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Out of the Day Program and Into Community      Aaron Johannes     and Susan Stanfield       Vancouver B.C.
Spectrum Society for Community       Living – Vancouver, B.C.• Institutional downsizing projects  – 1988-1996• Alternative...
1989
Competitive employment     Supported employment      Work crew / enclaves       Sheltered workshopPre-vocational / day act...
One person at a time• Build on strengths and interests• Normative options   –   Paid employment   –   Volunteer work   –  ...
2004 Budget Cut• What would you be willing to do differently?  – Shared Living  – Cluster Housing  – Group activities
What to do?“If anyone can run a good centre-  based day program, we can...”
The Plan• Drop-in option for people with limited funding• 6-8 participants per day• 50% of time on-site, 50% in community•...
If you build it, they will come
Rules crept in...•   Program start / end time•   Posted activity schedule•   Fee structure•   Attendance sheet•   AWOL pro...
3 years later• 20 participants  – People with 1:1 staff were coming to the program  – Whole new team  – Majority of time o...
“Any ‘institution’ (in the sociological sense) that  has much momentum but no viable rationale  is likely to strive for se...
The rationale• They’re having fun• We’re all friends here• It’s safe• They love doing arts and crafts• We can serve more p...
The reality• It was boring• They weren’t all friends• Some acted out (which made it unsafe for  others)• Only one person l...
In a program…                                In a person-centred service…Decision making is driven by staff and           ...
If you build it, they will come
Strategic Plan 2010-2013:      “Commitment to Partnership”1. Strengthen the capacity of individuals to develop   and tap r...
www.101friends.ca
Planning• Strategic planning day with leaders  – Informed Spectrum’s new strategic plan  – “Rallying people to a brighter ...
Job Posting: Day Program Transformation ManagerThis exciting leadership opportunity will appeal to someone with a passion ...
“We’re closing the day program!”
One person at a time• Personal support networks• Build on strengths and interests• Normative options   –   Paid employment...
Circles – Person Centred Planning Tool            for one person “who do you care about and want in               your lif...
Thinking of an individual’s goals and challenges rather than those of a                group
Compare program approaches.          What’s possible for...One person...                       A group of people...• Who l...
And then another person...
Then match up the goals of one with another person(and another and another)... If your planning is good   enough, you can ...
Then start making lists of actions that   will meet the objectives of the              person...
So part of our job is working as aneffective team... To dream, do, debrief,      assess and problem-solve...
Our Vision• Everyone doing things they want to do, with  preferred others• Enlist natural supports (not just staff)• Indiv...
One person at a time
One person at a time
One person at a time
One person at a time
Collingwood Neighbourhood House
Today• Everyone is doing things they want to do• Natural supports are everywhere• Behavioural issues have lessened or  dis...
www.spectrumsociety.org  www.101friends.ca
Out Of The Day Program (wi/out personal photos)
Out Of The Day Program (wi/out personal photos)
Out Of The Day Program (wi/out personal photos)
Out Of The Day Program (wi/out personal photos)
Out Of The Day Program (wi/out personal photos)
Out Of The Day Program (wi/out personal photos)
Out Of The Day Program (wi/out personal photos)
Out Of The Day Program (wi/out personal photos)
Out Of The Day Program (wi/out personal photos)
Out Of The Day Program (wi/out personal photos)
Out Of The Day Program (wi/out personal photos)
Out Of The Day Program (wi/out personal photos)
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Out Of The Day Program (wi/out personal photos)

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This is a presentation we did at TASH 2011 in Atlanta, about how we closed a small centre based day program that we'd accidentally created after almost 25 years of refusing to be centre based! For more information about our work check out www.spectrumsociety.org or www.101friends.ca

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Out Of The Day Program (wi/out personal photos)

  1. 1. Out of the Day Program and Into Community Aaron Johannes and Susan Stanfield Vancouver B.C.
  2. 2. Spectrum Society for Community Living – Vancouver, B.C.• Institutional downsizing projects – 1988-1996• Alternative to traditional services – Residential (40 people) • One 5-bed group home – Community inclusion (80 people) • No centre-based day programs
  3. 3. 1989
  4. 4. Competitive employment Supported employment Work crew / enclaves Sheltered workshopPre-vocational / day activity centre
  5. 5. One person at a time• Build on strengths and interests• Normative options – Paid employment – Volunteer work – Recreation – Adult education• Generic resources – Local businesses – Community organizations – Recreation centres – Colleges
  6. 6. 2004 Budget Cut• What would you be willing to do differently? – Shared Living – Cluster Housing – Group activities
  7. 7. What to do?“If anyone can run a good centre- based day program, we can...”
  8. 8. The Plan• Drop-in option for people with limited funding• 6-8 participants per day• 50% of time on-site, 50% in community• Each person planning and leading an activity• No new referrals
  9. 9. If you build it, they will come
  10. 10. Rules crept in...• Program start / end time• Posted activity schedule• Fee structure• Attendance sheet• AWOL protocol• Bathroom protocol• Lockers• Behaviour programs• “Quiet space”• Paperwork• Conflict resolution
  11. 11. 3 years later• 20 participants – People with 1:1 staff were coming to the program – Whole new team – Majority of time on-site – Calls for a bigger room – Staff were fundraising for a bus – Funders were offering $ for more space – Children’s videos on the donated big screen tv – Friday music group
  12. 12. “Any ‘institution’ (in the sociological sense) that has much momentum but no viable rationale is likely to strive for self-perpetuation on the basis of its previous rationales and practices.” - The Origin and Nature of our Institutional Models (Wolfensberger, 1969)
  13. 13. The rationale• They’re having fun• We’re all friends here• It’s safe• They love doing arts and crafts• We can serve more people this way• Staff can support each other – we’d have no support in the community• It’s more cost-effective• The families like the routine of M-F, 9-3• Some people NEED a centre
  14. 14. The reality• It was boring• They weren’t all friends• Some acted out (which made it unsafe for others)• Only one person loved doing arts and crafts• Staff conflicts were ongoing• Families wanted more flexibility
  15. 15. In a program… In a person-centred service…Decision making is driven by staff and Decision making is driven by the individual andprofessionals his/her support networkPlanning occurs as a singular event, according to Planning is ongoing and individualizeda prescribed formatThe person’s goals are defined within the context The person’s goals are defined within the contextof the program of a holistic planSpecialized supports are the first response to Generic supports are the first responsemeeting individual needsStaff take the place of natural supports Staff augment natural supportsThere is a pre-set schedule of activities that Individuals develop their own personal schedulepeople take part in (or don’t) based on their goalsStaffing is provided at pre-set times according to Staffing is provided flexiblya fixed scheduleFocus on participation Focus on increased independenceFocus on group needs Focus on individual needsStaff skills determine the selection of activities Preferred activities inform the selection of staff with appropriate skillsSupport is tied to the program – the person can’t Services are portable – the person can take theirtake their support with them if they leave the support and change service providers if they soprogram choose
  16. 16. If you build it, they will come
  17. 17. Strategic Plan 2010-2013: “Commitment to Partnership”1. Strengthen the capacity of individuals to develop and tap relationships, networks and community partnerships;2. Shift to a more person-directed approach to service;3. Become recognized as a model of excellence in supporting self governance, locally and beyond;4. Nurture a culture of learning and leadership;5. Develop a self sustaining social enterprise / business arm of Spectrum
  18. 18. www.101friends.ca
  19. 19. Planning• Strategic planning day with leaders – Informed Spectrum’s new strategic plan – “Rallying people to a brighter future”• Met with each family individually – Context of ongoing person-centred planning• Series of meetings with staff team – Training and dialogue – “Changing role of community support workers”
  20. 20. Job Posting: Day Program Transformation ManagerThis exciting leadership opportunity will appeal to someone with a passion for communityinclusion and relationship building. We are seeking a strong leader who can articulate avision of best practice for community living and engage multiple stakeholders to workcollectively toward that vision, consistent with Spectrums strategic plan. Outstandingcommunication and facilitation skills, with an emphasis on working proactively withpersons served, families and staff to build concensus and a shared sense of purpose, willbe critical.The successful candidate will work under the direction of Co-Directors Aaron Johannesand Susan Stanfield to facilitate the transformation of Spectrums day services from aprogram model to an individualized, community-based model of support. This is asingular opportunity for someone to contribute to a process of change within Spectrumslargest (and growing) service area, while developing their own leadership skills. Theposition will involve extensive training, project management, and team-buildingopportunities that will position the Project Leader for future opportunities withinSpectrum or outside the agency. It will involve working closely with representatives fromall levels of the agency, as well as families, funders, community partners and personsserved.
  21. 21. “We’re closing the day program!”
  22. 22. One person at a time• Personal support networks• Build on strengths and interests• Normative options – Paid employment – Volunteer work – Recreation – Adult education• Generic resources – Local businesses – Community organizations – Recreation centres – Colleges
  23. 23. Circles – Person Centred Planning Tool for one person “who do you care about and want in your life?”
  24. 24. Thinking of an individual’s goals and challenges rather than those of a group
  25. 25. Compare program approaches. What’s possible for...One person... A group of people...• Who likes to socialise; this is • Where one person likes to their gift and they enjoy it socialise but... • Another person wants to be alone • Another person is triggered by talking • Someone else wants to go do something else... • Someone isn’t feeling well • Someone...
  26. 26. And then another person...
  27. 27. Then match up the goals of one with another person(and another and another)... If your planning is good enough, you can support dreams with the same money. This is happening all over the world.
  28. 28. Then start making lists of actions that will meet the objectives of the person...
  29. 29. So part of our job is working as aneffective team... To dream, do, debrief, assess and problem-solve...
  30. 30. Our Vision• Everyone doing things they want to do, with preferred others• Enlist natural supports (not just staff)• Individual safeguards• Flexible scheduling• No-one left behind
  31. 31. One person at a time
  32. 32. One person at a time
  33. 33. One person at a time
  34. 34. One person at a time
  35. 35. Collingwood Neighbourhood House
  36. 36. Today• Everyone is doing things they want to do• Natural supports are everywhere• Behavioural issues have lessened or disappeared• People’s overall health and mobility have improved• No-one wants to go back
  37. 37. www.spectrumsociety.org www.101friends.ca

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