1. Conversation about OUTCOMES Mark Sweet PhD Trainer & Consultant DISABILITY RIGHTS WISCONSIN 608 267 0214 msweet@drwi.org disabilityrightswi.org msweet@drwi.org

2. OUTCOMES Planning has a long & mostly positive history 70s-80s: The Principle of Normalization the same rhythms & patterns of living for people with disabilities as those without  where, what, with whom  from the perspective of the person receiving support

3.  HMO CMO MCO  M = MANAGEMENT, MANAGED  OUTCOMES is the new word  PEONIES: Personal Experience Outcomes…  familiar and largely supported idea  Wisconsin’s method of auditing ____________________________________  good ideas are as good as those who try to implement them

4.  Personal Futures Planning  Person Centered Planning  Outcomes Interviews to learn what the person receiving support wants:  where, what, with whom,  with what accommodations or assistive technology

5. An OUTCOMES Interview to understand a member’s point of view (usually by a social worker or nurse)  Subjects identified by members to address their priorities  12 quality of life outcome areas from the member’s Point of View  Outcomes =/= Services services are ways of achieving outcomes  What before How

6. 1.I decide where and with whom I live. 2.I make decisions regarding my supports and services. 3.I decide how I spend my day. 4.I have relationships with family and friends I care about. 5.I do things that are important to me.

7. 6.I am involved in my community. 7.My life is stable. 8.I am respected and treated fairly. 9.I have privacy. 10. I have the best possible health. 11. I feel safe. 12. I am free from abuse & neglect.

8. I like my home (my job) (my room mate)  Is this an Outcome or a status report for now?  What reasonable follow-up? I want a new home (new job) (new room mate)  Outcome or a status report for now?  What reasonable follow-up?

9. I need a new door at my house for $10,000.  Is this an Outcome or one method?  What reasonable follow-up? _____________________________________  What makes a good outcomes interview?  What about people who can not communicate easily?

10. Behavior Communication   Assertiveness ___________________________________ Even unskillful action has message value  With ease of language what would s/he say?  What is s/he trying to assert?

11.  What do you see or hear …?  When is it more likely to happen?  What might s/he understand?  What might s/he be experiencing?  What other usable information?  What might s/he be trying to accomplish?  What might s/he need or want more / less?  Point of View (POV)  Desired Outcomes  How could you prepare?