Enabling Independence and Person Centred Approaches

1. Enabling Independence and Person Centred Approaches 11 September 2014 Enabling Independence and Person Centred Approaches © Carrie Hayter Consulting 1 Northside Community Forum, 4 September 2014

2. About Carrie Hayter Consulting • Transitioning to personalised support – Research, Evaluation & Translation – A Handbook for community care services , Empowering People, enhancing independence, enriching lives with Alt Beatty Consulting for NSW Government – Strategic Planning – Education, coaching and mentoring – Person Centred Practice and Thinking (managers and support workers) – Cultural Diversity and Cultural Competence – Ageing and Sexuality (managers) – Ageing and Sexuality (frontline workers) – Consumer Directed Care (Managers and Support Workers) – Living Life my Way (Service Users) 11 September 2014 Enabling Independence and Person Centred Approaches © Carrie Hayter Consulting 2

3. ACTIVITY 1 11 September 2014 Enabling Independence and Person Centred Approaches © Carrie Hayter Consulting 3

4. Learning Outcomes By the end of the course participants will: • Describe the key principles of person centred thinking; • Apply key elements of person centred thinking to practice; • Apply practical tools to support your practice and agency in implementing person centred thinking; • Explore ways of measuring outcomes for older people, people with disabilities and their carers; and • Describe the systems or processes in your organisation that need to change to support person centred practice. 11 September 2014 Enabling Independence and Person Centred Approaches © Carrie Hayter Consulting 4

5. Why an enabling and person centred approach? 11 September 2014 Enabling Independence and Person Centred Approaches © Carrie Hayter Consulting 5 Policy Research Practice

6. 11 September 2014 Enabling Independence and Person Centred Approaches© Carrie Hayter Consulting 6

7. 11 September 2014 Enabling Independence and Person Centred Approaches © Carrie Hayter Consulting 7 Built Environment Physical Activity & Wellbeing Carer wellbeing Assistive Technology Choice and Control Community Connections Research

8. Why an enabling and person centred approach? Enabling Independence and Person Centred Approaches © Carrie Hayter Consulting 11 September 2014 8 Policy State and Territory Govts: - Victoria: Active Service (now Person Centred Approach) - Western Australia: Wellness - NSW: Enabling - Tasmania : Wellness and Independence Federal Government policy directions • Enablement and restorative approaches UN Convention on the rights of people with a disability Productivity Commission: - Caring for Older Australians - Disability, Care and Support Living Longer Living Well Package Home Support Program Discussion paper Practice

9. Research Policy UN Convention on the Rights of People with a Disability Productivity Commission Reports National Disability Insurance Scheme (NDIS) launch sites from 1 July 2013 Consumer Directed Care Packaged Care from 1 July 2013-2015 Research on consumer directed care models - choice and control for people with a disability and cost savings (Glendenning 2008, Ottman, 2009, Leadbetter, 2004) Low take up of individualised budgets by older people (Glendenning et al 2008) (Ottmann, G., Carmel, L., & Allen, J. (2012) Enabling Independence and Person Centred Approaches © Carrie Hayter Consulting 11 September 2014 9

10. Consumer Directed Care Models in 11 September 2014 Australia Case Management & Brokerage Individualised Budgets Cash for Care Self Managed/ Direct Payments Attendant Care Packages National Disability Insurance Scheme Service User control of money and resources Enabling Independence and Person Centred Approaches © Carrie Hayter Consulting 10 Home Care Packages

11. National Disability Insurance Scheme NDIS National Disability 11 September 2014 Insurance Agency Assessment Registered Providers with NDIS Devika (consumer) Nominees/ Support Planner 11 Enabling Independence and Person Centred Approaches © Carrie Hayter Consulting

12. 11 September 2014 25,000 for support National Disability Insurance Australia Make Movies Nominees/ Support Planner Devika Get up and get ready Go to church Get Ready for bed in evening Enabling Independence and Person Centred Approaches © Carrie Hayter Consulting 12

13. Aged Care Policy Developments HACC & NRCP Program 1 July 2015 Home Support Program • HACC • National Respite for Carers Program • Day Therapy Centres • All other Commonwealth aged care programs • Discussion paper on home support program Packaged Care Programs • 1 July 2013 til July 2015 – Home Care Packages – Consumer Directed Care – Individualised Budget Model • Transition for existing packages 11 September 2014 Enabling Independence and Person Centred Approaches © Carrie Hayter Consulting 13

14. Consumer Directed Care Home Care Packages Amanthi Amanthi 11 September 2014 Goals What matters most Outcomes Independence Approved Provider ACAT Tier 1 Tier 2 Tier 3 Tier 4 Strengths & Needs Individualised Budget Outcomes 14 Enabling Independence and Person Centred Approaches Copyright Carrie Hayter Consulting

15. Who is driving the bus? 11 September 2014 Enabling Independence and Person Centred Approaches © Carrie Hayter Consulting 15

17. People leading the Way Village to Village Network Boston Beacon Hill Village • Grass roots movement created by older for older people • Member based http://www.beaconhillvillage.org Village to Village Network http://www.vtvnetwork.org/ Australia Waverton http://wavertonhub.com.au/ My Choice Matters • Ideas and resources for people to have more voice, choice and control • Run my projects • Become a leader http://www.mychoicematters. org.au/ 11 September 2014 Enabling Independence and Person Centred Approaches © Carrie Hayter Consulting 17

18. What is an enabling/ person centred approach? 11 September 2014 Enabling Independence and Person Centred Approaches ©t Carrie Hayter Consulting 4. Builds on a person’s strengths and interests and their life story 18 2. Promoting independence, by restoring capacity and well-being through activity, social connections, skills and assistance 3. Focuses on a person’s goals and tailors support to individuals. This includes what is important for and important to a person 1. Promotes active ageing and social inclusion 5. Builds positive partnerships

19. 11 September 2014 Consumer Directed Care Service Users Practice Staff & Volunteers Budgets Cost Carers Life story Direct/ Indirect Training & Support Education & Support Goals and Vision Creative Culture Person Centred Thinking, Mission and Vision Launch Pad Enabling Independence and Person Centred Approaches © Carrie Hayter Consulting 19

20. ‘Important to’ and ‘Important for’ Important to Important for • What is important for people are the things that help people become or stay healthy and safe, whether it is important to them or not 11 September 2014 Enabling Independence and Person Centred Approaches © Carrie Hayter Consulting 20 • What is important to a person is what they say through their own words and behaviours about what really matters to them (eg comfort, happiness). Source: Helen Sandersonson and Associates http://www.helensandersonassociates.co.uk/reading-room/how/person-centred-thinking/person-centred-thinking-tools.aspx

21. ACTIVITY 3 11 September 2014 Enabling Independence and Person Centred Approaches Copyright Carrie Hayter Consulting 21

22. People’s stories • If you had a great day what would you be doing? • What is stopping you from doing this now? • Who is the best person to support you to have a great day? • What would make a big difference in your life? 11 September 2014 Enabling Independence and Person Centred Approaches © Carrie Hayter Consulting 22

23. Building Informal Networks • What are the important relationships in your life? – How can we support these during the week/month? – Who would be the best person to do this? • What are the opportunities to make further relationships? – How can we make this happen? – Where, when and who is best to provide support? • What are your gifts and contributions? – Where could these be used and valued in the community? – How could we explore this? – When, where and who is the best to provide support? (Scown, S., & Sanderson, H. (2011) 11 September 2014 Enabling Independence and Person Centred Approaches © Carrie Hayter Consulting 23

24. 11 September 2014 Enabling Independence and Person Centred Approaches© Carrie Hayter Consulting 24 Must haves Love to have What is stopping you from having more of the love to haves in your life?

25. The people in my life 11 September 2014 Family Friends Paid Supporters Source: Adapted from Scown & Sanderson, 2011 Enabling Independence and Person Centred Approaches© Carrie Hayter Consulting 25

26. 11 September 2014 Places I like to go Enabling Independence and Person Centred Approaches © Carrie Hayter Consulting 26

27. Good Day and Bad Day Good Day Bad Day What does a bad day look like? 11 September 2014 Enabling Independence and Person Centred Approaches © Carrie Hayter Consulting 27 What does a good day look like? What needs to happen to have more good days rather than bad days? Source: Helen Sandersonson and Associates http://www.helensandersonassociates.co.uk/reading-room/how/person-centred-thinking/person-centred-thinking-tools.aspx

28. My Routines Day Mornings Afternoon Evening Monday 11 September 2014 Source: Adapted from Scown & Sanderson, 2011 Tuesday Wednesday Thursday Friday Saturday Sunday Enabling Independence and Person Centred Approaches © Carrie Hayter Consulting 28

29. 11 September 2014 What people appreciate and admire about me…. One Page Profile About me. Put a photo or describe a few words What is important to me This tells people in your own words what is really important to you, what your hobbies and interests are, who is important to you and what makes a ‘good’ day for you. How best to support me………. What do others need to know to make sure you get the best support possible? ( be specific, the more specific, the more people will understand) Source: Adapted from Scown & Sanderson, 2011 Enabling Independence and Person Centred Approaches © Carrie Hayter Consulting 29

30. 11 September 2014 Enabling Independence and Person Centred Approaches © Carrie Hayter Consulting 30 Source: Helen Bowers, Gill Bailey, Helen Sanderson, Lorna Easterbrook and Alison Macadam, Person Centred Thinking with Older People Practicalities and Possibilities downloaded on 1 May 2014 from http://www.helensandersonassociates.co.uk/media/12222/full%20book.%20practicalities%20and%20possibilities

31. SMART Goals Specific - Is it specific and does it have meaning for people? Measureable - Goals need to be able to be measured. How can you measure progress? Achievable - People need to own their goals – Is it achievable? Realistic - How realistic is the goal? Timed - Without a time frame goals may not be implemented. 11 September 2014 Enabling Independence and Person Centred Approaches © Carrie Hayter Consulting 31

32. Language of Goals • Choose verbs and action words such as: – Give, Join, Practise, Write, Complete, Plan, Arrange, Achieve, Learn, Meet, Prepare, Organise etc ( Community West, 2011) 11 September 2014 Enabling Independence and Person Centred Approaches © Carrie Hayter Consulting 32

33. ACTIVITY 4 – Person Centred Reviews 11 September 2014 Enabling Independence and Person Centred Approaches © Carrie Hayter Consulting 33

34. 11 September 2014 Consumer Directed Care Service Users Practice Staff & Volunteers Budgets Cost Carers Life story Direct/ Indirect Training & Support Education & Support Goals and Vision Creative Culture Person Centred Thinking, Mission and Vision Launch Pad Enabling Independence and Person Centred Approaches © Carrie Hayter Consulting 34

35. Developing Individualised 11 September 2014 Budgets Area What do we need to know? Costs Direct Costs Indirect Costs Costs to consumers What is reasonable and unreasonable cost to consumer Administration costs need to be broken down Educating carers and consumers What support and information needs to be provided to consumers and carers? Enabling Independence and Person Centred Approaches© Carrie Hayter Consulting 35

37. Strategy Transitioning to the Future • Educating service users • Philosophy and culture • Flexible management • Unit costs Staff • Training & supervision • Providing structures for reflective practice Ideas • Testing Ideas • Start Small and evaluate 11 September 2014 Enabling Independence and Person Centred Approaches © Carrie Hayter Consulting 37

38. 11 September 2014 I am happiest when…. What makes you happy at work? About me. Put a photo or describe a few words What is important to me This tells people in your own words what is really important to you, what your hobbies and interests are, who is important to you and what makes a ‘good’ day for you. How best to support me………. What do others need to know to make sure you get the best support possible? ( be specific, the more specific, the more people will understand) One Page Profile for Staff Source: Scown & Sanderson, 2011, Enabling Independence and Person Centred Approaches © Carrie Hayter Consulting 38

39. Reflective Practice – What have you tried? – What have you learned? – What are you pleased about? – What are you concerned about? – What do you need to do next? 11 September 2014 Enabling Independence and Person Centred Approaches © Carrie Hayter Consulting 39 Source: Adapted from Helen Sandersonson and Associates http://www.helensandersonassociates.co.uk/reading-room/how/person-centred-thinking/person-centred-thinking-tools.aspx

41. Summary Key Themes • Social Inclusion • Building on Strengths and Interests • Developing a plan • Individualised Budgets • Systems and Processes 11 September 2014 Enabling Independence and Person Centred Approaches © Carrie Hayter Consulting 41

Enabling Independence and Person Centred Approaches

Enabling Independence and Person Centred Approaches

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