Skills - 5 Three Mindful Learning Tools Tool #3: The Learning Log Using the learning log to replace typical notes Using the learning log to replace typical notes Creating a learning log for the people who use services Creating a learning log for the people who use services © The Learning Community for Essential Lifestyle Planning, Inc. 2006

17 Have our own dreams and our own journeys Have opportunities to meet new people; try new things; change jobs; change who we live with & where we live Have what/who is important to us in everyday life; people to be with; things to do, places to be Stay healthy & safe (on our own terms) Each of us want lives where we are supported by & contribute to our communities © The Learning Community for Essential Lifestyle Planning, Inc (with apologies to Abraham Maslow)

18 Terminal Irritation * Used with permission from Dave Coverly, Speedbump Comic

19 A Promise to listen to listen to what is being said and to what is meant by what is being said to keep listening A Promise to act on what we hear to always find something that we can do today or tomorrow to keep acting on what we hear Person centered planning is a set of promises © The Learning Community for Essential Lifestyle Planning, Inc. 2006

20 A Promise to be honest to let people know when what they are telling us will take time when we do not know how to help them get what they are asking for when what the person is telling us is in conflict with staying healthy or safe and we cant find a good balance between important to and important for © The Learning Community for Essential Lifestyle Planning, Inc Person centered planning is a set of promises

21 Understand What you hear depends on what you are listening for Listen © The Learning Community for Essential Lifestyle Planning, Inc. 2006

22 What is important to a person includes only what people are saying: with their words with their behavior When words and behavior are in conflict, listen to the behavior. Important to © The Learning Community for Essential Lifestyle Planning, Inc. 2006

23 What is important for people, includes only those things that we need to keep in mind regarding– Issues of health or safety What others see as important to help the person be a valued member of their community Important for © The Learning Community for Essential Lifestyle Planning, Inc. 2006

24 Importan t to Importan t for Importan t to Importan t for Health and Safety Dictate Lifestyle All Choice, No Responsibility Importan t to Importan t for Balance © The Learning Community for Essential Lifestyle Planning, Inc. 2006

25 What works/makes senseWhat doesnt work/make sense Shopping daily for favorite things Having lots of jewelry and no one getting into them without my ok Having my sister Joanne in my life Lots of blue, red and black clothes Polished nails, many colors & layers Living with Teddy, the Yorkshire Sleeping on my bed at night Snacks from my plate In my lap when I watch TV Staff dont let me drink what I want Teddy leaving me during mealtimes Having no work to do at WAC, Inc. Staff not letting me buy things I want Favorite people doing activities with her, especially John Dandy Keeping Julie from falling – reminders to use her walker Level blood sugar - staff knowing signs of low and high blood sugar Joanne is active in Julies life Planning before she goes shopping Julie is less steady on her feet and falling more than she used to If you dont make a plan with her before shopping, she will want to buy more than she has money for – Julie may get very upset which can alter her blood sugar Julie gives Teddy food off her plate. Julies perspective Staffs perspective

26 Julie What is important to Julie? What is important for Julie? What else do you need to learn/know? © The Learning Community for Essential Lifestyle Planning, Inc. 2006

27 Julie – Answer Slide What is important to Julie? What is important for Julie? What else do you need to learn/know? Relationship with Teddy Having some control – Over what happens with Teddy What she buys/wears Her things Shopping a lot Her sister &John Dandy in her life Staying busy at the day service Drinking as much as she wants Keeping diabetes under control Monitoring blood sugar, giving insulin Weighing her food Controlling amount she drinks Helping her stay calm Supporting her relationship with Teddy Keeping her from falling Planning in advance/ budgeting in advance for shopping How interested/involved is Julie in her diabetes management? What about no work to do at WAC, Inc bothers her? Is John Dandy really important to her? © The Learning Community for Essential Lifestyle Planning, Inc. 2006

28 If I had an hour to save the world, Id spend 55 minutes defining the problem. -Albert Einstein

29 USE JUDGEMENT & CREATIVITY CORE RESPONSIBILITIES NOT OUR PAID RESPONSIBILITY Inside a Persons Life © The Learning Community for Essential Lifestyle Planning, Inc. 2006

30 Not our paid responsibility Use judgment and creativity Core responsibilities © The Learning Community for Essential Lifestyle Planning, Inc What you try! (e.g. put on my sweater, cleaning cabinet tops, etc.) Help me find a meaningful job. Help me find other ways to communicate with those that cant communicate with me. Dont interfere with the private time I spend with my friends. I dont need an interpreter. They are my friends and we communicate. Dont interfere with how I choose to handle the love interests in my life. I will ask for any advice I want from whom I want. Examples from Inside Libbys Life Support independence: Look for things she can do on her own, the last item of clothing that she puts on must be put on herself (she wants you to set it up and let her do the rest) know how she communicates and take the time to communicate with her Help her stay healthy: Provide G-tube care and at least 1,500 ccs of fluid a day. She doesnt feel thirsty (you keep track), an occasional glass of wine (drinks through the g-tube).

31 Harry #1 What is important to Harry? What is important for Harry? What else do you need to learn/know? © The Learning Community for Essential Lifestyle Planning, Inc. 2006

32 Harry #1 – Answer Slide What is important to Harry? What is important for Harry? What else do you need to learn/know? To attract women To spend his money as he wants To have Georges permission To learn what to wear with minimum pain To learn to manage his money What does Harry understand about – Managing his money Attracting women, dating Where it is appropriate to wear what © The Learning Community for Essential Lifestyle Planning, Inc. 2006

33 Harry #1 – Georges Donut Not our paid responsibility Use judgment and creativity Core responsibilities © The Learning Community for Essential Lifestyle Planning, Inc. 2006

34 Harry #1 – Answer Slide Not our paid responsibility Whether or not he buys the shirt. Use judgment and creativity What you do/try to help Harry make an informed choice about – The odds against the shirt being a chick magnet Spending ½ his money for 2 weeks on 1 purchase Core responsibilities To help Harry make an informed choice – About the shirt About his money Starts with asking why he wants the shirt © The Learning Community for Essential Lifestyle Planning, Inc. 2006

35 Harry #2 What is important to Harry? What is important for Harry? What else do you need to learn/know? © The Learning Community for Essential Lifestyle Planning, Inc. 2006

36 Harry #2 – Answer Slide What is important to Harry? What is important for Harry? What else do you need to learn/know? To be around this woman, have her recognize that she wants him. To have control and power over her. To know the legal consequences of stalking To stop stalking To understand that stalking doesnt work to get an intimate relationship More about the past history of this or similar behavior? How dangerous is he? Does he get what we think he gets out of stalking? Has he ever had a regular adult relationship © The Learning Community for Essential Lifestyle Planning, Inc. 2006

37 Harry #2 – Executive Directors Donut Not our paid responsibility Use judgment and creativity Core responsibilities © The Learning Community for Essential Lifestyle Planning, Inc. 2006

38 Harry #2 – Answer Slide Not our paid responsibility To help him get sex or keep him out of jail at all costs Use judgment and creativity Short term – How you keep the woman safe until you can get him treatment Longer term – how you learn, acting on what you learn, figuring out how he can get what is important enough to him that that he will participate in treatment Core responsibilities Short term -Keep the woman safe and in the process keep him safe (and out of jail) Longer term – teach relationship skills, figure out why he is stalking, any pattern, and deal with it, seeking a way for Harry to live safely in the community © The Learning Community for Essential Lifestyle Planning, Inc. 2006

39 Bob What is important to Bob? What is important for Bob? What else do you need to learn/know? © The Learning Community for Essential Lifestyle Planning, Inc. 2006

40 Bob – Answer Slide What is important to Bob? What is important for Bob? What else do you need to learn/know? To be one of the guys To keep his friends To be in charge of his own life To have a typical life To stay healthy To stay healthy – Take his medications as prescribed Stay out of the hospital/not cycle To be connected to his community How dangerous is it for him to go off medication and have a couple of beers? Would it be OK for him to drink 1 or 2 beers and be on his medication? Is there another medication where 1 or 2 beers would be OK? How well does he understand the risks that he is taking? Would he be willing to drink non-alcoholic beer? What role does his girlfriend play in this? © The Learning Community for Essential Lifestyle Planning, Inc. 2006

41 Bob Not our paid responsibility Use judgment and creativity Core responsibilities © The Learning Community for Essential Lifestyle Planning, Inc. 2006

42 Bob – Answer Slide Not our paid responsibility Whether or not Bob drinks What Bobs psychiatrist does in response to the information Use judgment and creativity What you do to meet your core responsibilities around helping him make an informed choice – Informing Bob of the risks Educating yourself Exploring alternatives If part of the problem is the response of the psychiatrist – helping Bob find another Core responsibilities Helping Bob make an informed choice Informing Bob of the risks of his behavior Informing yourself of the actual risks and alternatives Making sure that Bobs psychiatrist knows about Bobs drinking Making an effort to explore with Bob alternative ways to get what is important to and important for him © The Learning Community for Essential Lifestyle Planning, Inc. 2006

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44 Recording learning for Charlie What we have learned about what is: IMPORTANT TOIMPORTANT FOR INSTRUCTIONS FOR SUPPORTORS: for a good balance between important to & important for, what other people need to know or do. What do we need to learn or figure out? © The Learning Community for Essential Lifestyle Planning, Inc. 2006

45 Recording learning for Charlie What we have learned about what is: IMPORTANT TOIMPORTANT FOR Water not too hot, likes it at 105 °The lift at the pool must be available A long soak, floating on his backTo always have someone with him, supporting him in the water Not to get rain on his faceMaking sure water is never over 107° Having Aaron support him in the water INSTRUCTIONS FOR SUPPORTORS:for a good balance between important to & important for, what other people need to know or do. Call ahead to make sure that the pools lift is available Have a way to shield Charlies face when it rains Dont go in if water temperature is too hot (105 ° is good) Charlie loves to float on his back, always support him. What do we need to learn or figure out? How does Aaron support Charlie to float? Is it ok for others to support him? How hot is medically too hot for Charlie? Whats a good temperature range? How long to soak? Whats too short for Charlie and whats too long medically? © The Learning Community for Essential Lifestyle Planning, Inc. 2006

46 As the person supporting Charlie to go hot tubbing… Not our paid responsibility Use judgment and creativity Core responsibilities © The Learning Community for Essential Lifestyle Planning, Inc. 2006

47 As the person supporting Charlie to go hot tubbing… Not our paid responsibility Whether or not others in the tub connect with Charlie Whether or not Charlie enjoyed himself (as long as you made an effort) Use judgment and creativity Helping Charlie meet other people who are in the tub while Charlie is there How you help Charlie to enjoy himself Core responsibilities Calling to make sure the lift is operating, dont go if it is not Making sure water temp is less than 105° Being trained to properly Support Charlie in the hot tub and do it Checking weather before you go – if rain is likely, bring an umbrella Making an effort to ensure that Charlie enjoys himself © The Learning Community for Essential Lifestyle Planning, Inc. 2006

48 What works/makes senseWhat doesnt work/make sense Shopping daily for favorite things Having lots of jewelry and noone getting into them without my ok Having my sister Joanne in my life Lots of blue, red and black clothes Polished nails, many colors & layers Living with Teddy, the Yorkshire Sleeping on my bed at night Snacks from my plate In my lap when I watch TV Staff dont let me drink what I want Teddy leaving me during mealtimes Having no work to do at WAC, Inc. Staff not letting me buy things I want Favorite people doing activities with her, especially John Dandy Keeping Julie from falling – reminders to use her walker Level blood sugar - staff knowing signs of low and high blood sugar Joanne is active in Julies life Planning before she goes shopping Julie is less steady on her feet and falling more than she used to If you dont make a plan with her before shopping, she will want to buy more than she has money for – Julie may get very upset which can alter her blood sugar Julie gives Teddy food off her plate. Julies perspective Staffs perspective

49 What works/makes senseWhat doesnt work/make sense Persons perspective Staffs perspective USE THIS INFORMATION TO BUILD THE A G E N D A FOR THINGS THAT ARE TO STAY THE SAME USE THIS INFORMATION TO BUILD THE A G E N D A FOR THINGS THAT NEED TO CHANGE Disagreements

50 © The Learning Community for Essential Lifestyle Planning, Inc. 2006

51 What works/makes senseWhat doesnt work/make sense Perspective of New puppys Owner Someone brings home a new puppy. Given your own experiences and those that you have heard from others, what does and does not make sense about having a new puppy in the house.

52 What works/makes senseWhat doesnt work/make sense Persons Perspective Given the medication that someone is taking… Staffs Perspective

53 What works/makes senseWhat doesnt work/make sense Perspective of Person Supported Your perspective Supervisors perspective Looking at how you are doing in your work…

54 What works/makes senseWhat doesnt work/make sense Kathleens perspective Mothers perspective Staffs perspective

55 What works/makes senseWhat doesnt work/make sense Relationships with friends Having her scissors at home Cutting Patterns Dressing in her own style Doing things where she stays clean Sewing at home and making her clothes Not getting to use HER scissors Getting dirty & doing jobs that involve cleaning Having to do bearings Having to do work that she doesnt like Not being listened to Kathleen has a place to go during the day Spending time with Kathleen Sewing together Kathleen is never left alone at home or workshop Her schedule has to follow the workshops Kathleen cant bring her own scissors to work There is not enough pattern work for her Kathleen will open the door for anyone Kathleen does what she is told She has a behavior program She uses whatever scissors she gets She follows the rules most of the time That she meets the criteria before being considered for enclave work Kathleen will not follow the rules consistently That Kathleen insists on using certain scissors That Kathleen doesnt want to get dirty That Kathleen doesnt like the other jobs that are available Kathleens perspective Mothers perspective Staffs perspective

56 © The Learning Community for Essential Lifestyle Planning, Inc. 2006

57 In pairs 4 minute turns for all 4 questions Listener gives good attention Thinker talks 4 minutes Swap Share freshest thinking with the group in a round Post 1-2 of the best ideas per question Adapted from Kline, Nancy. (1998). Time to Think: Listening to Ignite the Human Mind. Cassell Illustrated. Shared Talk

58 What did you learn? What will you try based on what you learned? (what will you start on right now?) What do you think you can accomplish? What will your challenges/obstacles be? What did you learn? What will you try based on what you learned? (what will you start on right now?) What do you think you can accomplish? What will your challenges/obstacles be? 4 Questions © The Learning Community for Essential Lifestyle Planning, Inc. 2006

59 for more information go to: Michael Smull Harness Creek Rd Annapolis, MD or contact:


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