NAVIGATING CHOICE AND CHANGE: IMPLEMENTING PERSON- CENTERED PLANNING Susan Fox Patty Cotton University of New Hampshire Institute on Disability 1

Goals for Today’s Training 2  Develop a shared understanding of what we mean by a “person-centered system”  Develop a shared understanding of “person- centered planning”  Discuss the differences between person-centered and traditional service planning  Become familiar with several person-centered planning tools and their applications

PCP ACROSS SYSTEMS  Developmental Disabilities  Self Determination  Person-Centered Planning  Individual/Family Direction  Mental Health  Recovery  Medical  Informed Consent  Informed Decision Making  Shared Decision Making  Aging  Person-Centered Planning  Participant Directed Services (Self Direction/Consumer Direction/etc)  Options Counseling

Translating PCP to Aging 4  Workgroup with broad stakeholder representation  Context analysis of how the current system works  Define what we mean by a “person-centered system”  Identify principles of person-centered planning  Evaluate which PCP tools are appropriate for use with older adults  Develop and field test training curriculum

5 In order to transform the long term support system effectively, we must first create a person-centered culture.

6 Person Centered Planning Person Centered System

Person-Centered System 7  The focus of a person-centered system is on the individual, their strengths, and their network of family and community support in developing a flexible and cost effective plan to allow the individual maximum choice and control over the supports they need to live in the community.

Person-Centered System 8  A person-centered system respects and responds to individual needs, goals and values. Within a person-centered system, individuals and providers work in full partnership to guarantee that each person’s values, experiences, and knowledge drive the creation of an individualized plan as well as the delivery of services.

Person-Centered Planning NH Statutory Definition 9  RSA 151-E:4 (2007): “The person shall have the right to have their individual support plan developed through a Person-Centered Planning process regardless of age, disability, or residential setting.” (New Hampshire)  Person-centered planning means a process to develop an individual support plan that is directed by the participant and/or their representative and is intended to identify their preferences, strengths, capacities, needs, and desired outcomes or goals.

Person-Centered Planning 10 “Person-Centered Planning is a way of organizing around one person to define and create a better future.” Pete Ritchie (in O’Brien, 2002, p 11)

11 Culture Change

Process Design in PCP 12  A planned series of conversations, learning experiences and/or activities that are purposefully sequenced to boost a groups ability to organize and perform to achieve a shared purpose.  A clear structure for shifting the focus of planning and problem solving from program menus and human service solutions, to the broader perspective of individual’s and family’s lives and informal and community resources.

Traditional Support Planning vs. Person-Centered Planning 13 Traditional Support PlanningPerson-Centered Planning Decisions are to be made by “consensus” of a planning team that typically consists primarily of staff and professionals and are driven by medical needs. Focus of planning is primarily defined by a menu of service options that are offered under the HCBC waiver or other programs. Natural supports are sometimes used to augment programmatic supports. Planning occurs periodically during annual meetings or isolated problem solving events. Attention is focused on problems and “fixing.”

Traditional Support Planning vs. Person-Centered Planning 14 Traditional Support PlanningPerson-Centered Planning Decisions are to be made by “consensus” of a planning team that typically consists primarily of staff and professionals and are driven by medical needs. The participant drives decisions and invites people who they feel have important contributions to make, often including family, friends, community members and trusted allies from the service system. Focus of planning is primarily defined by a menu of service options that are offered under the HCBC waiver or other programs. Natural supports are sometimes used to augment programmatic supports. Focus of planning is defined by desired outcomes of the participant. Programmatic supports are used to augment natural supports. Planning occurs periodically during annual meetings or isolated problem solving events. Planning occurs as a process that evolves over time. Attention is focused on problems and “fixing.” Attention is focused on strengths and “building.”

Graphic Tools to Facilitate PCP 15  Visual tools in PCP can increase attentiveness, accommodate various learning styles, improve “group memory”, increase learning, and decrease meeting time.  Visual tools alleviate the professional/client perception  Need to get over “fear of the easel”

Person-Centered Tool: Timeline 16

Person-Centered Tool: Preferences Map 17

Person-Centered Tool: Relationships Maps 18

Person-Centered Tool: Places Map 19

Person-Centered Tool: Routines 20

Contact Information 21 Susan Fox Institute on Disability/UNH 56 Old Suncook Rd. Suite 2 Concord, NH Patty Cotton Institute on Disability/UNH 56 Old Suncook Rd. Suite 2 Concord, NH