0
What to Expect in a
    ReBAR Assessment
        Interview
 Orientation for CDDP, County,
and Provider Staff participating...
What Will You Learn Today?
• Why Oregon is doing assessments
• What the SIS assessment is and who created it
• Who will ge...
ReBAR: Restructuring Budgets,
     Assessments & Rates

ReBAR is a project to restructure DD Comprehensive
  Services rate...
ReBAR Changes Start With . .
 “A” for an Assessment

 for each individual consumer




                               4
Why does the State
   want to do assessments?
Because Oregon wants a fair way to
measure everyone’s support needs.




   ...
Over the next 5 years…

All adults living in
or moving into
DD group homes
or Supported
Living programs…
                 ...
The ReBAR Assessment is an
          Interview
          What do you need?




Asking the consumer and
participants like Y...
The list of questions will come
 from a tool called the SIS


      Supports        SIS®
      Intensity
      Scale…
    ...
The group that wrote the
interview questions is AAIDD:

      American
      Association on
      Intellectual and
      D...
AAIDD




is the largest association in the world for people
          with developmental disabilities.


                ...
Supports    SIS®
       Intensity
       Scale


What Does “Supports” Mean in
     the SIS Assessment?
                   ...
“Supports”   means the
  assistance the consumer needs to
  do something successfully.
“Success” means a level of
performa...
What Does “Intensity” Mean
 in the SIS Assessment?

 Supports      SIS®
 Intensit
 y
 Scale


                            ...
Intensity is the level of support a
        consumer needs.
                      • Lots of
                       support...
What Does “Scale” Mean
in the SIS Assessment?

   Supports    SIS®
   Intensity
   Scale



                         15
“Scale ” means a standardized
 way to measure support needs




    Score = 1-2-3-4-5-6-

                            16
The SIS assessment measures
   support needs to find out:

 what type of support is
   needed
 how often support is
   n...
What will an Interview be like?




                              18
Who will be at the interview?
The Interviewer and   • Consumer
                      • Case Manager
                      ...
Each person at the interview:

• Should have known the consumer
for at least 3 months.

•Should know about supports needed...
Together, the   This will take
                about 3
group meets     hours.
with the
interviewer.




                  ...
During the interview-YOU and
           others should:
Answer all the questions even if they don’t
  seem to apply to the...
What if YOU know any
          topics that may:
        • make the consumer feel
          uncomfortable or
        • trig...
Who is the interviewer?
An experienced person who is trained
   to do SIS assessments will ask
            the questions.
...
What will the interviewer do?

              Explain the
               interview process.
              Ask you the
     ...
The Interviewer will work with the
group to reach agreement about
  supports needed, because…
           • Not everyone se...
What Kind of Questions
Will Be Asked at the Interview?




                                  27
The interviewer will ask about:
 All parts of a consumer’s everyday life

Some areas that are very personal

Things tha...
Section 1: Activity Domains
• Home Living
• Community Living
• Lifelong Learning
• Employment
• Social Activities
• Health...
Example: In Home
   Living, a question you
   will be asked about is:

Bathing-Personal Grooming:
(Showering, bathing, sha...
Example: In Community
    Living, a question you will
    be asked about is:

Transportation:
(Getting from place to place...
Example: In Life Long
     Learning, a question you
     will be asked about is:

Learning Functional Academics:
(Using a ...
Example: In Employment,
 a question you will be asked
 about is:

Changing Job Assignments:
(Difficulty in adapting to cha...
Example: In Social
  Activity, a question you
  will be asked about is:

Socializing in the home:
(Social interaction with...
Example: In Health & Safety, a
question you will be asked about
is:

Taking medication:
(At the correct time and prescribe...
Section 2: Protection and Advocacy
• Advocating for Self
• Managing Money - Finances
• Protecting Self -Exploitation
• Par...
Example: In Protection and
Advocacy, a question you will be
asked about is:
Advocating For Self:
(Expressing personal pref...
Section 3: Exceptional Medical
  and Behavioral Supports
Exceptional              Exceptional Behavioral
Medical Support  ...
Example: In Exceptional
  Medical Supports, a question
  you will be asked about is:

Skin Care:
(Turning or positioning: ...
Example: In Exceptional Behavior
  Supports, a question you will be
  asked about is:

Externally-Directed Destructiveness...
ReBAR Assessment
      Supplemental Questions
Oregon has added selected additional
  questions to the assessment to obtain...
Now let’s practice by meeting a real
consumer and see how the Questions and
Ratings work!

        Meet Carolyn.




     ...
We will use an example from the
       Home Living Domain:

• Item: Eating Food:
 (ingesting food, chewing, swallowing)


...
The interviewer will ask Carolyn:

 Question: What type of support
 do you need when you eat?
 .. . and then he or she wil...
Answer: During meals, Carolyn
needs someone to stay close by to
observe and make sure she does not
eat too fast.




     ...
Which of the following ratings
    fit Carolyn’s Type of Support ?
0    None
1    Monitoring
2    Verbal/Gesture Prompting...
The interviewer will also ask
            Carolyn:

  Question: How Often do you need
   support when you eat ?
. . . and ...
Answer: Carolyn
eats 4 meals each
day and needs to be
observed every time
she eats.



                      48
Which of the following ratings fit
    Carolyn’s Frequency of Support?
0   None to less than 1 time per month
1   at least...
The interviewer will ask Carolyn:
Question: How much support time
 do you need when you eat?
. . and then he or she will a...
Answer: Carolyn spends about 30
minutes eating each meal.




               •

                                  51
4 half-hour meals totals 2 hours each
                day.




                                 52
Which of the following ratings fit
    Carolyn’s Daily Support Time ?
0   None
1   less than 30 minutes
2   30 minutes to ...
The interviewer will enter the
   following into the computer for
   Carolyn:


Type of Support:      1 = monitoring
Frequ...
If the interview
sounds hard

             Remember,
             it’s not a test. There
             are no right or wron...
What happens to the SIS
     Information?




                     56
SPD will use what is learned about the
 consumer from the assessment to:
Match the consumer’s needs to a level of
 suppor...
The Individual Budget Amount (IBA)
 • The “Individual Budget Amount” (IBA) is
   the amount of funding authorized by SPD
 ...
Counties, Providers, Guardians,
and Consumers will get:
                                      .




  A Summary of the SI...
OK- What more can I do to get
   ready for an interview?




                            60
Be Prepared !
• Review information about the consumer
    Know, (but don’t bring) essential information
     • Individual ...
Watch a Video called
       “Conducting the Assessment”


   Review the
   video on the
   ReBAR Website



* Produced by ...
Go to Websites to Learn More
• SIS: General SIS reading, information, and
  completed SIS samples
  http://www.siswebsite....
This presentation was developed using :
• A presentation designed by self advocates at the
  Pennsylvania Training Partner...
Thank you!
   For being a part of
     these important
Assessment Interviews !!
       The ReBAR Team
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A Narrated Slideshow for Families and Providers

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Transcript of "A Narrated Slideshow for Families and Providers"

  1. 1. What to Expect in a ReBAR Assessment Interview Orientation for CDDP, County, and Provider Staff participating in assessment interviews 3-10-09
  2. 2. What Will You Learn Today? • Why Oregon is doing assessments • What the SIS assessment is and who created it • Who will get an assessment • What the assessment measures • What the assessment interview will be like • Examples of assessment questions and ratings • How Oregon will use the information • How YOU can prepare for an interview 2
  3. 3. ReBAR: Restructuring Budgets, Assessments & Rates ReBAR is a project to restructure DD Comprehensive Services rates to make them more: Sensible: understandable to all and directly related to a consumer’s support needs Portable: consumers can carry their level of need assessment and an appropriate budget as they move or change providers or settings Fair: Allocations are uniformly determined – individuals with similar needs get similar budgets 3
  4. 4. ReBAR Changes Start With . . “A” for an Assessment for each individual consumer 4
  5. 5. Why does the State want to do assessments? Because Oregon wants a fair way to measure everyone’s support needs. 5
  6. 6. Over the next 5 years… All adults living in or moving into DD group homes or Supported Living programs… …will get a ReBAR assessment. 6
  7. 7. The ReBAR Assessment is an Interview What do you need? Asking the consumer and participants like YOU some questions. 7
  8. 8. The list of questions will come from a tool called the SIS Supports SIS® Intensity Scale… or SIS 8
  9. 9. The group that wrote the interview questions is AAIDD: American Association on Intellectual and Developmental Disabilities 9
  10. 10. AAIDD is the largest association in the world for people with developmental disabilities. 10
  11. 11. Supports SIS® Intensity Scale What Does “Supports” Mean in the SIS Assessment? 11
  12. 12. “Supports” means the assistance the consumer needs to do something successfully. “Success” means a level of performance, involvement, and participation in an activity that is comparable to that of typical adults without disabilities. 12
  13. 13. What Does “Intensity” Mean in the SIS Assessment? Supports SIS® Intensit y Scale 13
  14. 14. Intensity is the level of support a consumer needs. • Lots of support. • Some support. • A little support. SUPPORT 14
  15. 15. What Does “Scale” Mean in the SIS Assessment? Supports SIS® Intensity Scale 15
  16. 16. “Scale ” means a standardized way to measure support needs Score = 1-2-3-4-5-6- 16
  17. 17. The SIS assessment measures support needs to find out: what type of support is needed how often support is needed how much support is needed 17
  18. 18. What will an Interview be like? 18
  19. 19. Who will be at the interview? The Interviewer and • Consumer • Case Manager • Guardian or Family member • 1-2 staff from home • 1-2 staff from day or work 19
  20. 20. Each person at the interview: • Should have known the consumer for at least 3 months. •Should know about supports needed •Should be prepared and feel free to share information when asked 20
  21. 21. Together, the This will take about 3 group meets hours. with the interviewer. 21
  22. 22. During the interview-YOU and others should: Answer all the questions even if they don’t seem to apply to the consumer now or in the future.  Be ready to describe supports if asked. This is what makes the assessment picture complete and person- centered. Fill out a survey at the end of the interview about what worked and didn’t work in the assessment process. 22
  23. 23. What if YOU know any topics that may: • make the consumer feel uncomfortable or • trigger uncomfortable responses  Help the consumer tell the interviewer or Tell the interviewer yourself, before the interview starts if possible 23
  24. 24. Who is the interviewer? An experienced person who is trained to do SIS assessments will ask the questions. Training SPD Interviewer Notebook 24
  25. 25. What will the interviewer do? Explain the interview process. Ask you the interview questions. Write down your answers on a computer. 25
  26. 26. The Interviewer will work with the group to reach agreement about supports needed, because… • Not everyone sees the consumer the same way or doing the same things • Some items have many parts • Consumers need different supports in different settings 26
  27. 27. What Kind of Questions Will Be Asked at the Interview? 27
  28. 28. The interviewer will ask about:  All parts of a consumer’s everyday life Some areas that are very personal Things that may not be happening now but could happen in the future Let’s look at sample questions in each section of the SIS 28
  29. 29. Section 1: Activity Domains • Home Living • Community Living • Lifelong Learning • Employment • Social Activities • Health & Safety 29
  30. 30. Example: In Home Living, a question you will be asked about is: Bathing-Personal Grooming: (Showering, bathing, shaving, menstrual cycle) •Does___ need support for personal grooming? •If so, what type of support is needed? •How often is it needed? •How much time does the support take each day? 30
  31. 31. Example: In Community Living, a question you will be asked about is: Transportation: (Getting from place to place in the community - going shopping, to the bank, to leisure activities) •Does___ need support for transportation? •If so, what type of support is needed? •How often is it needed? •How much time does the support take on a day it occurs? 31
  32. 32. Example: In Life Long Learning, a question you will be asked about is: Learning Functional Academics: (Using a watch, keeping a schedule) •Does___ need support to follow a schedule? •If so, what type of support is needed? •How often is it needed? •How much time does the support take? 32
  33. 33. Example: In Employment, a question you will be asked about is: Changing Job Assignments: (Difficulty in adapting to changes in work tasks, supports for job transition) •Does___ need support at times of change? •If so, what type of support is needed? •How often is it needed? • When needed, how much time does the support take? 33
  34. 34. Example: In Social Activity, a question you will be asked about is: Socializing in the home: (Social interaction with roommates) •Does___ need support to socialize? •If so, what type of support is needed? •How often is it needed? •How much time does the support take? 34
  35. 35. Example: In Health & Safety, a question you will be asked about is: Taking medication: (At the correct time and prescribed level) • How often is medication taken each day? • How much support is needed to take medication? • How long does it take someone to help with daily medication? 35
  36. 36. Section 2: Protection and Advocacy • Advocating for Self • Managing Money - Finances • Protecting Self -Exploitation • Participating Self-Advocacy • Obtaining Legal Services • Exercising Responsibilities • Making Choices Decisions • Advocating For Others 36
  37. 37. Example: In Protection and Advocacy, a question you will be asked about is: Advocating For Self: (Expressing personal preferences including wants and needs, understanding choices and decisions) • What type of support is needed in advocacy? • How often is it needed? • How much daily support time is needed? 37
  38. 38. Section 3: Exceptional Medical and Behavioral Supports Exceptional Exceptional Behavioral Medical Support Support Needs Needs • Externally directed • Respiratory Care destructiveness - Injury to Others • Feeding Assistance • Self-directed destructiveness • Skin Care - Injury to Self • Other Exceptional Medical Care • Sexual Issues • Other Exceptional Behavioral Support 38
  39. 39. Example: In Exceptional Medical Supports, a question you will be asked about is: Skin Care: (Turning or positioning: is assistance needed to reposition in chair or bed?) If “YES” What is the level of support needed? The scale changes to: • No Support • Some Support • Extensive Support 39
  40. 40. Example: In Exceptional Behavior Supports, a question you will be asked about is: Externally-Directed Destructiveness: (Aggression against others, stealing, arson, etc.) If “YES” What is the level of support needed? The scale changes to: • No Support • Some Support • Extensive Support 40
  41. 41. ReBAR Assessment Supplemental Questions Oregon has added selected additional questions to the assessment to obtain more information about specific support needs related to: Exceptional Medical Support Needs • Exceptional Behavioral Support Needs The interviewer will ask these questions if indicated. 41
  42. 42. Now let’s practice by meeting a real consumer and see how the Questions and Ratings work! Meet Carolyn. 42
  43. 43. We will use an example from the Home Living Domain: • Item: Eating Food: (ingesting food, chewing, swallowing) 43
  44. 44. The interviewer will ask Carolyn: Question: What type of support do you need when you eat? .. . and then he or she will ask YOU to provide this information also. 44
  45. 45. Answer: During meals, Carolyn needs someone to stay close by to observe and make sure she does not eat too fast. 45
  46. 46. Which of the following ratings fit Carolyn’s Type of Support ? 0 None 1 Monitoring 2 Verbal/Gesture Prompting 3 Partial Physical Assist 4 Full Physical Assist Answer: “Staying Close By & Observing” #1 = Monitoring 46
  47. 47. The interviewer will also ask Carolyn: Question: How Often do you need support when you eat ? . . . and then he or she will ask YOU to provide this information also. 47
  48. 48. Answer: Carolyn eats 4 meals each day and needs to be observed every time she eats. 48
  49. 49. Which of the following ratings fit Carolyn’s Frequency of Support? 0 None to less than 1 time per month 1 at least 1 time per month, but not 1 time per week 2 at least 1 time per week, but not 1 time per day 3 at least 1 time per day, but not 1 time per hour 4 hourly or more frequently Answer: “4 meals a day” #3 = at least 1 time per day, but not 1 time per hour 49
  50. 50. The interviewer will ask Carolyn: Question: How much support time do you need when you eat? . . and then he or she will ask YOU to provide this information also. 50
  51. 51. Answer: Carolyn spends about 30 minutes eating each meal. • 51
  52. 52. 4 half-hour meals totals 2 hours each day. 52
  53. 53. Which of the following ratings fit Carolyn’s Daily Support Time ? 0 None 1 less than 30 minutes 2 30 minutes to < 2 hours 3 2 hours to < 4 hours 4 4 hours or more Answer: “4 meals x 30 minutes each totals 2 hours” #3 = 2 hours to < 4 hours 53
  54. 54. The interviewer will enter the following into the computer for Carolyn: Type of Support: 1 = monitoring Frequency of Support: 3 = at least 1 x day but not 1 x per hour Daily Support Time: 3 = 2 hours to < 4 hours 54
  55. 55. If the interview sounds hard Remember, it’s not a test. There are no right or wrong answers . . . and YOU are there because YOU know this consumer well. 55
  56. 56. What happens to the SIS Information? 56
  57. 57. SPD will use what is learned about the consumer from the assessment to: Match the consumer’s needs to a level of support, from lowest (called “Tier 1”) to highest (called “Tier 6”).  Set an “Individual Budget Amount” (IBA) designed to support that level of need. 57
  58. 58. The Individual Budget Amount (IBA) • The “Individual Budget Amount” (IBA) is the amount of funding authorized by SPD for the consumer for a service. • Right now, only DD50 residential services will be affected. However, the information from this same SIS assessment will be used later for DD54 employment/day services. That is why it is important for day program staff to participate now. 58
  59. 59. Counties, Providers, Guardians, and Consumers will get: .  A Summary of the SIS results with information helpful for person-centered planning and the ISP.  Notification of the designated funding Tier and IBA 59
  60. 60. OK- What more can I do to get ready for an interview? 60
  61. 61. Be Prepared ! • Review information about the consumer Know, (but don’t bring) essential information • Individual Support Plan (ISP) • Risk Tracking Record (RTR) • Behavior Support Plan or Nursing Care Plan • Talk about the consumer with other staff who may have a different perspective on specific support needs based on their work on other days or shifts. • Learn more about the SIS through websites listed at the end of this power point 61
  62. 62. Watch a Video called “Conducting the Assessment” Review the video on the ReBAR Website * Produced by Washington Division of Developmental Disabilities 62
  63. 63. Go to Websites to Learn More • SIS: General SIS reading, information, and completed SIS samples http://www.siswebsite.org/cs/root/main/supports_and_sis. • ReBAR Program http://www.oregon.gov/dhs/dd/rebar/ • Oregon Council on Developmental Disabilities for SIS Consumer and Family Orientation Information l www.ocdd.org/SISorientation.htm 63
  64. 64. This presentation was developed using : • A presentation designed by self advocates at the Pennsylvania Training Partnership for People with Disabilities and their Families at Temple University • Picture Communication Symbols ©1981-2009 by DynaVox Mayer-Johnson. All Rights Reserved Worldwide. Used with permission Adapted for Oregon:  for consumers and families by the Oregon Council on Developmental Disabilities  for counties and providers, by ReBAR Program staff in the SPD, Office of DD Services 64
  65. 65. Thank you! For being a part of these important Assessment Interviews !! The ReBAR Team
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