1. Principles and Practices of Person-Centered Planning: Provider Network for UPCAP February 9, 2006 Pam Werner Specialist Michigan Department of Community Health 320 S. Walnut Lansing, MI 48913 E-mail: wernerp@michigan.gov Phone: 517-335-4078

2. Introductions

4. Independence Plus Initiative: Goal #4: To introduce into the MI Choice 1915 c Waiver for Elders and persons with physical disabilities the concepts, principles and practices for supporting arrangements that provide consumers/beneficiaries choice and control over defining, selecting, directing and purchasing needed services and supports.

5. History of Person-Centered Planning Documented by Canadian advocates and Judith Snow Adopted by national advocates & service delivery systems 1976 Lanterman Act requires an IPP, becoming law in California 1994 Howell Group of Michigan publishes definitions 1995 advocates lobby for inclusion in the technical amendments of the Michigan Mental Health Code April 1996 person-centered planning process is required when developing a plan of service (330.1712) 2005 Michigan Medicaid Long Term Care Talk Force recommends and requires the implementation of person-centered practices

6. What is Person-Centered Planning? process relationships responsibility shifting power choice trust respect partnerships

7. Preplanning Fundamentals The Person Chooses: who is invited to their meeting where the meeting is held when the meeting is held what is and is not discussed who assists in the facilitation who will assist in carrying out activities in the plan

8. Fundamentals We Need to: Listen to what the person is telling us Understand what the person wants Know what we can and can’t do Provide choices, flexible services and supports Develop a group of champions/support network to support the persons desires and preferences Assist the person in developing partnerships and community connections

9. Person-Centered Planning is not: Doing whatever anyone wants without looking at: Health & Safety When addressing health and safety: The individual must be a partner in discussing their concerns Supports to address health and safety need to be documented

10. Medical/Behavioral Framework Start with what is wrong with the person –Assess issues of health and safety –Determine what the person can/cannot do –Assessments of adaptive behavior –Strengths and needs list –Plans that describe how to keep the person healthy and safe and that “make” them more independent

11. An alternative approach Start with how the person wants to live –Learn what is important to the person in everyday life –Assess issues of health and safety –Assess what the person might want to learn to get more of what is important

12. An alternative approach Plan with the person –Describe what is important to the person –Describe what others need to know or do to support the person –Addressing any issues of health or safety in the context of how the person wants to live –Offer opportunities for learning that help the person get more of what the person wants

13. An alternative approach As the person is getting more of what is important in everyday life –Look for opportunities for them to spend time in places and doing things where they are welcomed by the others there –As you build connections look for opportunities to establish and nurture relationships –Seek to discover what the person might like in the future and help them move in that direction

14. Principles and Values of Person-Centered Planning Every person has strengths, gifts, and contributions to offer. Every person has hopes, dreams and desires. Each person, and those who love the person, are the primary authorities on his or her life. Every person has the ability to express preferences and to make choices. A person’s choices and preferences shall always be respected.

15. What about people who don’t use words to talk? What makes the person happy or sad? What comforts the person? Ask those who know the person best Share knowledge ask questions We must listen creatively:

16. Home & Supports Friends Community Participation Family

17. What is a Natural Support? Natural Support is someone who is involved in a person’s life, other than just for pay Natural supports are built person by person Natural supports must be reciprocal with both individuals benefiting Natural supports can be family, friends, neighbors, co-workers, club members, and anyone the person chooses to spend time with

18. Person-Centered Stories

19. Some Thoughts…….. Quality Person-Centered Planning takes time People who spend the most time with the person need to receive adequate amount of training, mentoring and coaching Subcontract agencies need training, mentoring and contract requirements to support person-centered planning Discussion of consumer choice and control needs to be kept in the forefront with consumers leading as equal partners

20. More Thoughts…… All documentation requirements need to be examined. Paper must have a purpose We need to strive for a balance between paper and delivering valued chosen services To truly implement person-centered processes agencies must operate as team

21. Organizational Elements Necessary to Promote Person-Centered Processes Vision Leadership Organizational culture rooted in trust and respect Team development, participation, and support provided throughout the organization Viewing all problems and issues through the lens of helping people get the lives they want Developing/strengthening consumer, family and advocacy partnerships Developing/strengthening community alliances