Enabling Independence and Person Centred Approaches

Enabling Independence and Person Centred

Approaches

13 April 2023Enabling Independence and Person

Centred Approaches © Carrie Hayter Consulting

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Northside Community Forum,4 September 2014

About Carrie Hayter Consulting

13 April 2023

• Transitioning to personalised support– Research, Evaluation & Translation– A Handbook for community care services , Empowering People, enhancing

independence, enriching lives with Alt Beatty Consulting for NSW Government

– Strategic Planning– Education, coaching and mentoring– Person Centred Practice and Thinking (managers and support workers)– Cultural Diversity and Cultural Competence– Ageing and Sexuality (managers)– Ageing and Sexuality (frontline workers)– Consumer Directed Care (Managers and Support Workers)– Living Life my Way (Service Users)

Enabling Independence and Person Centred Approaches © Carrie Hayter

Consulting2

ACTIVITY 1



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Learning Outcomes By the end of the course participants will:• Describe the key principles of person centred

thinking;• Apply key elements of person centred thinking

to practice;• Apply practical tools to support your practice

and agency in implementing person centred thinking;

• Explore ways of measuring outcomes for older people, people with disabilities and their carers; and

• Describe the systems or processes in your organisation that need to change to support person centred practice.



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Why an enabling and person centred approach?



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Policy

Practice Research

13 April 2023 6Enabling Independence and Person Centred Approaches© Carrie Hayter

Consulting



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Built Environment

Physical Activity & Wellbeing

Carer wellbeing

Assistive Technology

Choice and Control

Community Connections

Research

Why an enabling and person centred approach?

13 April 2023Enabling Independence and Person Centred Approaches © Carrie Hayter Consulting8

Policy

State and Territory Govts: - Victoria: Active Service

(now Person Centred Approach)- Western Australia: Wellness- NSW: Enabling - Tasmania : Wellness and

Independence

Federal Government policy directions• Enablement and restorative

approaches

UN Convention on the rights of people with a disabilityProductivity Commission: - Caring for Older Australians - Disability, Care and Support

Living Longer Living WellPackage

Home Support Program Discussion paper

Practice

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UN Convention on the Rights of People with a Disability

Productivity Commission Reports

National Disability Insurance Scheme (NDIS)launch sites from 1 July 2013

Consumer Directed Care Packaged Care from 1 July 2013-2015

Research on consumer directed care models - choice and control for people with a disability and cost savings (Glendenning 2008, Ottman, 2009, Leadbetter, 2004)

Low take up of individualised budgets by older people (Glendenning et al 2008) (Ottmann, G., Carmel, L., & Allen, J. (2012)

Research Policy


Consulting

13 April 2023

Consumer Directed Care Models in Australia

Case Management &

BrokerageIndividualised

Budgets Cash for Care

Self Managed/ Direct Payments

Attendant Care

Packages

National Disability Insurance Scheme

Service User control of money and resources


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Home Care Packages

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NDIS National Disability Insurance Agency

Assessment

Registered Providers with NDIS

Devika(consumer)

Nominees/ Support Planner

National Disability Insurance Scheme


Consulting

13 April 2023

25,000 for support National Disability Insurance Australia

Make Movies

Nominees/ Support Planner

Devika

Get up and get ready

Get Ready for bed in evening

Go to church


Consulting

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Aged Care Policy Developments

HACC & NRCP Program 1 July 2015 Home Support Program• HACC• National Respite for Carers

Program• Day Therapy Centres• All other Commonwealth

aged care programs • Discussion paper on home

support program

Packaged Care Programs • 1 July 2013 til July 2015

– Home Care Packages – Consumer Directed Care– Individualised Budget Model

• Transition for existing packages



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Consumer Directed CareHome Care Packages

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GoalsWhat

matters most

Outcomes Independence

Approved Provider

ACATTier 1Tier 2Tier 3Tier 4

Strengths & Needs

Individualised Budget

Outcomes

Amanthi Amanthi

Enabling Independence and Person Centred Approaches Copyright Carrie

Hayter Consulting

Who is driving the bus?



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ACTIVITY 2



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People leading the Way

Village to Village Network BostonBeacon Hill Village • Grass roots movement created by

older for older people• Member basedhttp://www.beaconhillvillage.org

Village to Village Network http://www.vtvnetwork.org/

AustraliaWavertonhttp://wavertonhub.com.au/

My Choice Matters • Ideas and resources for

people to have more voice, choice and control

• Run my projects• Become a leader http://www.mychoicematters.org.au/



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http://www.beaconhillvillage.org/

http://www.beaconhillvillage.org/

http://www.vtvnetwork.org/

http://www.vtvnetwork.org/

What is an enabling/ person centred approach?


Centred Approaches ©t Carrie Hayter Consulting

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4. Builds on a person’s strengths and interests and

their life story2. Promoting

independence, by restoring capacity and

well-being through activity, social

connections, skills and assistance

3. Focuses on a person’s goals andtailors support to individuals. This includes what is

important for and important to a person

1. Promotes active ageing and social

inclusion

5. Builds positive partnerships

13 April 2023

Service Users Practice

Staff & Volunteers

Budgets

Cost Carers Life story

Direct/ Indirect

Training & Support

Education & Support

Goals and Vision

Creative Culture

Person Centred Thinking, Mission and Vision

Consumer Directed

Care

Lau

nch

Pad

Enabling Independence and Person Centred Approaches © Carrie Hayter Consulting

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‘Important to’ and ‘Important for’

Important to Important for• What is

important for people are the things that help people become or stay healthy and safe, whether it is important to them or not



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• What is important to a person is what they say through their own words and behaviours about what really matters to them (eg comfort, happiness).

Source: Helen Sandersonson and Associateshttp://www.helensandersonassociates.co.uk/reading-room/how/person-centred-thinking/person-centred-thinking-tools.aspx

ACTIVITY 3


Centred Approaches Copyright Carrie Hayter Consulting

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People’s stories • If you had a great day what

would you be doing?

• What is stopping you from doing this now?

• Who is the best person to support you to have a great day?

• What would make a big difference in your life?



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Building Informal Networks

• What are the important relationships in your life?– How can we support these during the week/month? – Who would be the best person to do this?

• What are the opportunities to make further relationships?– How can we make this happen? – Where, when and who is best to provide support?

• What are your gifts and contributions? – Where could these be used and valued in the community?– How could we explore this? – When, where and who is the best to provide support? (Scown, S., &

Sanderson, H. (2011)



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13 April 2023Enabling Independence and Person Centred Approaches© Carrie Hayter

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Must haves

Love to have

What is stopping you from having more of the love to haves in your life?

The people in my life

13 April 2023

Friends

Family

Wo

rk

& C

om

mu

nit

y Paid

Su

pp

orters

Source: Adapted from Scown & Sanderson, 2011

Enabling Independence and Person Centred Approaches© Carrie Hayter

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13 April 2023

Places I like to go


Consulting

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Good Day and Bad Day Good Day Bad Day

What does a bad day look like?



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What does a good day look like?

What needs to happen to have more good days rather than bad days?

Source: Helen Sandersonson and Associateshttp://www.helensandersonassociates.co.uk/reading-room/how/person-centred-thinking/person-centred-thinking-tools.aspx

My Routines

13 April 2023Source: Adapted from Scown & Sanderson, 2011

Day Mornings Afternoon Evening

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday


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13 April 2023

What people appreciate and admire about me….

About me.Put a photo or describe a few words

What is important to me This tells people in your own words what is really important to you, what your hobbies and interests are, who is important to you and what makes a ‘good’ day for you.

How best to support me……….What do others need to know to make sure you get the best support possible? ( be specific, the more specific, the more people will understand)

Source: Adapted from Scown & Sanderson, 2011

One Page Profile


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Source: Helen Bowers, Gill Bailey, Helen Sanderson, Lorna Easterbrook and Alison Macadam, Person Centred Thinking withOlder People Practicalities and Possibilities downloaded on 1 May 2014 from http://www.helensandersonassociates.co.uk/media/12222/full%20book.%20practicalities%20and%20possibilities

SMART Goals Specific - Is it specific and does it have

meaning for people?Measureable - Goals need to be able to be

measured. How can you measure progress?

Achievable - People need to own their goals – Is it achievable?

Realistic - How realistic is the goal?Timed - Without a time frame goals

may not be implemented.13 April 2023


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Language of Goals • Choose verbs and

action words such as:– Give, Join, Practise,

Write, Complete, Plan, Arrange, Achieve, Learn, Meet, Prepare, Organise etc ( Community West, 2011)



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ACTIVITY 4 – Person Centred Reviews



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13 April 2023

Service Users Practice

Staff & Volunteers

Budgets

Cost Carers Life story

Direct/ Indirect

Training & Support

Education & Support

Goals and Vision

Creative Culture

Person Centred Thinking, Mission and Vision

Consumer Directed

Care

Lau

nch

Pad


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13 April 2023

Developing Individualised Budgets

Area What do we need to know?

Costs Direct Costs

Indirect Costs

Costs to consumers What is reasonable and unreasonable cost to consumerAdministration costs need to be broken down

Educating carers and consumers What support and information needs to be provided to consumers and carers?


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13 April 2023

ACTIVITY 6 & 7


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Strategy

• Educating service users • Philosophy and culture• Flexible management• Unit costs

Staff

• Training & supervision• Providing structures for reflective

practice

Ideas

• Testing Ideas• Start Small and evaluate

Transitioning to the Future



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13 April 2023

I am happiest when….What makes you happy at work?

About me.Put a photo or describe a few words

What is important to me This tells people in your own words what is really important to you, what your hobbies and interests are, who is important to you and what makes a ‘good’ day for you.

How best to support me……….

What do others need to know to make sure you get the best support possible? ( be specific, the more specific, the more people will understand)

One Page Profile for Staff

Source: Scown & Sanderson, 2011, Enabling Independence and Person Centred Approaches © Carrie Hayter

Consulting38

Reflective Practice

– What have you tried?– What have you learned?– What are you pleased about?– What are you concerned about?– What do you need to do next?



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Source: Adapted from Helen Sandersonson and Associateshttp://www.helensandersonassociates.co.uk/reading-room/how/person-centred-thinking/person-centred-thinking-tools.aspx

ACTIVITY 10



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Summary

Key Themes• Social Inclusion• Building on Strengths and Interests• Developing a plan• Individualised Budgets• Systems and Processes



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Thank You!

Ph: 0415 348 057Email: [email protected]

Twitter:@carriehayter Linked In: au.linkedin.com/pub/carrie-hayter

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Enabling Independence and Person Centred Approaches