Person Centered Support and TBI


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Person Centered Support and TBI

  1. 1. • • • Information included in this presentation was current at the time it was developed. Presentation materials are reviewed on an annual basis. This presentation was not approved for TBI Waiver Provider continued education hours; however, remains important training information for providers serving individuals with brain injury. July, 2012 2
  2. 2. Christopher J George, MSW, LGSW, CBIS Traumatic Brain Injury Services – Center for Excellence in Disabilities Mr. George is currently works as a Field Care Manager with Humana. He is a Certified Brain Injury Specialist (CBIS) and Licensed Graduate Social Worker (LGSW) with over thirteen years experience in social services and brain injury. During the development of this presentation he served as the Coordinator for the Traumatic Brain Injury (TBI) Services State Program which provides technical assistance, direct service, training, and outreach. Contact information: Toll Free: 1-877-724-8244 July, 2012 3
  3. 3. Upon completion of this training participants will: • • Be able to define the concept of personcenteredness Have the skills and knowledge to provide support of members using a person-centered approach July, 2012 4
  4. 4. Traumatic Brain Injury (TBI) is an insult to the brain not of a degenerative or congenital nature caused by an external physical force, that may produce a diminished or altered state of consciousness resulting in an impairment of cognitive abilities or physical functioning. It can also result in the disturbance of behavioral or emotional functioning, may be temporary or permanent and cause partial or total functional disability or psychosocial maladjustment. National Head Injury Foundation (now the Brain Injury Association of America) July, 2012 5
  5. 5. • • Every 23 seconds, one person in the United States sustains a traumatic brain injury Each year, an estimated 1.7 million people sustain a TBI Centers for Disease Control and Prevention July, 2012 6
  6. 6. a non-degenerative, non-congenital insult to the brain caused by an external physical force resulting in total or partial functional disability and/or psychosocial impairment. July, 2012 7
  7. 7. Watch these short videos before continuing. (Right click on each link and chose open Hyperlink ) Changes in Circles of Support After Brain Injury Easy to Misunderstand Behavior of a Person with TBI July, 2012 8
  8. 8. Person centered support is a philosophy where people work collectively as a team in order for the person to achieve their future goals. Traumatic Brain Injury Training Curriculum: Introduction to Person Centered Planning VOL 2 Center for Excellence in Disabilities July, 2012 9
  9. 9. • • • • • Participating in community life Satisfying Relationships Making choices in everyday life Having opportunities to fulfill respected roles in society Continuing to develop skills July, 2012 10
  10. 10.     July, 2012 Member first Team process Positive, proactive interactions Meaningful quality of life 11
  11. 11. Management vs. Support Manage: to handle, direct, control Support: to give courage, faith or confidence; help or comfort; to maintain July, 2012 12
  12. 12.  Focus on agency  Expert Driven  Emphasizes disability    Focus on member and family Respects focus person, family, and team members Emphasizes strengths and abilities July, 2012 13
  13. 13.  Look beyond the medical assessments and labels to see the whole person  Be proactive  Help members to reach their future life goals  Focus on strengths, capacity, and empowerment  YOU are a key player in the support of the member  You know the member best which can enhance your ability to contribute creative solutions to assist the member to achieve success July, 2012 14
  14. 14. • • • Includes the member on decisions that affect their life Respects the member and their dream and choices Provides support based on the member’s individual wants and needs • Empowers the member and team • Facilitates creativity and collaboration • Gathers information about the person’s skills, abilities, interests, and preferences July, 2012 15
  15. 15. Many individuals who have experienced a Traumatic Brain Injury, especially to the frontal lobe, have difficulty with the following: • Learning from consequences in their lives • Memory • Attaching feelings to memories • Initiation of a behavior • Impulsivity; meaning the individual does not think before they act July, 2012 16
  16. 16. • • Person centered support encourages team to focus on the whole person working to get their life back on track. A member with a Traumatic Brain Injury may be exhibiting challenging behavior which interferes with success in achieving future life goals. Person centered support can improve the member’s quality of life with assistance from friends, family, and supportive Personal Attendant Service staff. July, 2012 17
  17. 17. • • Change environment and antecedents that may lead to challenging behavior when possible to avoid the challenging behavior. Compensatory Strategies For example, use visual cues such as reminders (picture, note, alarm, or calendar) to help with challenging behavior and TBI. July, 2012 18
  18. 18. • • • Challenging Behavior can be an extension or worsening of a behavior that was present before the injury. Challenging Behavior can also result from the TBI itself. 95% of energy needs to focus on Proactive Strategies. July, 2012 19
  19. 19. The Center For Excellence in Disabilities with West Virginia University: Traumatic Brain Injury Training Curriculum: Introduction to Person Centered Planning VOL 2 West Virginia Positive Behavior Support Network (2007): Overview of Positive Behavior Support 3 Hour Training July, 2012 20
  20. 20. Here are some additional resources that you may want to explore: (To view site, right click on link and chose Open Hyperlink)    CDC - Traumatic Brain Injury - Injury Center Center for Excellence in Disabilities at West Virginia University Preventing, Treating, and Living with TBI July, 2012 21
  21. 21. • • • To receive your certificate of successful completion you must first pass the test and complete an online evaluation. A score of 80% or higher is required. Once you have successfully completed this training module you will receive an email with your certificate of completion. July, 2012 22
  22. 22.   Please scroll down and take the test below. Your thoughts and comments are very important to us. You may submit your comments here: [insert TBI Training Survey link] Thank You! July, 2012 23