My Home, YourWorkplace…..
Who is Melba Support Services?– Medium sized organization– Mix of accommodation, day service and individualised  support m...
Core Services   • Seven Community Residential Units   • Two day services   • 40 Individualised Support Arrangements (appro...
Council on Quality and Leadership• For more than 40 years the Council on Quality and Leadership  (CQL) has been a leader i...
• In December 1999 Melba’s board decided to adopt CQL as  their quality accreditor.• In 2004 we achieved formal accreditat...
Personal Outcome MeasuresPersonal Outcome Measures is one method that CQL use todefine the quality of the services we prov...
21 Personal Outcome Measures1.    People are connected to natural support networks2.    People have intimate relationships...
• Melba holds personal outcome interviews with each person  we support as a way to evaluate the unique characteristics,  n...
Human Rights Check List• Historically, people with a disability have not been afforded  the same basic human rights as the...
This check list includes, amongst other things, measures to ensure we arerespecting each person’s right to;• Be treated wi...
• Freely express their opinions and concerns, without fear of  retribution, and to have those views respected and acted  u...
Human Rights Checklist (Pg. 7)No   Questions                                                                          Y   ...
OUTCOME MEASURES INTERVIEWS CHECKLISTPerson:Date:Person being Interviewed:Note: O = opportunity / + = Supports or Outcome ...
Information Gathering Notes for Personal Outcome Measures 2005Outcome Measures       Probing Questions         Individuali...
Data from our Personal Outcome MeasuresOf the 160 people we support:• 37 people have supports in place to have intimate  r...
Limitations we have regarding supporting people withan intellectual disability to have intimate (Inc. sexual)relationships...
Where to from here?Continue to work with the people we support toincrease the supports and outcomes in the area ofintimate...
Aaron Fry   - My Home, Your Workplace...Disability & Sexuality Forum
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Aaron Fry - My Home, Your Workplace...Disability & Sexuality Forum

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Presentation by Aaron Fry (Manager Individulaised Supports Melba Support Services) at the My Home, Your Workplace...Disability & Sexuality Forum -
Enabling people with disabilities to express and fulfill their sexual identity, needs and desires.
Forum held on Wednesday 18 April 2012
Further information visit www.field.org.au

Published in: Education
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Aaron Fry - My Home, Your Workplace...Disability & Sexuality Forum

  1. 1. My Home, YourWorkplace…..
  2. 2. Who is Melba Support Services?– Medium sized organization– Mix of accommodation, day service and individualised support models– Accredited with the Council on Quality and Leadership– Supports 160 people with an intellectual disability within our core services • Many of the people we support do not use words to communicate
  3. 3. Core Services • Seven Community Residential Units • Two day services • 40 Individualised Support Arrangements (approx.) • 6 Direct Payment Users • Carer Respite serviceHosted Supports • Two Family Governed projects • One Service User Governed project (Nightlife) • One sector resource project (Belonging Matters)
  4. 4. Council on Quality and Leadership• For more than 40 years the Council on Quality and Leadership (CQL) has been a leader in working with human service organizations and systems to continuously define, measure and improve the quality of life for all people.• CQL assists communities, systems and organizations to help people discover and define their own quality of life, measure personal quality of life for individuals, organizations and systems and improve the quality of life for people with disabilities, people with mental illness and older adults including the people, organizations and communities that support them.
  5. 5. • In December 1999 Melba’s board decided to adopt CQL as their quality accreditor.• In 2004 we achieved formal accreditation with the Council on Quality and Leadership and were subsequently re-accredited in 2007 and validated in Responsive Services and Community Life in 2009 and 2011.
  6. 6. Personal Outcome MeasuresPersonal Outcome Measures is one method that CQL use todefine the quality of the services we provide to the people wesupport.There are 21 Personal Outcome Measures developed which areorganised in three factors:1. My Self: Who I am as a result of my unique heredity, life experiences and decisions.2. My World: Where I work, live, socialize, belong or connect.3. My Dreams: How I want my life (self and world) to be.
  7. 7. 21 Personal Outcome Measures1. People are connected to natural support networks2. People have intimate relationships3. People are safe4. People have the best possible health5. People exercise rights6. People are treated fairly7. People are free from abuse and neglect8. People experience continuity and security9. People decide when to share personal information10. People choose where and with whom they live11. People choose where they work12. People use their environments13. People live in integrated environments14. People interact with other members of the community15. People perform different social roles16. People choose services17. People choose personal goals18. People realize personal goals19. People participate in the life of the community20. People have friends21. People are respected
  8. 8. • Melba holds personal outcome interviews with each person we support as a way to evaluate the unique characteristics, needs, and desires of each individual.• This then gives Melba and its staff the direction to take when working with each individual so that we ensure that we are delivering supports that are relevant and necessary for that particular person.
  9. 9. Human Rights Check List• Historically, people with a disability have not been afforded the same basic human rights as the general population.• Whilst there is an increasing level of recognition that people with a disability should have the same rights as those expected by the general population, the day to day reality is that this is not yet the case.• In order to ensure that we are aware of and working in line with the basic human rights of the people we support we have developed a human rights check list to ensure we continually do what we say we do.
  10. 10. This check list includes, amongst other things, measures to ensure we arerespecting each person’s right to;• Be treated with dignity and respect and to be valued for who they are.• Feel physically and emotionally safe in all environments and situations.• To have all information pertaining to them treated in a confidential manner.• Determine the activities and relationships (sexual or otherwise) that make up their lives.• Participate in the community in which they live to the degree that they choose to do so.• Have private space and time as desired.
  11. 11. • Freely express their opinions and concerns, without fear of retribution, and to have those views respected and acted upon as appropriate.• Access and control their own money.• Where a restriction of a person’s human rights has been identified, the check list is sent to Melba’s human rights committee where ideas and strategies to rectify the restriction are discussed.• Recommendations are then given to the individual and their supports regarding the steps they should take to reduce the restriction placed on that person.
  12. 12. Human Rights Checklist (Pg. 7)No Questions Y N Comments Relationships, marriage and family People have the right to develop intimate relationships?25 Probing questions and examples: Am I able to develop my personal relationship with another person? Am I supported to have close personal relationships of my choice? Do I have space to speak / communicate with my family/friends in private? Owning property26 Have I the opportunity to own things/possessions I want/need? Do I own my own bed, TV, radio, hobby equipment etc.? Am I free to use them with consideration to my housemates? e.g. radio/TV Are my belongings covered by insurance? Do I have an assets list of my belongings?
  13. 13. OUTCOME MEASURES INTERVIEWS CHECKLISTPerson:Date:Person being Interviewed:Note: O = opportunity / + = Supports or Outcome is present F/C = further conversation Outcome Supports MY SELF present present WHERE IS THE EVIDENCE FOR THIS OUTCOME & SUPPORT & the RECOMMENDATIONS provided from the conversation and evidence.1 People are connected to Natural Support Networks – T&F2 People have intimate relationships3 People are safe4 People have best possible health5 People exercise rights6 People are treated fairly7 People are free from abuse and neglect8 People experience continuity and security9 People decide when to share personal information
  14. 14. Information Gathering Notes for Personal Outcome Measures 2005Outcome Measures Probing Questions Individualized Supports Decision making questions1. Intimate Who are you closest to? How do you learn about the Does the person have Relationships person’s desire for intimate relationships? Type & Frequency Is there someone you intimacy? share your personal Is the person satisfied with thoughts and feelings How do you know the the type and nature of the with? person needs support to relationships? develop or maintain Who do have to talk to intimate relationships? If yes to both ,the outcome when you need it? is present If the person needs If no to both, is this due to support, what has been Is this enough for you? personal choice? arranged? If yes to personal choice Are there any barriers that then the outcome is affect the outcome for the present. person? How do you assist the person to overcome the barriers? What Melba practices, values and activities support this outcome for the person?
  15. 15. Data from our Personal Outcome MeasuresOf the 160 people we support:• 37 people have supports in place to have intimate relationships• 12 of the 37 feel that their outcome in this area has been met• 123 people have no supports or outcomes present at this stage
  16. 16. Limitations we have regarding supporting people withan intellectual disability to have intimate (Inc. sexual)relationships:• Informed consent• Peoples knowledge and understanding• Limited Communication• Family engagement - Differing views of family members• Staff comfort levels and personal values• Physical ability of the people we support• Risk of confusion in regards to what is ‘appropriate’
  17. 17. Where to from here?Continue to work with the people we support toincrease the supports and outcomes in the area ofintimate relationships by: – Continuing our work on communication – Continue training and information provision for staff – Looking outside our service for generic supports (sex workers?) – Continue to engage with families and significant others – Develop policy statements – Learn from others organisation who do this better – Keep talking about this topic

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