Lessons – Page 63 – HDI Learning

Recreation

Recreation is what we do for fun. In this lesson, we will explore universal design considerations for recreation.

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📹 Please note that all videos must be watched until the end to continue in the course.

Rosella is a 42-year-old woman living in a Personal Care Home. She is diagnosed with Bipolar Disorder, non-insulin-dependent diabetes, hypertension, and has a history of seizures. She also has a history of being exploited by others. Rosella is friendly, determined, and always willing to ask for help.

Several years ago Rosella completed her GED. She is able to cook with a microwave and is wanting to manage her diabetes better. She is not as skilled in meal planning, budgeting, and remembering to administer her medication. She already had basic skills in technology and is able to use the internet and has basic computer skills.

Rosella is involved in the community and loves to visit a local pet store where the staff let her play with the animals and help out, when possible. The staff enjoys her coming to the store and the animals always get excited when she comes by. Rosella really loves playing and working with animals. Regular customers know Rosella.

Team Member Roles

Illustration of a woman with blonde hair in a bun wearing a read jack and black glasses

Using a person-centered approach to support Rosella’s goals, decisions, and desires ensures that she is supported to live in the community as a valued friend and contributing citizen. The more you know about a person, the better you are able to understand the person.

Rosella has set a goal to move into her own apartment and gain employment at a pet store. Now that we know Rosella a little better, let’s think about how we can use person-centered planning to help her achieve this goal.

Rosella’s Role:

To communicate with the team and work cooperatively towards this goal.
To work with her team on goal setting and eventual move.
To work on steps identified as part of a move-out plan.
To contact the Office of Vocational Rehabilitation and ask for an intake appointment

Guardianship State Service Worker (GSSW) Role:

To review the case history and determine any risk factors or barriers.
To communicate with Rosella and the team about any identified issues.
To support the planning process within the bounds of the guardianship court orders.
To set up the flow of funds to pay for things like classes, a bus pass, etc.
To sign needed consent documents/consent forms.

**In-Reach Team Role*:**

To assist with case history review and determine any risk factors or barriers
To assist with necessary evaluations and appointments for medical and psych services, if needed.
To facilitate the development of a detailed move-out plan, that includes the when, where, how & who is responsible for the tasks
To train Rosella and her staff on the final plan & assist her with the move out plan
To coordinate/facilitate ongoing meetings about the goal and how best to meet this desire

*In-Reach is through the Community Mental Health Centers to help individuals who are moving into independent living in the community.

Personal Care Home Staff Role:

To support Rosella and her desire to move out.
To assist in her education about medications.
To assist with her desire to be out in the community.
To communicate with the team her progress and any issues that arise.

Scenario: Meet Linda

A woman in a blue shirt is standing with her arms out. She stands in front of a walkway leading to an open door. Planted shrubs and a flower pot are behind her.

This is Linda. Linda lives in her own apartment with Personal Assistance through the Supports for Community Living waiver. Linda never went to school but worked, mostly in part-time jobs, all of her adult life. At age 66, she retired and receives a substantial Social Security retirement payment because she worked.

Linda is a woman of few words but makes her personal preferences known when asked questions in response to a suggestion or request where she will respond emphatically with “yes” or ‘NO WAY.”

For example, going grocery shopping, picking up supplies for her black bunny named Midnight, picking up art supplies for her crafting/art projects, spending the weekend and holidays with her friend Bonnie (whom she has known since 1996), walking to get her steps in every day, looking at pictures of friends’ FaceBook page, attending a work-out class at one of her staff member’s church, hanging out with friends who live in the same apartment building in the common area, and cooking with assistance in her apartment are all activities she enjoys.

“NO WAY” includes possibly having to go to the hospital (which she did after she fell and fractured her pelvis in April of 2020 and then for surgery for an invasive melanoma in her scalp in January of 2021), gaining back the 50 pounds she has lost in the last three years, wearing hearing aids (had a bad experience with one of the amplifiers getting detached and stuck in her ear requiring outpatient surgery for it to be removed), and when asked if she has ever smoked. Like most people, she does not like change in her staff and is anxious about planning meetings as she is concerned it means something is going to happen.

Using a person-centered approach to support her goals, decisions, and desires, we will ensure that Linda is supported to live in the community as a valued friend and contributing citizen.

Team Member Roles

Using a person-centered approach to support Linda’s goals, decisions, and desires, ensures that Linda is supported to live in the community as a valued friend and contributing citizen. The more you know about a person, the better you are able to understand the person.

Linda has verbalized that she wants to travel to Disneyworld within the next two years. Now that we know Linda a little better, let’s think about how we can use person-centered planning to help her achieve this goal.

Linda’s Role:

To communicate her desires for the trip & assist with an itinerary (where to stay, what to do, sites to see, etc.).
To work with her team on saving money for the trip, as it will be expensive.
To work on physical stamina and strengthening for the travel and park days.

Guardian State Service Worker (GSSW) Role:

To review the trip budget and assist with a savings plan.
To assist with obtaining the necessary travel ID.
To obtain needed out-of-state travel authorization.
To arrange the payment of the trip with her saved funds in the Kentucky Guardianship Association’s (KGA) Pooled Trust.
To consent to any pre-trip appointments, therapies, and possibly sign documents.
To communicate with the provider, and team, as needed.
To support the planning process within the bounds of the guardianship court orders.

Case Management Role:

To assist with trip details, itinerary and cost planning.
To arrange any therapy or physical fitness access so she can work towards improved stamina
To coordinate/facilitate ongoing meetings about the goal and how best to meet this desire.

Provider Agency/Personal Assistance Direct Support Professional Role:

To assist and accompany on appointments
To support Linda’s desire to improve her physical stamina/strengthening.
To assess and arrange the staffing needed to support her while on the trip.
To provide any training to those accompanying her on her needs, plans, and safety provisions.
To maintain spending logs and receipts, and return them to the GSSW within 30 days of the trip.

Lesson

How to Use a Person-Centered Approach

The whole person is the center. This includes abilities, goals, career, skills, interests, and family.

Person-centered planning takes into consideration the whole person. The person in need of services is seen and understood by those who deliver the service. This results in an internal consistency in the ways that person is served.

Service Plan versus Contract

Person-centered is different from more traditional approaches to service delivery. In more traditional methods the service team makes the decision FOR the person and not WITH them.

In Guardianship, we do not use the term “contract” when referring to person-center planning with individuals under guardianship.

A person-centered plan:

Is a non-authoritative approach and does not involve professional superiority over an individual receiving services.
Allows an individual to take a lead role in discussions and decisions made regarding their care, services, personal goals, etc.
Requires compassionate facilitation and critical listening skills without judgment of an individual’s personal experience, circumstances, thoughts, and feelings.
Supports and guides an individual in a way that empowers their voice, motivates self-confidence, and a stronger sense of identity.
Is individualized and flexible and takes into account that everyone has a unique level of ability and that people are more than their diagnosis.
Frames care and services thru the eyes and voice of the recipient of services.

Your Role as a Guardian in Person-Centered Planning

Initial Application User Guides

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KICCS stores and maintains child care applications for the following provider types: Licensed, Certified, Out of State, Military Providers, and Registered.

Information about the types of child care providers can be found on this webpage.

Click on the first topic below to learn more about initial applications.

Trainers Institute Recap – May 2022

Zoom Recording

Additional Resources

Discussion Forum

Use this space to continue our conversation on Trainers Institute Recap, so that we support each other in this work. Ask/answer questions, share successes and challenges, and respond to each other!

(If you have any trouble posting, email your questions to julie.halitzka@uky.edu, and we will post for you.)

Course Evaluation

DAIL-G 104: Guardianship Court Process and Forms

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Guardianship Court Process

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When an adult is not able to care for themselves and alternatives to guardianship are not available or feasible, the adult may need a guardian or conservator. Establishing guardianship requires that an individual be determined disabled. This process begins with a petition filed in the District Court where the individual who may need a guardian resides.

The District Court Clerk facilitates adult guardianship cases and will monitor cases through the legal process.

Click on the first topic below to start learning about the guardianship court process.

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Course Wrap Up Copy

You have completed DAIL: Person-Centered Planning! Please note, that your supervisor may have follow-up questions or need more information. Please respond to any requests in a timely manner.

Once you mark this final lesson complete you will have access to your certificate to verify the completion of DAIL: Person-Centered Planning. This certificate will also then be available at the beginning of the course anytime you log on.

Reminder from Aida

This course is part of a series of trainings required for all new employees All new hires are required to satisfactorily complete trainings before being assigned cases.

All courses must be completed in order and in a timely manner.

This includes DAIL:

New Employee Orientation Part 1 (completed!)
New Employee Orientation Part 2 (completed!)
Guardianship Program Overview (completed!)
Universal Precautions (completed!)
Person-Centered Planning (completed!)
Supported Decision Making
Effective Case Work Documentation
Guardianship the Law
Court Process and Forms
Guardianship SOP
Levels of Care
Common Diagnoses Explained
Kentucky Medicaid Overview
Incident Reporting
Medical Consent
DNR/EOL
Guardianship Community Partners and Collateral Contacts
Safety Awareness
Communication and Coping When a Client Passes Away
KYGFIS System Training

Click the “Mark Complete” button below to access your certificate of completion.

Course Evaluation Copy

DAIL 105: Person Centered Planning

The training increased my knowledge of person centered planning.(Required)

I will be able to apply the knowledge learned.(Required)

The training objectives were identified and followed.(Required)

Content was interactive.(Required)

The course content was well organized and easy to follow.(Required)

Content was presented in a visually appealing way.(Required)

Content was accessible on the device I used (laptop, tablet, etc.)(Required)

After this training I….

Can identify the differences between system-centered and person-centered planning approaches.(Required)

Understand key principles behind using Person-Centered Planning as a guardian.(Required)

Recognize the roles of team members in the planning process.(Required)

What helped support your learning or could be improved?(Required)

Were there items that you were not satisfied with or did not fully understand?(Required)

What aspects of the training did you like the most or find the most valuable?(Required)

Which of the following best reflects your level of satisfaction with the training?(Required)

5 Key Principles of Person-Centered Planning – An Easy Read Guide Copy

Watch this short video, on the 5 key principles of Person-Centered Planning.

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Regardless of which person-centered planning tool you use, understanding and using these 5 principles are key to supporting the individuals you serve and helping to live their best life.

Life Course Tools Copy

A third set of Person-Centered Planning tools are the Life Course Tools. These were developed primarily by family members and people with disabilities to chart a vision for a good life in relation to six domain areas that are shared in the materials that follow. All of the templates are free and available from the Life Course Tools website.

Watch this short video about Crystal and how she used Life Course tools to help her son.

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Black and white drawing of a lightbulb with a pencil outlining the shape.

What did Crystal learn about her son through this process?

Click on the first topic below to learn more about Life Course Tools.

Person-Centered Thinking Copy

A second set of Person-Centered Planning Tools have been developed and utilized by Dr. Michael Smull and Associates. These tools embrace the concept of “person-centered thinking” which begins with learning both what is important to a person and what is important for a person, the balance between them, and discussing trade-offs. A tool that could be helpful for a guardian is a One Page Profile.

Take a look at Elizabeth Kate’s One Page Profile below. Click the image to open in a new window to view in more detail.

Watch this short video of Courtney on how a One Page Profile can be used with Person Person-Centered Thinking.

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Click on the first topic below to start learning more about Person-Centered Thinking

PATH – Planning Alternative Tomorrows with Hope Copy

The first Person-Centered Planning tool is PATH, which stands for Planning Alternative Tomorrows with Hope. PATH uses a group process for discovering a way to move toward a positive and possible goal, which is rooted in life purpose, by enrolling others, building strength and finding a workable strategy.

Using PATH would require buying the PATH Classic Book from the Inclusion Press website.

Watch this short video on how to create a PATH.

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There are several resources about PATH on the Inclusion Press website. Explore the Inclusion Press website to see all the resources available. I would encourage you make sure you look at the book resources as well.