Using Emerging Technology to Enable Person-Directed Support Presenters: Julie Malette, Wayne Mills, Clem Pelot and Keenan Wellar Helen Sanderson Associates Canada Adagio Integrated Mills Community Support Corporation LiveWorkPlay

1. Presented at the Community Living Ontario Annual Conference 2014
Using Emerging
Technology to Enable
Person Directed Support
Presenters: Julie Malette, Wayne Mills, Clem Pelot and Keenan Wellar
Helen Sanderson Associates Canada
Adagio Integrated
Mills Community Support Corporation
LiveWorkPlay

2. Project Overview
MCSS approved a grant of $24,000 in September 2013 for the
purchase of 10 Mon Ami units to:
1. Improve the effectiveness and efficiency of
communication for people supported
2. Increase self-determination (person directed support)
3. Re-direct staff resources from “caring for” activities to
activities which support community contribution and
membership

3. Mon Ami™ Learning Partners
LiveWorkPlay
CLA Lanark County
Lanark Community Programs
Adagio Integrated

4. Mission
We help create welcoming communities through capacity building,
partnerships and person-centered services.
What we do
 Support adults and TAY with intellectual disabilities
 Provide seniors services and programs through home support, assisted
living and respite care
 Provide affordable housing to seniors and families
 Undertake community development initiatives that bring people
together and build better communities

5. About…
CLA Lanark County
Lanark Community Programs

6. .ca

7. Julie Malette
Helen Sanderson Associates Canada

8. Why?

10. $

11. $

24. juliem@hsacanada.ca
www.hsacanada.ca
Julie Malette
https://www.facebook.com/pages/Helen-Sanderson-Associates/112009273814
@HSACanada1
http://www.youtube.com/user/helensandersonHSA

25. Life Empowerment
Wayne Mills, 205, 30 Church Street, Toronto, ON, M5E 1S7
Wayne.mills@adagiointegrated.com

26. Adagio Solutions
Person Centred and Community Health Well-being Solutions
 Enabling each person, with their family, friends, caregivers and communities to:
 Live, care, work, share, support and play
 Through integrated technology solutions
 Increase Quality of Life
 Helping health, wellness and community organizations support
individuals to live well through:
 Supporting and integrating care delivery
 Maximizing Quality of Life
 Life Enabling tools
 Caring Companion
 Building Care Together

27. Adagio - Conceptual Model

28. 2013-02-07 28
Mon Ami -Journey of
Discovery

29. Mon Ami Design

30. Mon Ami™ Services
To Home
Internet
Cloud
From Home
From Home
To Home

31. Unique Capability
1. Designed to anticipate and support a person’s needs with minimal
interactions
2. Communicates with the person, asking questions and recording
answers for the Family and/or Caregiver, and where appropriate
making suggestions
3. Carefully crafted to fulfill multilayered needs of a person – physical,
mental, spiritual, ambulatory, security and social
4. Ensures care is delivered to those who need it most, maximizing
efficiencies and resources, allowing caregiving to take place from
anywhere, at any time
5. Enables the person’s support (carers and family/community) to work
as an integrated team (as needed and agreed)
6. Enables Caregivers to provide the range of service to fit the person

32. Unique Capability (part 2)
8. Reducing the cost of caregiving in home
9. Multi-lingual
10. Plug and Play
11. Easy and fun to use
12. Uses a worldwide network of tools, extending the person’s
connectivity and community anywhere in the world

33. Visiting Mon Ami

35. Personal Support
 Mon Ami™ assists with health and care by:
 Reminding the person
 to take their medication at the correct time
 about important health-related events (medical appointments) and activities (using the
bathroom)
 about regular mealtimes to encourage healthy eating habits
 Suggesting a time for daily exercising or getting outside to go for a walk or do some
gardening
 Automatically sending email to the Caregiver and other designated individuals to report
that the user has failed to respond when requested to do so (for medication intake
purposes or other agreed-upon situations)
 Monitoring daily activities of the user and reporting back to the Caregiver
 Providing the Caregiver with the ability to monitor and support the home environment
remotely (for example, turning off fans, lights etc.)
 And……….

37. Communication
 Mon Ami™ supports by:
 Enabling the person to connect with the caregiver, family members, friends or
anybody else through video or email by using a simple button touch
 Reminding about the birthdays, anniversaries and special days in the lives of family
and friends
 Reminding about events that are of interest to them that they could attend
 Suggesting a time for daily exercising or getting outside to go for a walk or do some
gardening
 Suggesting that the user call a friend to give them support
 Reminding that a friend or family member will be picking them up so that they can
attend a special function
 Hearing the voices of family members who respond with a voice recording or email
 And……

39. Mobility
 Mon Ami™ assists with mobility by enabling the person to:
 Control electrical appliances such as fans or drapery controllers through the touch
of a button
 Control the home environment (lights) through the touch of a button
 Reach the outside world through video chat or simple email
 Launch music, have books read aloud or access Internet radio through Mon Ami™

41. Social
 Mon Ami™ supports by:
 Connecting with family and friends through video chat and email
 Stimulating the mind by reading books aloud, playing music, playing intellectual
games and providing access to a wide range of Internet radio sites
 Keeping the person informed about current weather conditions as well as the date
and time on demand
 Enabling knowledge about the past by recording the user’s memoirs for their family
 Enabling family members to be involved in the life of the user through a shared
calendar and by providing questions for the memoirs
 And……..

43. Helping each Person on the
Journey….

44. Working Together….

45. A Personal Journey….

46. Mills Community Support
Clem Pelot

47. Project Description
 Learning Partnership
 Profile of Users
 Metrics
 Stories

48. Mills Community Support
5 Units installed
 3 units in TAY program
 2 with individuals living in group living hoping to make the move to
their own place

49. Enhanced SIL (TAY)
3 individuals are using the system, all at different levels and degrees
 One person is knowledgeable in its functions but is still using it for
very basic needs. She is using MonAmi mostly for reminders, some
games, and Facebook. She has high anxiety and is encouraged to use
the journal to track her stress level on a daily basis.
 The second person has very little computer experience and is using it
mostly for medication reminders, games, music and videos.
 The third person has just begun to get her unit set up, as she recently
moved from group living to enhanced SIL. She is using the unit mostly
for Skype and emails. She is able to connect with family living in
Niagara Falls and friends living in surrounding communities.

50. Group Living
 The 2 individuals in group living are both deaf and blind.
 The MonAmi unit has been used mostly for entertainment and some
reminders.
 The challenge has been that without sight the person is unable to
access the unit without staff support. We are working with Adagio
Integrated to create a 3 dimensional touch pad with braille like tiles
that will be hooked up to the unit and the person will be able to
control the unit themselves.

51. LiveWorkPlay
 3 units (LiveWorkPlay acquired a third MonAmi unit as the project got
underway)
 All three units are being used to assist in day to day functions
 Communication, reminder, routines and calendars
 People are connecting more and gaining independence in their lives

52. Community Living Lanark County
 2 units
 One unit is being used for medication reminders and cleaning tasks,
this is giving the person a more structured day and keeping anxiety
down that she has to remember these things on her own. She enjoys
listening to music and books and is able to do this on her own. Staff
like that they can acknowledge the reminders through the day vs
having to go over, this is freeing up time to support more people and
focus on other skill development with her.
 Second unit?

53. Lanark Community Programs
1 unit originally for a young man living at home, but when he realized he could not down
load computer games was not interested in the unit.
LCP decided to take the unit and use it for something a little different. The unit has been
installed in a Social Rec Program. It is a day program for young adults who are/have
transitioned out of high school. They do life skill based activities such as cooking and job
placements. The program has been using the MonAmi for:
 Reminders (prompting the group for lunch, work placements, end of day etc.)
 Recording daily journals about what they did that day at program
 Books – they have been reading/following along with the books that are pre-downloaded
on the system
 Entertainment – listening to music, accessing recipes for cooking and internet for how
to videos
 Calendar – they have put their big events (trips, holidays etc.) into the calendar
This information has been very valuable to Adagio and the Mills. MonAmi was originally
designed for personal use, to see it successful with groups opens up other possibilities to
consider. Such as: a recreation room at a seniors building or schools transitioning young
adults into day services and employment opportunities.

54. Evaluation
 At the end of the first quarter each person completed an introductory
metric and a Q1 metric. Adagio Integrated will take completed
metrics and run an analysis report to determine what the MonAmi is
being used for most and after 90 days what impact has it had on the
person using the unit.
 High level description of metric development process and planned
reporting categories enclosed. The MAPS reporting was based upon
listing the metric and stating x% of the population reported the metric
applied to them which doesn’t work for us given the small study
population set. As an alternative I plan to employ graphical
presentation such as a bar chart where feasible with the hope of
demonstrating the level of client independence (etc.) has improved
over time. Next steps include identifying which metrics lend
themselves to such a presentation versus which are best served by
presenting the text of the response itself.

55. Indicator Review
 Baseline Client
 Baseline Family Member
 Baseline Support Staff
 Quarterly Update Client
 Quarterly Update Family Member and
 Quarterly Update Support Staff

56. MonAmi Metrics Categories
1. Choice
2. Family
3. Goal Setting
4. Safety & Security
5. Social Isolation
6. Other

57. MonAmi Metrics
The planned analysis will report based upon these 6 categories. It will
also plot the metrics back to and provide reporting using the original
MAPS categories.

58. Josie
 Question: How has MonAmi impacted your confidence in the client's
ability to do things independently?
 Response: The MonAmi has allowed Josie to feel that she has an
entertainment outlet for her music and videos which she is very proud
of, her understanding on how to use the MonAmi has been impressive.

59. Moe
 Question: Now that you have MonAmi what has changed about what
you and your support worker do together?
 Response: I tell staff when it’s time to take pills instead of staff
telling me

60. Meghan
 Question: Now that you have MonAmi what has changed about what
you and your family do together?
 Response: I’m able to respond to Facebook posts and see what my
friends are doing. I will be able to email and Skype my friends soon
 Question: How has MonAmi changed your work relationship with the
client?
 Response: It has increased my confidence knowing that Meghan has
acknowledged medication reminders, lock your door reminders and
having those come to my cell.

61. Graham (LiveWorkPlay)
 Question: What activities have you started doing more on your own?
 Response: Managing my schedule, taking the bus
 Question: Have you shown MonAmi to any of your friends? What did
they say?
 Response: Yep- they’re jealous!

62. Phil (LiveWorkPlay)
 Question: Now that you have MonAmi what has changed about what
you and your support worker do together?
 Response: I am more independent and need less phone reminders
 Question: Now that you have MonAmi what has changed about what
you and your family do together?
 Response: We Skype more and parents are more confident of my
abilities
 Question: Family – what do you like about MonAmi
 Response: Skyping and the fact my son is being more independent

63. Day Program (LCP)
 Question: How has MonAmi impacted you confidence in the client’s
ability to do things independently?
 Response: They need fewer reminders to complete tasks or move on
to the next activity. Those who take medication can do so on their
own now – staff do not have to prompt them because MonAmi does.

64. LiveWorkPlay.ca
Keenan Wellar, MA
Co-Leader and Director of Communications
Ottawa, Canada

65. Over 1,000,000 people have watched this cat.
People with intellectual disabilities want in on the action. And why shouldn’t they?

66. Keenan’s social media passion:
made, not born!
Keenan’s passion for inclusive
communities: also made, not born!

67. Social media influence is
not going away.
So we’d better learn to deal with it and
maybe even benefit from it!

69. Andrea and I are interested in training with a team of
LiveWorkPlay members to participate in this fun event either
by walking or jogging the 2K, 5K, 10K, or half marathon.
Social Media “Loss Of Control” Can Be A Great Thing!

71. cybertip.ca

72. THE ULTIMATE INTERNET SAFETY
Mess with me, and you’re messing
with all my friends and family!

73. THANK YOU! QUESTIONS?
Using Emerging
Technology to Enable
Person Directed Support
Presenters: Julie Malette, Wayne Mills, Clem Pelot and Keenan Wellar
Helen Sanderson Associates Canada
Adagio Integrated
Mills Community Support Corporation
LiveWorkPlay