Individualized Planning and Services Gail Fanjoy and Dale ......Individualized Planning and Services...

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EFSLMPPILOT PROVIDER TRANSFORMATIONWEBINAR #4

JULY 13, 2017 1:00P– 2:30PEASTERN

Individualized Planning and Services

Gail Fanjoy and Dale VerstegenEFSLMP National Subject Matter Experts

GailFanjoy•41yearsinthefield•CEOofKatahdinFriends,Inc.(KFI)•SubjectMatterExpertwithEFSLMPfor3yearsworkingonprovidertransformation•HelpedtoguideKFI’stransformationbeginningintheearly80’s•FormerPresidentMaineAPSE,2termnationalTASHBoardmember,MaineEmployment1st Coalition•GrandmotherofIsiah!

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DaleVerstegen•30yearsinthefield•SeniorResearchAssociate,TransCen•SubjectMatterExpertwithEFSLMPfor4yearsworkingonprovidertransformationandcapacitybuilding•Helpedover40organizationswithprovidertransformation•PresidentoftheNationalAssociationofCommunityRehabilitationEducators(ACRE)•GrandfatherofAdelind andAthena!

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TwoStepsForward,OneStepBack…

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“Ourworldisdeterminedbythesizeofourworld.It’snotsomuchthe

dimensionsofthatworld,butthemental,emotional,spiritual,andphysical

opportunitiesweareexposedto.”

GlennVanEkeren,Speaker’sSourcebook II,quotedbyLeslieL.Wilson,M.S.inthearticle:WhyAreWeReinstitutionalizingPeopleDuringthe

Day?,TASHNewsletter,Volume23,Issue6/7,June/July1997

Quote

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PLANNINGSTRATEGIES:DiscoveryandPersonalAssetInventory

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§Growinginrelationships§Increasingcommunitypresence&participation§Increasingchoice&control§Contributingtocommunitythroughemployment§Developingmorevaluedroles&competencies

PLANNINGSTRATEGIES(2)Person-Centered Planning

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PollQuestion#1BaseduponyourPerson-CenteredPlanningprocess,howwouldyourateyoureffectivenessonincreasingaperson’schoiceandcontrol?1.Never(theplanningprocessdoesnothingtoincreasepeople’scontrolinanyaspectoftheirlives)

2.Rarely(10%- 25%ofthetimetheplanningprocesswillresultinpeoplehavingincreasedchoiceandcontrolinoneormoreaspectsoftheirlives)

3.Sometimes(30%– 50%ofthetimetheplanningprocesswillresultinpeoplehavingincreasedchoiceandcontrolinoneormoreaspectsoftheirlives)

4.Often(60%- 80%ofthetimetheplanningprocesswillresultinapersonhavingincreasedchoiceandcontrolinoneormoreaspectsoftheirlives)

5.Always(90%- 100%ofthetime,theplanningprocessresultsinpeoplehavingincreasedchoiceandcontrolinoneormoreaspectsoftheirlives)

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Thisisn’tjustabout“WHERE”,butmoreimportantly, “WHOWILLYOUMEETTHERE?”

PLANNINGSTRATEGIES (3)CommunityAssetInventory

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DiscussionQuestions:Whatstrategiesareyouusingtolearnaboutaperson’sinterests,preferences,andskills?

Howareyouassistingpeopleto“expandtheirworld”byexposingthemto“mental,emotional,spiritual,andphysicalopportunities”?

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§UsingDiscoveryinplaceoftraditionalassessments.§Miningforskillsandinterestsbasedonpeople’sgiftsandcapacities,notdeficits.§Sharingordinaryspacesinrelationshipwithothers(notfieldtrips,outings)§Determiningwhatworksandwhatdoesn’tworkintermsofenvironment,learningstyle,stamina,etc.§Developingactivitiesthat“testyourtheories”forskillsandinterests.(Jeannette)

SETTINGTHESTAGEFOREMPLOYMENT

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§Aunitofserviceisanhournotaday.§Schedulesofsupportdesignedaroundreallifeneedsanddesires,notartificialtimesofday.Flexiblesupportsthatcanwraparoundajob.§Serviceprovidedbasedonpeople’sgifts,interests,andcapacities,notdeficits.§Sharedsupportsbasedoninterestsandpreferences,personalities,geography,andsupportneeds.§Staffschedulesanddutiesaroundtheirpreferences,skills,andinterests(CreativeScheduling).§EmphasisonEmploymentFirst!

SETTINGTHESTAGEFORINCLUSIVECOMMUNITYSUPPORTS

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People’sHOMESnotagencyfacilities

BASEOFOPERATIONS…

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BASICPREMISEOFSOCIALROLEVALORIZATION

Peoplearemuchmorelikelytoexperience“thegoodlife”iftheyholdsociallyvaluedroles.It’snotjustaboutwherepeoplegoandwhattheydo,it’shelpingthemtodevelopvaluedroles.

Howcanweturnaninterestoraskillintoasociallyvaluedroleinadditiontopaidemployment?§Jennyisagardener

§Melissaisabaker

§Lennyisapublicspeaker/trainer

§RobertisamemberoftheKnightofColumbus

ExperiencingRespectbyHavingValuedRoles

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OperationalizingEmploymentSupports

§Individualized,competitiveintegratedemployment§CustomizedthroughDiscovery§Entrepreneurial(Self-employment)§Jobcoachingandlongtermsupportsifnecessary(SupportedEmployment)§Nurturenaturalsupports

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CoreyOwnsarecyclingbusiness;VRpaidforsuppliesatstart-up;Waiverpaysforjobcoaching

Receives24/7homesupportswitharoommate

Volunteersatafoodbank

Memberofthelocalsnowmobileclub

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Courtney§HighSchoolgraduate§Homeowner§Friend§Volunteer§Churchmember§Kayaker§Creditbuilder§Business owner

SeeingthePersonasTheirInterestsandGifts…

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§Profoundcognitiveimpairment§Autisticdisorder§Cerebralpalsy§Seizuredisorder§Staticencephalopathy§Ataxiawithlowtone§Nonverbal§Doesnothaveself-protectivereflexes§Noreliablecommunicationsystem

NotTheirLabels

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Wage employment 15 hrs/wkSelf-employment 6 hrs/wkVolunteers 15 + hrs/wk;

Home and community paid supports 25 hrs/wkVolunteer

Employee

Home Owner

MeetRobert

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Good Neighbor

Member of Lifestyle Fitness Center

Devout Catholic

Member Knightsof Columbus

OtherValuedRoles…

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Wednesday:◦ 7:00– 8:30FitnessCenter◦ 9:00– 1:00Volunteersatseniormealprogram

◦ 1:00– 3:00Self-employment◦ Restoftheday– Connectswithfriendsorvolunteers

Thursday:◦ 7:30– 8:30FitnessCenter◦ 9:00– 11:00Self-employment◦ 1:00– 3:00Homesupports◦ 3:00– 8:00Wageemployment

Monday:◦ 7:00– 8:30FitnessCenter◦ 9:00- 12:30Volunteersatseniormealprogram

◦ 1:00- 3:00Self-employment◦ 3:00– 5:00Volunteersatachurch

Tuesday:◦ 7:00– 8:00FitnessCenter◦ 8:30– 10:30Homesupports (mealplanning,shopping,payingbills,etc.)

◦ 11:00– 1:00Volunteersatachurchthriftstore(pairedwithanotherpersonsupported)

◦ 1:00– 2:30Volunteersatadifferentchurchfoodpantry

◦ 3:00– 8:00Wageemployment

Robert’sScheduleofSupports

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Saturday:◦ Morning– Doeshouseholdtasksbyhimself

◦ Earlyafternoon–Goestoarestaurantforcoffee

◦ 4:00– 5:30Attendschurch

Sunday:◦ 8:30– 1:30Wageemployment

Healsoattendscommunitysuppers,goestoKnightsofColumbusevents,spendstimewithfriends.

Friday:◦ 7:00– 8:30FitnessCenter◦ 8:30- 10:00Mealprepwithanotherpersonsupported

◦ 10:00- 12:00Employmentsupportgroupwith2otherssupported

◦ 12:00– 2:30Homeandcommunitysupports(runerrands,supportwithlaundryandotherhouseholdtasks,etc.)

◦ Restoftheday– Connectswithfriendsorvolunteers

Robert’sScheduleofSupports(2)

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Slide 24

PhasesofDiscoveryandAssessment

Source: Assess for Success, 2007

Awareness of Self

Awareness of the World

Exploration

Preparation

Employment

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Exposure

Interest

Motivation

Whatshouldworkexperiencesinclude?

Discovery:talents,likes,dislikes,skills,supportneeds,whereIfitin,interests(PositivePersonalProfile)

Exploration:wherecanIdothethingsIlikeandamgoodat?

Trialanderror:theabilitytolearnbydoing

Therealworld:learnitwhereyoudoit…nosimulationsinfakeenvironments

Meaningfulexperiences:relatedtodiscovery,realisticexpectations,personaldevelopment

Businesspartnerships:whorecognizesandneedsthestudents’talentstoimprovetheirbusiness?

TypesofWorkExperiencesLessIntensiveCareerExploration/WorkSiteToursJobShadowingInformationalInterviewsWorkSamplingMentoring

TypesofWorkExperiencesMoreIntensiveServiceLearningVolunteeringOn-the-JobTrainingInternships– PaidandUnpaidApprenticeshipsCompetitive,PaidEmployment

CareerExplorationExamplesWorkSiteToursTalkswithEmployersFieldTripsWhentoConsiderAsyouthbeginawarenessofadultoccupationalopportunitiesFunctionInitialExposuretojobsandcareers

Volunteering/ServiceLearningExamplesVolunteerforcommunityandsocialprogramsFormalvolunteerserviceinastructuredcommunityserviceprogramWhentoConsiderAsadjunctsoralternativestootherworkexperiencesFunctionLearningtheresponsibilityoffollowingthroughTakingdirectionsCommunityinvolvement

InternshipsExamplesFormalarrangementwithanemployertolearnidentifiedworkskillsFormaltimelimitedworkexperiencepairedwithcourseinstructionPaidorunpaidstudentco-opWhentoConsiderAsadjunctstoaspecificcourseofstudy,mostcommonlyduringlatehighschoolorinpostsecondaryeducationortraining

Marketing“Preparation”ortheWorkExperience

• OFFERSLOWRISKTO EMPLOYERSWHOCANPREVIEWYOUTHWORKERS

• OFFERSYOUTHLOWRISKOPPORTUNITYTO EXPLORECAREERS

• FEARS,CONCERNS,ACCOMMODATIONS, ISSUESCANBEWORKEDTHROUGHDURINGTHELOW-RISKPERIOD

• MEETSTHENEEDSOFBOTHYOUTHAND EMPLOYER

PollQuestion#2Howoftenareyourecommendingastrategyorservicewithemployersinadvanceofjobplacement?qNeverqVerylittleqSometimesqMostofthetimeqAlways

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Benefits toEmployers fortakingonajobseekerforaworkexperience

TheycangetanearlyviewoftheupcomingworkforceTheycantryoutajobseekerinatime-limitedtrialWhenajobseekerworksout,theycannowhireanewemployeethatisfullytrained,eliminatingthetrainingcostsTheyarecollaboratingwiththeircommunityinaverypublicway– whichwillberecognizedbycustomersTheyreceivevalue-addedsupportthroughtheemploymentservicesprovider

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Slide 35

BestPractices inCommunityEmploymentServices

SupportedEmploymentCustomizedEmploymentEvidence-basedPracticesTransitionandSchool-to-WorkPracticesMotivationalInterviewingUseofNaturalSupports

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SupportedEmployment

Meettheneedsofindividualswithseveredisabilities

Alternativetotraditionalshelteredandcompetitiveemploymentmodels

Assumesthatallindividuals,regardlessofthenatureorextentoftheirdisabilities,shouldhavetheopportunityandsupporttoworkinthecommunity

Identifyand/ormodifymeaningfuljobsinthecommunity,providetrainingandsupportonthejob

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CustomizedEmployment

Individualizingtheemploymentrelationshiptomeetthespecificneedsofboth:• Employers• Employees

Employmentdevelopmentmayincludedifferenttypesofworkplaceflexibility:• FlexingJobTasks• Flexinghoursandstaffing• Jobrestructuring• Reasonableaccommodations

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UseofNaturalSupports

KeyFactors:

SupportstypicallyavailableintheworkplaceandnotprovidedbutfacilitatedbyaJobCoach

Mayincludearidetowork,awordofpraise,aqualitycontrolcheckoraremindertogotolunchbyaco-worker

Advantages:

MinimizestheneedfordirectJobCoachintervention

Greateropportunitiesforassistance

Enhancedintegration

Increasedsocialization

Moreresourcestochoosefrom(co-workerortechnology)

ANDREW’s file said…Autism & significant verbal processing delay22 – just completed h.s.Work experiences: stocking and cleaning 6th gr. reading & 8th grade math skillsImpulsive & inflexibleInappropriate behaviors (aggressive)

CUSTOMIZEDEMPLOYMENT: ITWORKS!

Whatwesaid:What we said…Passion is Music Plays the piano and saxophoneGood clerical and computer skills— fast typistLoves gardening and lifting weightsNeeds verbal information presented slowly Likes clean, organized environments –hates noisy, chaotic placesLikes structured, consistent tasksHates to be interrupted

CUSTOMIZEDEMPLOYMENT: ITWORKS! 40

Andrew is employed at Rock River

Registers CD’s by genre and recording labelShelves CD’s, maintains libraryDownloads songs into databaseFiles prospecting letters and collates mailings for Business Development

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DiscussionQuestion:Whatstrategiesareyouusingtoengagejobseekersindiscoveryandassessmentoutinthecommunity?

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SurveyRemindersCompletePre/PostSurveysforWebinar#4:§Pre:https://www.surveymonkey.com/r/ZNYTFCM

§Post:https://www.surveymonkey.com/r/ZNGG3NT

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Webinar#5:Reorganizing StaffforTransformative Change (WorkforceFocus)§ August2,2017,1:00– 2:30pmET

§ Facilitators:DaleVerstegen;RickMcAllister

§ ReadingAssignment:“Module6:ReorganizingStaffforTransformativeChange”

§ Topics:DeterminingStaffingNeeds;DispersedClusterApproach;RevisitingJobDescriptions;FillingStaffPositions:Recruiting,Interviewing,Orienting,Training,Evaluating,Supporting,EmpoweringandRetainingStaff;TeamBuildingandSelf-DirectedTeams

Surveys

§ Pre:https://www.surveymonkey.com/r/ZFWZW8F

§ Post:https://www.surveymonkey.com/r/ZFG3QX2

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