Person Centered Thinking, SIS, ISPs and Quality of Life

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1 Person Centered Thinking, SIS, ISPs and Quality of Life Michael Smull For All learning happens in a framework and the framework is based on assumptions Support Development Associates 2 Michael Smull 1

2 Based on the work of Chris Argyris Learning about Support Power Over Power With Michael Smull 2

3 Plans matter only to the degree that they are used to help people get better lives Support Development Associates 5 What is person centered? A set of skills that - oeveryone can learn o Propel the learning cycle ohelp us support rather than fix owork for humans owork at every level in the organization obuild the culture of learning, partnership, and accountability Support Development Associates 6 Michael Smull 3

4 Skills for Learning/Tools for Implementing Reputation Matching Staff Communication chart Learning Logs 4 + 1?s Donut Important to/ Important for March 2011 SDA Rituals Good Day/ Bad Day Working/ Not Working 7 What is important to a person includes those things in life which help us to be satisfied, content, comforted and happy. It includes: People to be with /relationships Things to do Places to go Rituals or routines Rhythm or pace of life Things to have Important To Support Development Associates 8, Inc Michael Smull 4

5 Important To Includes what matters the most to the person their own definition of quality of life. What is important to a person includes only what people say : o with their words o with their behavior When words and behavior are in conflict, listen to the behavior. Support Development Associates 9, Inc Important For What is important for people, includes only those things that we need to keep in mind regarding Issues of health or safety o Physical health and safety, including wellness and prevention o Emotional health and safety, including support needed What others see as important to help the person be a valued member of their community Support Development Associates 10, Inc Michael Smull 5

6 Health and Safety Dictate Lifestyle Support Development Associates 11 All Choice No Responsibility Support Development Associates 12 Michael Smull 6

7 Balance Support Development Associates 13 Balancing Important TO and FOR Sequence matters: learning about what matters the most to the person first, is a critical aspect It is not about either/or; paying attention to health, safety and valued social roles is critical, but alone it is insufficient if not in the context of important TO. Risk management techniques currently often focus on assuring safety or health at the cost of what creates satisfaction for the person; need to change our frame of reference to believe that both can co-exist Support Development Associates 14, Inc Michael Smull 7

8 Important To and For are Connected Important to and important for influence each other No one does anything that is important for them (willingly) unless a piece of it is important to them Balance is dynamic (changing) and always involves tradeoffs: o Among the things that are important to ; o Between important to and for 15 Discovery/listening tools Good day/bad day Rituals and routines Reputation Communication chart Relationship map 2 minute drill March 2011 SDA 16 Michael Smull 8

9 Good Day/Bad Day What is a good day like for this person? What is a bad day like for this person (or a stressful, or really difficult day)? 17 Rituals and Routines Rituals guide us through our days and bring consistency, comfort and control Morning Going to bed Transition Birthday Cultural/Holiday Not Feeling Well Spiritual Vacation Comfort Celebration Grief/Loss 18 Michael Smull 9

10 Ed and a cup of coffee Support Development Associates 19 Rhonda Loving Adaptable A good trainer Patient and tolerant A good listener Knows what she wants Outspoken Michael Smull 10

11 Listening to Behavior A Communication Chart What is happening does We think it means And we should 21 What is Happening Rhonda does We Think It Means And We Should You are pushing Rhonda Rhonda is at the front door Rhonda has stopped eating You didn t remove her food Locks her chair Kicks the door Catches your eye, pulls down napkin Rhonda sweeps the food off her tray I don t want to go there I want to go out I m done eating I told you I was finished and you didn t listen The Learning Community for Essential Lifestyle Planning, Inc Figure out with Rhonda where she wants to go Help her outside (unless there is too much pollen, about to rain, etc.) Take leftovers away now Clean up and do better next time Michael Smull 11

12 Management Tools Matching Donut Sort 23 A Matching Profile For each Person what are... Supports wanted and needed Skills needed Personality Characteristics Needed Shared Common Interests (would be nice to have) 24 Michael Smull 12

13 John and being on time Support Development Associates 25 The Donut Sort Defining Staff Roles and Responsibilities Core Responsibilities Creativity & Judgment NOT OUR PAID RESPONSIBILITY Centered Practices, Inc Michael Smull 13

14 Mindful Learning Tools Working/Not Working (also called what makes sense/doesn t make sense) Learning Log questions Michael Smull 14

15 What works/ makes sense What doesn t work/ make sense Mother s perspective Staff s perspective Kathleen s perspective Centered Practices 29 Given the Medication Someone is Taking What makes sense, is working, the up side, right now What doesn t make sense, is not working, the downside, right now Your guess about the Person s perspective 30 Michael Smull 15

16 , Inc PCT Trainer Candidate s Learning Log Using the learning log to replace progress typical notes Date What did the person do? (What, where, when, how long, etc.) 7/05/2010 What s Working /What s Not Working Who was there? (Names of staff, friends, others, etc.) Supervisor, Intensive In Home Services team (4 staff total) What did you learn about what worked well? What did the person like about the activity? What needs to stay the same? Working/Not Working helped to keep the meeting focused on the person/supporting staff efforts & recognizing ww/nw success. Usually meeting is very bogged down in required authorizations and paperwork What did you learn about what didn t work well? What did the person not like about the activity? What needs to be different? Learned how much our current team meeting format isn t working for the team or the person. Will modify the team meeting format to include WW/NW as a permanent part of our process. 7/12/2010 thru 7/16/2010 Sorting Important to/for meetings 1hour All QP s who develop plans Staff liked working with these two tools combined. Understood that they could pull what is important to and for a person directly into the donut. Staff noticed how using the tools made planning easier. I need to work on my explanation for core responsibility. -understand the donut chart in 3 columns better than I do the donut visual. Will review definitions of each category of the donut., Inc Michael Smull 16

17 4 + 1 Questions Using the 4 questions to focus on learning and acting on that learning What have we tried? What have we learned? What are we pleased about? What are we concerned about? And then What should we try/do based on what we have learned? 33 Pam and the Support Development Associates 34 Michael Smull 17

18 Support Development Associates 35 For more information: Go to: Or contact: Michael Smull - michael@sdaus.com Support Development Associates 36 Michael Smull 18