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Person-Centered Transition Planning



                 Presented by:
         Karen Umstead, M.Ed, B.C.B.A
          Beautiful Minds of Princeton
       “Teach, Reach, & Expand Potential”
       www.beautifulmindsofprinceton.com

                                            1
Introductions
• Who am I
• Who are you
  –   Job position (Teacher, Related Service, Para, etc)
  –   Age range of students
  –   Functioning levels (where on the spectrum)
  –   Placement (Self-contained, Resource, In class)
• What do you know
• What do you want to know

                                                           2
Levels of Importance
• Currently
  – Heavy focus on what is important FOR a person
  – Some focus on what is important TO a person
• Changing
  – More weight needs to be given to what is
    important TO a person
  – More balanced
Important To/For
• What is important to a person includes only what
  people are “saying”:
 –   with their words
 –   with their behavior

• When words and behavior are in conflict, listen to the
  behavior.


                                                       4
Important For
• What is important for people, includes only those
  things that we need to keep in mind regarding
  – Issues of health or safety
  – What others see as important to help the person be a
    valued member of their community




                                                           5
Moving from Service Life to Community Life

      Service                          A Good                           Community
       Life                            Paid Life                          Life




         “Important for “ recognized
                                                 Focus on connecting, building
                                               relationships and natural supports
                   “Important to” present




Important “For addressed   To and for present                  To and for present
No organized effort to     Closest people are family or paid   Active circle of support
address important “To”     Few real connections                Included in community life
                                                                                        6
Moving from Service Life to Community Life

      Service                       A Good                           Community
       Life                         Paid Life                          Life




Important For addressed   To and for present                  To and for present
No organized effort to    Closest people are family or paid   Active circle of support
address important to      Few real connections                Included in community 7  life
What works/makes sense              What doesn’t work/make sense
              • Shopping daily for favorite things
              • Having lots of jewelry and no one •
                                                      Staff don’t let me drink what I want
                getting into them without my ok     • Teddy leaving me during mealtimes
              • Having my sister Joanne in my life • Having no work to do at WAC, Inc.
perspective




              • Lots of blue, red and black clothes • Staff not letting me buy things I
  Julie’s




                                                      want
              • Polished nails, many colors &
               layers
              • Living with Teddy, the Yorkshire
                    Sleeping on my bed at night
                    Snacks from my plate
                    In my lap when I watch TV
              • Favorite people doing activities
                with her, especially John Dandy     • Julie is less steady on her feet and
                                                     falling more than she used to
              • Keeping Julie from falling –
perspective




               reminders to use her walker          • If you don’t make a plan with her
  Staff’s




                                                     before shopping, she will want to buy
              • Level blood sugar - staff knowing    more than she has money for – Julie
               signs of low and high blood sugar
                                                     may get very upset which can alter
              • Joanne is active in Julie’s life     her blood sugar
              • Planning before she goes shopping • Julie gives Teddy food off her plate.
Julie
What is important to Julie?                      What is important for Julie?




          What else do you need to learn/know?




             © The Learning Community for Person Centered Practices, Inc. 2008
Julie – Answer Slide
What is important to Julie?                         What is important for Julie?

Relationship with Teddy                           Keeping diabetes under control
Having some control –                             • Monitoring blood sugar, giving insulin
• Over what happens with Teddy                    • Weighing her food
• What she buys/wears                             • Controlling amount she drinks
• Her things                                      • Helping her stay calm
Shopping a lot                                    Supporting her relationship with Teddy
Her sister &John Dandy in her life                Keeping her from falling
Staying busy at the day service                   Planning in advance/
Drinking as much as she wants                     budgeting in advance for shopping


              What else do you need to learn/know?
• How interested/involved is Julie in her diabetes management?
• What about “no work to do at WAC, Inc bothers her?
•Is John Dandy really important to her?
                 © The Learning Community for Person Centered Practices, Inc. 2008
Family


                                  Grandma
Work/Day                                                            Home and
Services/                                                           Other Paid
School                        Parents, Christina,                   Supports
                              Nikki, Dan, Alicia &
                              Caleb

                     Sue,                         Donna,   Nicole
            Nicole                 Karen
                     Diane,                       Aneta
                     Kate

                              Maryann, Heather,
                              Audrey, Sharyn,
                              Ashna, Joe
                            Matt, Tirzah,
                            Mike, Brian, Phil,
                            Beth
                         Friends and Non-paid
                         Relationships                                       11
Family



Work/Day                           Home and
Services/                          Other Paid
School                             Supports




                    ________




            Friends and Non-paid
            Relationships                   12
Morning Routine
7:00 am alarm clock radio goes off, hit snooze
and go back to bed
7:03 alarm clock radio goes off, hit snooze and
go back to bed
7:05 Iphone alarm clock goes off, get out of bed
7:06 Go to bathroom and take medication
7:08 Let Romeo out, food and water in bowls,
pour cereal and milk
                                               13
Morning Routine
7:08 Get cereal, turn on ABC, watch TV
7:20 Go to bedroom, look for clothes to wear,
get dressed
7:23 Brush hair, teeth, wash face, do hair
7:28 Grab work gear (laptop, files, etc)
7:30 Check for phone, keys. Head out the door
8:00 Get to work

                                                14
Morning Ritual
           Having a Conversation & Peeling the Onion
          Read & Guess          Have a Conversation; Ask &
                                   Write… Important To
Put cereal with skim milk in little yellow   • Health, Staying fit
bowl. Eat while watching the Today               • jogging
Show (Philly NBC only) or Sports Center          • eating lots of vegetables
(Fall – Winter). Make lunch (usually a           • Drinking low/no calorie
salad with peas and chickpeas or a can           beverages
of soup and a Diet Coke).                    • Keeping up on current
                                               events, Politics
                                                  • Philly, PA News (not NY)
                                                  • A shared perspective
                                                  • Hollywood Gossip
                                                  • Knowing latest trends
                                             •Competition
                                                  • Fantasy Football
                                                  • Sports (no baseball)
Getting to know your student
•   Great things about him/her
•   Things s/he likes/dislikes
•   Her good/bad day
•   Positive rituals

Consider Important to AND important for
Getting to know your student
•       Hopes and dreams for the future
    –     Housing
    –     Employment
    –     Leisure/Community
•       Two minute drill
•       Great day/Bad day (or weekend)
•       Communication
•       Health & Safety
          Consider Important to AND important for
Who is responsible


• Core Responsibilities
• Use Judgment & Creativity
• Not our Responsibility
Now What?
• Once the information is gathered, then an
  essential lifestyle plan (ELP) will be created
• Team Meeting
• Characteristics of people who support one best
• Action Plan
  – Desired Outcome
  – Justification
  – What needs to be done, by whom, by when
                                               19
Some Examples
• Jacks ELP Plan.pdf
• Belinda ELP Newsletter.pdf
• Kelly K ELP with MAPS.pdf




                               20
Areas to consider
•   Self-determination and advocacy
•   Employment
•   Residential
•   Community




                                      21
Working/Not Working

              What works/makes sense                      What doesn’t work/make sense
Perspective
 Person’s
Perspective
  Staff’s




                     © The Learning Community for Person Centered Practices, Inc. 2008
4 + 1 Questions
              (focus on learning and act on it)

   What have we     What have we                What are we                 What are we
   tried?           learned?                    pleased about?              concerned
                                                                            about?




And then, what should we try/do based on what we have learned?



              © The Learning Community for Person Centered Practices, Inc. 2008
Learning Log
                         Using the learning log to replace progress typical notes
        What did the
                        Who was there?
        person do?                          What did you learn about what worked       What did you learn about what didn’t work
                           (Names of
Date   (What, where,                        well? What did the person like about the   well? What did the person not like about the
                         staff, friends,
        when, how                           activity? What needs to stay the same?        activity? What needs to be different?
                          others, etc.)
         long, etc.)

11/1   Watch kids       Dan, Chandra,      He liked watching from the back of the      He was not comfortable with kids close
       practice for a   kids in the        room, but make sure that he can see         behind him. He didn’t seem to like it when
       concert at the   program            everything that’s going on. He LOVED it     the kids were moving around in the room
       Kennedy School                      when the kids were actually singing! (the   (maybe because they were really noisy then).
                                           concert will be on 11/14 at 7:00pm)




                               © The Learning Community for Person Centered Practices, Inc. 2008
You can put information in this booklet in
                                            whatever way you want, you can write, draw,
                                            use photos or pictures - its up to you ! You

    My review                               can tell everyone about ……



                                               the things you like
                                               and things you don’t            things that are
                                               like….                          important to
                                                                               you, things you
                                                                               want to stay the
                                                                               same and those
                                                                               you want to
                                                                               change.

                                              your hopes and
                                              dreams for the
            (Your picture here)               future




 Name …………………………………

 ………………………………………………                          Use the blank pages
                                             and add extra pages
                                             if you need to.
This is a booklet to help you think about
      your life and plan your review.         You may want to take copies of the pages to   2
                                              stick on the charts at the meeting
Important people in my
                                  life
                              Put names in the
                              spaces…….


                                                 family




  What I like best
about myself - put your
 own words in the stars       other                        school staff
                              important                    and paid
                              people                       supporters
                                                  me




                                                 friends
                          3                                          4
What is important to me now             What is important to me now
What I   like to do…
                                           Music                          Hobbies
At school…




                                                          Drink
                                           Food
At home…




Just for fun..

                                          Tv programmes




At any other important places I go…


                                           What I really don’t like at school,
  What I like to do with my friends        home or for activities


                                      5                                             6
What is important to me now                          What is important to me
                                                     now
About school           How I get to and from
                                                                   Other things I like to do
                       school
                                                                   at school




                       The best part of the
                       day is


                                                 I like to spend
My favourite lessons                            time with
are


                       At breaktime I like to




                       At lunchtime I like to




                                          7                         What makes me              8
                                                                    unhappy at school
What is important to me now                                What is important
                                                                    to me now
My school week
In each space draw the
                                                            Since my last review I
face that matches best                                        have got better at




For example:             happy      sad        ok



              Monday Tuesday Wednesday Thursday Friday


   Morning                                                  What I would like to
                                                         get better at and the help I
                                                               need to do this
   Lunch



   After-
   non



             You may also want to say why
              you have chosen the face..
                                                     9                                  10
Important to me for the                         Important to me for the future
                    future
These pages are for your
hopes and dreams
                                                               I would be happy if…
             3 wishes I’d like to come true..




                                                       I would not be happy if..


       In the future,I’ll be spending my time…




                                                              Other things I would really
                                                              love to do or have..


                                                                                            12
                                                11
Staying healthy and safe                       Communication
                                      What I do when I
                                      am feeling         Happy..
What I can do
by myself….       What I would
                  like to be able
                 to do for myself
                                                           Happy




                                      Sad…               Frustrated..




                What help I need to   Angry…             Unwell or in pain…
                do these things




                               13
                                                                              14
Communication                                            What is working in
   What people should do if I am…..
                                                                      my life now

Unwell or in pain            Sad or upset

…………………………                  ……..…………………

…………………………                  …………..……………

…………………………                  ………..………………

…………………………                  ………..………………

…………..…………….                ……..…………………

 ………………………..                ………..………………

…………………………                  ……..………………..
                                                 What I want to stay the same in my life

               Things you should never do




                                                                                           16
                                            15
What is not                      Questions to ask
                 working in my life                 Issues to resolve
                        now             Make a list of anything you want to find out
                                        about.




What I want to change in my life




                                   17
                                                                                       18
Planning my review                                      Planning my review
1. Names of people I want to invite to my            2. How to make sure I am comfortable and at the
 .
meeting.                                             centre of my meeting.
                                                                                       Snacks
This may include family, friends , school teachers
                                                     Where I would like it
and other important people.
                                                     to be held




                                                         Drinks

                                                                               Music




                                                         Other things I would like to have or do at
                                                         the meeting



                                                                                                20
                                               19
Workbook developed by: Niki Marshall, Diane Staniforth
and Ruth Mathiesen based on the year 9 Person Centred
         Review process by Helen Sanderson.


               Sheffield Care Trust

         Joint Learning Disabilities Service




  We are happy for you to copy and adapt this book as
long as the authors and organisations are acknowledged.
Beautiful Minds of Princeton
  “Teach, Reach, & Expand Potential”
For more information:
Call: 1-800-675-2709

Email: beautifulminds@comcast.net

or Visit us:
www.beautifulmindsofprinceton.com

                                       36

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Person-Centered Transition Planning Guide

  • 1. Person-Centered Transition Planning Presented by: Karen Umstead, M.Ed, B.C.B.A Beautiful Minds of Princeton “Teach, Reach, & Expand Potential” www.beautifulmindsofprinceton.com 1
  • 2. Introductions • Who am I • Who are you – Job position (Teacher, Related Service, Para, etc) – Age range of students – Functioning levels (where on the spectrum) – Placement (Self-contained, Resource, In class) • What do you know • What do you want to know 2
  • 3. Levels of Importance • Currently – Heavy focus on what is important FOR a person – Some focus on what is important TO a person • Changing – More weight needs to be given to what is important TO a person – More balanced
  • 4. Important To/For • What is important to a person includes only what people are “saying”: – with their words – with their behavior • When words and behavior are in conflict, listen to the behavior. 4
  • 5. Important For • What is important for people, includes only those things that we need to keep in mind regarding – Issues of health or safety – What others see as important to help the person be a valued member of their community 5
  • 6. Moving from Service Life to Community Life Service A Good Community Life Paid Life Life “Important for “ recognized Focus on connecting, building relationships and natural supports “Important to” present Important “For addressed To and for present To and for present No organized effort to Closest people are family or paid Active circle of support address important “To” Few real connections Included in community life 6
  • 7. Moving from Service Life to Community Life Service A Good Community Life Paid Life Life Important For addressed To and for present To and for present No organized effort to Closest people are family or paid Active circle of support address important to Few real connections Included in community 7 life
  • 8. What works/makes sense What doesn’t work/make sense • Shopping daily for favorite things • Having lots of jewelry and no one • Staff don’t let me drink what I want getting into them without my ok • Teddy leaving me during mealtimes • Having my sister Joanne in my life • Having no work to do at WAC, Inc. perspective • Lots of blue, red and black clothes • Staff not letting me buy things I Julie’s want • Polished nails, many colors & layers • Living with Teddy, the Yorkshire  Sleeping on my bed at night  Snacks from my plate  In my lap when I watch TV • Favorite people doing activities with her, especially John Dandy • Julie is less steady on her feet and falling more than she used to • Keeping Julie from falling – perspective reminders to use her walker • If you don’t make a plan with her Staff’s before shopping, she will want to buy • Level blood sugar - staff knowing more than she has money for – Julie signs of low and high blood sugar may get very upset which can alter • Joanne is active in Julie’s life her blood sugar • Planning before she goes shopping • Julie gives Teddy food off her plate.
  • 9. Julie What is important to Julie? What is important for Julie? What else do you need to learn/know? © The Learning Community for Person Centered Practices, Inc. 2008
  • 10. Julie – Answer Slide What is important to Julie? What is important for Julie? Relationship with Teddy Keeping diabetes under control Having some control – • Monitoring blood sugar, giving insulin • Over what happens with Teddy • Weighing her food • What she buys/wears • Controlling amount she drinks • Her things • Helping her stay calm Shopping a lot Supporting her relationship with Teddy Her sister &John Dandy in her life Keeping her from falling Staying busy at the day service Planning in advance/ Drinking as much as she wants budgeting in advance for shopping What else do you need to learn/know? • How interested/involved is Julie in her diabetes management? • What about “no work to do at WAC, Inc bothers her? •Is John Dandy really important to her? © The Learning Community for Person Centered Practices, Inc. 2008
  • 11. Family Grandma Work/Day Home and Services/ Other Paid School Parents, Christina, Supports Nikki, Dan, Alicia & Caleb Sue, Donna, Nicole Nicole Karen Diane, Aneta Kate Maryann, Heather, Audrey, Sharyn, Ashna, Joe Matt, Tirzah, Mike, Brian, Phil, Beth Friends and Non-paid Relationships 11
  • 12. Family Work/Day Home and Services/ Other Paid School Supports ________ Friends and Non-paid Relationships 12
  • 13. Morning Routine 7:00 am alarm clock radio goes off, hit snooze and go back to bed 7:03 alarm clock radio goes off, hit snooze and go back to bed 7:05 Iphone alarm clock goes off, get out of bed 7:06 Go to bathroom and take medication 7:08 Let Romeo out, food and water in bowls, pour cereal and milk 13
  • 14. Morning Routine 7:08 Get cereal, turn on ABC, watch TV 7:20 Go to bedroom, look for clothes to wear, get dressed 7:23 Brush hair, teeth, wash face, do hair 7:28 Grab work gear (laptop, files, etc) 7:30 Check for phone, keys. Head out the door 8:00 Get to work 14
  • 15. Morning Ritual Having a Conversation & Peeling the Onion Read & Guess Have a Conversation; Ask & Write… Important To Put cereal with skim milk in little yellow • Health, Staying fit bowl. Eat while watching the Today • jogging Show (Philly NBC only) or Sports Center • eating lots of vegetables (Fall – Winter). Make lunch (usually a • Drinking low/no calorie salad with peas and chickpeas or a can beverages of soup and a Diet Coke). • Keeping up on current events, Politics • Philly, PA News (not NY) • A shared perspective • Hollywood Gossip • Knowing latest trends •Competition • Fantasy Football • Sports (no baseball)
  • 16. Getting to know your student • Great things about him/her • Things s/he likes/dislikes • Her good/bad day • Positive rituals Consider Important to AND important for
  • 17. Getting to know your student • Hopes and dreams for the future – Housing – Employment – Leisure/Community • Two minute drill • Great day/Bad day (or weekend) • Communication • Health & Safety Consider Important to AND important for
  • 18. Who is responsible • Core Responsibilities • Use Judgment & Creativity • Not our Responsibility
  • 19. Now What? • Once the information is gathered, then an essential lifestyle plan (ELP) will be created • Team Meeting • Characteristics of people who support one best • Action Plan – Desired Outcome – Justification – What needs to be done, by whom, by when 19
  • 20. Some Examples • Jacks ELP Plan.pdf • Belinda ELP Newsletter.pdf • Kelly K ELP with MAPS.pdf 20
  • 21. Areas to consider • Self-determination and advocacy • Employment • Residential • Community 21
  • 22. Working/Not Working What works/makes sense What doesn’t work/make sense Perspective Person’s Perspective Staff’s © The Learning Community for Person Centered Practices, Inc. 2008
  • 23. 4 + 1 Questions (focus on learning and act on it) What have we What have we What are we What are we tried? learned? pleased about? concerned about? And then, what should we try/do based on what we have learned? © The Learning Community for Person Centered Practices, Inc. 2008
  • 24. Learning Log Using the learning log to replace progress typical notes What did the Who was there? person do? What did you learn about what worked What did you learn about what didn’t work (Names of Date (What, where, well? What did the person like about the well? What did the person not like about the staff, friends, when, how activity? What needs to stay the same? activity? What needs to be different? others, etc.) long, etc.) 11/1 Watch kids Dan, Chandra, He liked watching from the back of the He was not comfortable with kids close practice for a kids in the room, but make sure that he can see behind him. He didn’t seem to like it when concert at the program everything that’s going on. He LOVED it the kids were moving around in the room Kennedy School when the kids were actually singing! (the (maybe because they were really noisy then). concert will be on 11/14 at 7:00pm) © The Learning Community for Person Centered Practices, Inc. 2008
  • 25. You can put information in this booklet in whatever way you want, you can write, draw, use photos or pictures - its up to you ! You My review can tell everyone about …… the things you like and things you don’t things that are like…. important to you, things you want to stay the same and those you want to change. your hopes and dreams for the (Your picture here) future Name ………………………………… ……………………………………………… Use the blank pages and add extra pages if you need to. This is a booklet to help you think about your life and plan your review. You may want to take copies of the pages to 2 stick on the charts at the meeting
  • 26. Important people in my life Put names in the spaces……. family What I like best about myself - put your own words in the stars other school staff important and paid people supporters me friends 3 4
  • 27. What is important to me now What is important to me now What I like to do… Music Hobbies At school… Drink Food At home… Just for fun.. Tv programmes At any other important places I go… What I really don’t like at school, What I like to do with my friends home or for activities 5 6
  • 28. What is important to me now What is important to me now About school How I get to and from Other things I like to do school at school The best part of the day is I like to spend My favourite lessons time with are At breaktime I like to At lunchtime I like to 7 What makes me 8 unhappy at school
  • 29. What is important to me now What is important to me now My school week In each space draw the Since my last review I face that matches best have got better at For example: happy sad ok Monday Tuesday Wednesday Thursday Friday Morning What I would like to get better at and the help I need to do this Lunch After- non You may also want to say why you have chosen the face.. 9 10
  • 30. Important to me for the Important to me for the future future These pages are for your hopes and dreams I would be happy if… 3 wishes I’d like to come true.. I would not be happy if.. In the future,I’ll be spending my time… Other things I would really love to do or have.. 12 11
  • 31. Staying healthy and safe Communication What I do when I am feeling Happy.. What I can do by myself…. What I would like to be able to do for myself Happy Sad… Frustrated.. What help I need to Angry… Unwell or in pain… do these things 13 14
  • 32. Communication What is working in What people should do if I am….. my life now Unwell or in pain Sad or upset ………………………… ……..………………… ………………………… …………..…………… ………………………… ………..……………… ………………………… ………..……………… …………..……………. ……..………………… ……………………….. ………..……………… ………………………… ……..……………….. What I want to stay the same in my life Things you should never do 16 15
  • 33. What is not Questions to ask working in my life Issues to resolve now Make a list of anything you want to find out about. What I want to change in my life 17 18
  • 34. Planning my review Planning my review 1. Names of people I want to invite to my 2. How to make sure I am comfortable and at the . meeting. centre of my meeting. Snacks This may include family, friends , school teachers Where I would like it and other important people. to be held Drinks Music Other things I would like to have or do at the meeting 20 19
  • 35. Workbook developed by: Niki Marshall, Diane Staniforth and Ruth Mathiesen based on the year 9 Person Centred Review process by Helen Sanderson. Sheffield Care Trust Joint Learning Disabilities Service We are happy for you to copy and adapt this book as long as the authors and organisations are acknowledged.
  • 36. Beautiful Minds of Princeton “Teach, Reach, & Expand Potential” For more information: Call: 1-800-675-2709 Email: beautifulminds@comcast.net or Visit us: www.beautifulmindsofprinceton.com 36

Editor's Notes

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