Provider Applicant Orientation for the Office of ... · Provider Applicant Orientation for the...

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Provider Applicant Orientation for the Office of Developmental Programs

Introduction

and

Pre-Registration Module 1, Part 2: ODP System, Mission, Vision, and Values,

Everyday Lives Values, and Positive Approaches

Hello, my name is Dave Maloney with the Columbus Organization. Welcome to Pre‐Registration Module 1 Part 2 of the Office of Developmental Programs’ Provider Applicant Orientation.

This module is part of a series of modules to ensure that Applicants seeking to provide services to people with an Intellectual Disability [ID) and/or Autism Spectrum Disorder (ASD) obtain a basic understanding of the Office of Developmental Programs’ system. We’ll use the acronym ODP for the Office of Developmental Programs throughout these modules. The information in this Module is a basic overview of ODP’s Mission, Vision, and Values. It does not substitute for additional research using the resource materials available in this course.

This material is presented so that you may learn as much about how the system works as possible to prepare for attending an in‐person Provider Applicant Orientation session.


Introduction

Before enrollment to provide ODP services, Applicants must successfully complete:

Provider Applicant Orientation

PROMISeTM

EnrollmentProvider

Qualification

You are here

This module is part of Step 1 shown on the slide. Those who wish to register for a face‐to‐face session must complete this module and subsequent modules.


Applicants intending to provide services through the Adult Autism Waiver (AAW) only: You are required to complete this module and pass the post-test, but are not required to register for a face-to face session. Complete modules 1-5 and then contact the Bureau of Support for Autism and Special Populations (BSASP) at 1-866-539-7689 or [email protected] for further enrollment steps.

Applicants who intend to provide services through the Intellectual/Disability/Autism (ID/A) Waviers (theConsolidated, Community Living, Person/Family Directed Support and Adult Autism Waiver: Complete this module, pass the post-test, and continue to the next module.

Applicants who intend to provide services only through the Adult Autism Waiver (AAW) are required to complete this module but are not required to register for a face‐to‐face session. After completing modules 1‐5 (including passing the post‐tests), contact the Bureau of Support for Autism and Special Populations (BSASP) using the information on the slide for further enrollment steps.

If you intend to provide services through the other Office of Developmental Programs’ Intellectual Disability/Autism (ID/A) Waivers ‐ the Consolidated, Community Living, Person/Family Directed Support (or P/FDS) ‐ and Adult Autism Waiver, you must continue with this Module, pass the post‐test, and continue to the next module.


Introduction

Step 1:

The CEO/Executive Director must review the material for each module and successfully pass the test for the module.

Introduction, ODP Service System, and ODP Mission, Vision, and Values

Person-Centered Planning and the ISP

Rules and Regulations, the ID/A Waivers, and Monitoring of Providers

Incident and Risk Management

Financial Management, Quality Management, and Provider Training

Becoming a Provider

These are the six modules that must be completed prior to registering for a face‐to‐face session. You are currently in part two of the first module. Remember that, before the next module becomes visible, you must successfully pass the test for the current module. Each module will become visible in turn.


ODP Mission, Vision & Values

to support Pennsylvanians with developmental disabilities to achieve greater independence, choice, and opportunity in their lives.

Mission

to continuously improve an effective system of accessible services and supports that are flexible, innovative, and person‐centered.

Vision

based on the Everyday Lives: Values in Action, ODP’s vision promotes the belief that, with the support of family and friends, people with disabilities can and should decide howto live their lives.

Values

Scope ODP serves individuals with an Intellectual Disability and/or Autism Spectrum Disorders.

Take a moment to read the descriptions on the screen. These are ODP’s Mission, Vision, and Values, which provide context and guidance for policy development, service design and implementation, and decision‐making.


Everyday Lives - Values In Action

Foundational Statements:

1. We value what is important to people with disabilities and their families, who are striving for an everyday life.

2. People with disabilities have a right to an everyday life; a life that is no different than that of all other citizens.

In 1991, the Department of Human Services introduced Everyday Lives, a vision for the future of individuals supported within the ODP system. The fundamental concept of Everyday Lives is that, with the support of family and friends, individuals with disabilities decide how they want to live their lives and what services and supports they need. These values drive ODP’s system and serve to remind us of who is the customer.

In 2016, ODP revisited Everyday Lives, and involved 265 stakeholders to evaluate best practices and determine the most important steps for ODP to take to improve service delivery. The result was Everyday Lives, Values in Action. The Everyday Lives: Values in Action document can be downloaded from MyODP. A link is also in the course where you accessed this module.

The foundation of Everyday Lives: Values In Action is two statements:

• First, we value what is important to people with disabilities and their families, who are striving for an everyday life.

• Second, people with disabilities have a right to an everyday life; a life that is no different than that of all other citizens.


Responsibility

ControlMy Life, My Way Choice Freedom Stability Health and Safety

Employment/Meaningful Contribution Individuality Connected


The Everyday Lives Values in Action value statements are presented in two parts. The first part are Values that are important from the individual’s perspective: My Life, My Way. The statement following each value below is written from the perspective of an individual receiving service.

• Choice: I decide everything about my life. My family, supporters, and community help me learn opportunities and together we make them happen.

• Control: I have control over all aspects of my life. My family, supporters, and community know these are my decisions and work with me to achieve greater control.

• Freedom: I have the same rights as all other members of the community and I fully use them. My family, supporters, and community respect my rights.

• Stability: Changes to my life are made only with my permission and input. My family, supporters, and community do “nothing about me without me.” They plan with me to meet my needs, now and for the future.

• Health and Safety: I am healthy and safe in all areas of my life. I, my family, supporters, and community balance health, safety, and risk according to my wants and needs.

• Employment/Meaningful Contribution: I want to work and/or have other ways to contribute to my community. My family, supporters, and community support me to find and keep a real job that I like with good wages and benefits or start and run my own business, and/or volunteer the way I want in my community.

• Individuality: I am respected and valued for who I am and who want to be. My family, supporters, and community treat me with dignity and support me in a person‐centered way.

• Connected: I am a full member of my community with respect, dignity, and status. My family, supporters, and community know me as a person, and welcome and accept me.

• Responsibility: I am dependable and honor my commitments. I keep my word. My family, supporters, and community are honest, fair, do what they’re supposed to do, and keep their word.


Responsibility

My Life, My Way Choice Freedom Stability Health and Safety

Employment/Meaningful Contribution Individuality Connected

Relationships Partnership Communication Quality Success Advocacy


Control

• Relationships: I decide who’s in my life: friends, family, partners, neighbors, pets, and others in the community. My family, supporters, and community respect the relationships I choose and support me to form new relationships.

• Partnership: I need people in my life who will honor my life’s journey. My family, supporters, and community work together with me to build bridges.

• Communication: I am listened to and understood; my input is valued. My family, supporters, and community listen to me and communicate in ways that work for me.

• Quality: I want my life my way. I, my family, supporters, and the community make sure the services I choose are proved to be high quality.

• Success: I am the best I can be in the goals that I decide. My family, supporters, and the community learn how to support me to achieve my goals.

• Advocacy: I am the best person to let others know what I want and need. My family, supporters, and the community listen to me and understand what I want and need, and assist me to be heard by others.

An everyday life is about having the opportunity to make choices and being the one who makes decisions about your life. The ODP system’s job is to help people know and understand their choices, as well as how to make choices that do not put the individual at unnecessary risk of harm.


Communication

What Families Value

The Unique Role of Family Supporting Families

Mentoring

Choice and Control

Health and Safety Knowledge and Resources

Simplicity and Flexibility Quality and Stability

Respect and Trust Opportunity for Innovation


Responsibility


Employment, Meaningful Contribution Individuality Connected


Throughout the Lifespan

Collaboration

Since family is integral to an everyday life, they play a key role throughout the lifespan. Families also need support, information, and advocacy. And so, Everyday Lives: Values in Action also includes what families value:

• The Unique Role of Family ‐ Families represent the very heart of life throughout the lifespan.

• Choice and Control ‐ Families seek freedom, on behalf of their family members, to make responsible and personal choices in all aspects of life.

• Supporting Families Throughout the Lifespan ‐ Our families must be encouraged and supported early on in their children’s lives to hope, dream, and reach for the future.

• Health and Safety ‐ People should be safe at home, work, school, and in the community.

• Knowledge and Resources ‐ Families want to feel strong so they can provide for and support their loved ones.

• Simplicity and Flexibility ‐ Families value a simplified and transparent system that is easy to access, understand, and navigate.

• Mentoring ‐ Families value mentoring as a strong component to informing and supporting families.

• Quality and Stability ‐ Families value quality supports and services that enable people to live everyday lives.

• Collaboration ‐ Along with self‐advocates, family members must be part of the discussion, planning, and creation of every element of the service system.

• Communication ‐ Good communication involves everyone working toward common goals, respecting one another in partnership.

• Respect and Trust ‐ Respect must be granted to families, their values and beliefs, homes, and privacy.

• Opportunity for Innovation ‐ Families support innovative creative approaches that can be the key to truly person‐centered solutions and often offer the most cost‐efficient solutions.


What Families Value


Responsibility


Employment, Meaningful Contribution Individuality Connected


Communication

The Unique Role of Family Supporting Families

Mentoring

Choice and Control

Health and Safety Knowledge and Resources

Simplicity and Flexibility Quality and Stability

Respect and Trust Opportunity for Innovation

Throughout the Lifespan

Collaboration

Take a moment to reflect on these values and what they mean in your life or in the life of someone you love. When you attend the face‐to‐face session, part of the discussion will be around what these values mean and how they are important in the lives of everyone – people with disabilities, you, me, everyone.

Also think about the services that you intend to provide. How would your service promote these values, both for individuals and for their families?


RECOMMENDATIONS

1. Assure Effective Communication

2. Promote Self-Direction, Choice and Control

3. Increase Employment

5. Promote Health, Wellness, and Safety

4. Support Families Throughout the Lifespan

6. Support People with Complex Needs


The Everyday Lives: Values in Action publication includes recommendations from stakeholders for ODP to develop policy and design programs for people with disabilities, families, providers of service, and advocates who support people to have an everyday life.

#1. Assure Effective Communication. Every person has an effective way to communicate in order to express choice and ensure their health and safety. All forms of communication should consider and include the individual’s language preferences and use of current technology.

#2. Promote Self‐Direction, Choice, and Control. Personal choice and control over all aspects of life must be supported for every person. Choice about where to live, whom to live with, what to do for a living, and how to have fun all are key choices in life, as are seemingly small choices, such as what to eat, what to wear, when to wake up in the morning, and when to go to bed. It’s important to be able to trust the people who provide assistance, to feel confident that they respect you and your right to manage your life, and to enjoy each other’s company. Self‐direction works when individuals have clear and understandable information, opportunities to exercise choice, and assistance with making decisions when needed. Self‐direction is only possible when family, friends, and people who provide services respect the individual’s preferences and their right to make mistakes and facilitate the implementation of the individual’s decisions.

#3. Increase Employment. Employment is a centerpiece of adulthood and must be available for every person. The benefits of employment for people with disabilities are significant and are the same as they are for people without disabilities.

#4. Support Families Throughout the Lifespan. The vast majority of people with disabilities in Pennsylvania live with their families. Families need support in order to make an everyday life possible. Families need information, resources, and training. They need connections with other families and support services. Listening to people with disabilities and their families is key to providing services that help them achieve an everyday life.

#5. Promote Health, Wellness, and Safety for every individual and their family. Promoting physical and mental health means providing information about health and wellness, emotional support, and encouragement. Tools that help every individual adopt a healthy lifestyle, including good nutrition, healthy diets, physical activity, and strategies to reduce and manage stress and protect oneself from all types of abuse and exploitation, must be provided.

#6. Support People with Complex Needs. People with disabilities who have both physical and behavioral health needs receive the medical treatment and services needed throughout their lifespan. When individuals, families, and providers plan and modify services as people’s needs change, people are more able to live an everyday life. Opportunities for a full community life are dependent on adequate services and the commitment to build capacity within the larger human service delivery system.


8. Simplify the System

9. Improve Quality

10. Expand Options for Community Living

11. Increase Community Participation

12. Provide Community Services to Everyone

13. Evaluate Future Innovations based on the Everyday Lives Principles

7. Develop and Support Qualified Staff

RECOMMENDATIONS


#7. Develop and Support Qualified Staff. People with disabilities receiving services benefit when staff who support them are well‐trained. Values, ethics, and person‐centered decision‐making can be learned and used in daily practice through mentorship and training. Providing professional training that strengthens relationships and partnerships between individuals, families, and direct support professionals will improve the quality of support.

#8. Simplify the System. The system of services and funding of those services must be as straightforward and uncomplicated as possible. This will allow for greater understanding and use of the system by everyone, most importantly the individual needing and receiving services.

#9. Improve Quality. Together we must plan and deliver services that adhere to our values, measure person‐centered outcomes, and continuously improve an individual’s quality of life. All stakeholders must be engaged in the process of measuring how well services assist people in achieving an everyday life.

#10. Expand Options for Community Living. In other words, the range of housing options in the community so all people can live where and with whom they want to live. Listening to people with disabilities and their families, providers, and Supports Coordinators will help people locate affordable and accessible housing, find housemates, and identify housing resources and services and other government benefits that, when blended with natural supports, will promote an everyday life.

#11. Increase Community Participation. Being involved in community life creates opportunities for new experiences and interests, the potential to develop friendships, and the ability to make a contribution to the community. An independent life, where people with and without disabilities are connected, enriches all of our lives.

#12. Provide Community Services to Everyone. Some people with disabilities, whether living on their own, with families, or in institutions, are waiting for community services. The goal is to build a system that has the capacity to provide services in a timely fashion for all people who need services.

#13. Evaluate Future Innovations based on the Everyday Lives Principles. Future consideration of service models and reimbursement strategies must be based on the principles of person‐centered planning, individual choice, control over who provides services and where, and full engagement in community life. Innovative approaches should be evaluated based on the recommendations of Everyday Lives, including: employment, recognizing and supporting the role of families, and meeting the diverse needs of all individuals. Stakeholders should be fully engaged in designing, implementing, and monitoring the outcomes and effectiveness of innovative service models and service delivery systems.


Self-Determination

• Everyday Lives is for everyone.

• Everyone is different and there is value in difference; therefore services need to be individualized.

• Self-determination is for everyone.

• Everyone can make choices.

• Everyone should have control over his or her life.

Another foundational approach of the system is self‐determination. What is self‐determination? Michael L. Wehmeyer, a national leader and advocate, says “people with an Intellectual Disability want to have the freedom to direct and control their own lives and to be enabled to take advantage of such opportunities. Most simply put, self‐determination means individuals controlling their lives and their destinies.”

ODP has implemented many changes in practice aimed at achieving self‐determination for all. Many individuals and families are choosing to direct their own services; many individuals are feeling empowered to voice their own choices and control; and people have expanded opportunities for work. However, not enough opportunities are available and not everywhere. ODP continues to promote Everyday Lives Values, and providers are responsible to ensure they communicate these values to staff.

The role of individuals in making decisions about how they live and work, who they want to live with, who will support them, and what services they will receive has been enhanced. Providers must be able to honor the choices of the individual.

How do you think self‐determination will impact the services you intend to provide?


Positive Approaches

Positive Approaches is a worldview and a movement in which all individuals are treated with

dignity and respect, in which all are entitled to Everyday Lives.

Positive approaches is about building competencies, creating opportunities, and offering choices.

Positive Approaches is not a thing; it’s a movement. Positive Approaches assumes that all behavior has meaning and that an individual’s behavior can be a method to communicate needs and wants or the result of clinical issues. Positive Approaches encourages us to see clearly and honestly the person’s reasons for even the most troubling behavior, no matter whose it is. It provides viable alternatives and eliminates the need to rely on aversive and coercive methods when supporting people with challenging behaviors.

ODP encourages and supports Positive Approaches, a model of support that is free of restraint, utilizes an individual’s strengths, is not punitive and embraces the individual’spreferences. Positive Approaches is focused not on fixing the person, but on building competencies, creating opportunities, and offering choices that will help each person live a fulfilling life.

ODP supports statewide and regional committees with training on Positive Approaches focused on best practices as they relate to supporting people with challenging behaviors. ODP has made the reduction and elimination of restraints an ongoing priority for the ODP system.

The overall goal of supporting families, with all of their complexities, strengths, and unique abilities is so they can be supported to achieve self‐determination, independence, productivity, integration, and inclusion in all facets of community life for their family members.


The ODP System

What does this mean for you as a prospective provider?

How will your services promote Everyday Lives in service delivery?

How will you ensure people have control and choice?

How will you ensure positive approaches and promote ODP’s goal of elimination of restraint?

Everyday Lives, the ODP System, Self-Determination, Positive Approaches

In this section, we introduced you to the ODP system and the values that drive it.

Now that we have gone over all of the Everyday Lives Values, self‐determination and Positive Approaches, what are some specific ways that you, as a provider Applicant, can support the individuals that you serve so that they can have an Everyday Life?

• How will your services promote Everyday Lives in service delivery?

• How will you ensure people have control and choice?

• How will you ensure positive approaches and promote ODP’s goal of elimination of restraint?


Next Steps

Return to the Provider Applicant Orientation Welcome course and follow these steps:• Complete the training confirmation.• If you are ready, click the link to open the test for module 1.• Answer all questions, then click “submit” then “submit all and finish.”

This concludes module 1, Part 2.

After you submit your answers, you will receive feedback on your score and next steps.

Thank you for reviewing Module 1 Part 2.

Return to the Provider Applicant Orientation Course and complete the training confirmation.• If you affirmed that you have reviewed the information and are ready to take the test, you

will see a link for module 1: Test. • Click the link to open the test. Answer all questions, then click the “submit” button and then

“submit all and finish”.

After you submit your test responses, you will receive a score and feedback on next steps. If you passed the test, you will be able to proceed to the next module.


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Music courtesy of www.essasmusic.com

Developed and produced by

Pennsylvania Department of Human ServicesOffice of Developmental Programs

In partnership with

This webcast has been developed and produced by the Pennsylvania Department of Human Services, Office of Developmental Programs in partnership with The Columbus Organization.

Thank you for participating in this lesson.

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