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CHARTING THE LIFECOURSE | a framework for supporting individuals with intellectual & developmental disabilities and their families across the lifespan Michelle C. Reynolds, PhD and Jane St. John | UMKC Institute for Human Development, UCEDD What is the LifeCourse Framework? Practical, family-friendly framework based on life course theory and focused on quality of life for the individual and the family. Designed to assist in people with I/DD achieving a vision to live, work and play just as any citizen. FAMILY SYSTEM People exist and have reciprocal roles within a family system, which adjust as the individual members change and age. INTEGRATED DELIVERY OF SUPPORTS Utilizing an array of integrated supports to achieve the envisioned good life PERSONAL STRENGTHS & ASSETS RELATIONSHIP-BASED COMMUNITY-BASED ELIGIBILITY-SPECIFIC TECHNOLOGY-BASED ALL/THE 100% ALL people are considered in our vision, values, policies and practices for supporting people with intellectual and developmental disabilities. LIFE STAGES & TRAJECTORY Awareness of how prior, current and future life stages and experiences impact and influence life trajectory. INDIVIDUAL & FAMILY SUPPORTS Supports address all facets of life and adjust as roles and needs of all family members change LIFE OUTCOMES Focus on life experiences that point the trajectory toward a good quality of life D I S C O V E R Y & N A V I G A T I O N G O O D S & S E R V IC E S C O N N E C T I N G & N E T W O R K I N G citizenship & advocacy community living daily life & employment social & spirituality safety & security healthy living T E C H N O L O G Y C O M M U N I T Y - B A S E D E L I G I B I L I T Y - S P E C IF IC R E L A T I O N S H I P - B A S E D P E R S O N A L S T R E N G T H S & A S S E T S POLICY & SYSTEMS People direct supports, influence planning, policy, and implementation, evaluation and revision of practices. LIFE DOMAINS People lead whole lives made up of specific and integrated life domains important to a good quality of life. Development of LifeCourse Framework and Tools N ATIONAL C OMMUNITY OF P RACTICE FOR S UPPORTING F AMILIES WITH I/DD In 2012, the National Association of State Directors of Developmental Disabilities Services, in partnership with UMKC and HSRI, was awarded a national grant from the Administration on Intellectual and Developmental Disabilities to develop a national Community of Practice to enhance policies, practices, and systems to better assist and support families across the lifespan. The six CoP states (Connecticut, DC, Oklahoma, Tennessee, Washington, and Missouri) have formed teams that utilize the LifeCourse framework to guide systems and policy change activities and have also begun piloting the tools within both state service systems and family networks. MISSOURI LIFECOURSE TOOLS WORKGROUP Starting in 2014, professionals and family leaders in Missouri that support people with disabilities and their families began piloting LifeCourse tools. The workgroup meets monthly to discuss the strengths of the tools and to provide recommendations for improvement. Currently the group is developing individualized support planning processes that incorporate person-centered planning strategies with the tools and training for support coordinators on using the framework and tools. 2014 2012 2011 M ISSOURI F AMILY TO F AMILY AT UMKC IHD The LifeCourse framework has been developed and refined since 2011 using an iterative process that involves self-advocates, families, and professionals throughout Missouri. Family staff and members of the Family to Family Stakeholders group meet quarterly to further enhance the principles and components of the framework and develop tools that can be used in day to day practices with self- advocates and families. Tools for Framing Conversations Integrated Support Options Explore a variety of options that support a trajectory toward inclusive, quality, community life. Charting the LifeCourse: Experiences Booklet Explore questions to think about and ask in order to have experiences that lead to a good life. MAY 2014 LIFE DOMAIN My Vision for My Family Member’s Future rank Current Situation/Things to Work On rank Daily Life Employment What do I think my child will do during the day in his/her adult life? Community Living Where and with whom do I think my child will live in his/her adult life? Social & Spirituality How will my child connect with spiritual and leisure activities; have friendships and relationships in his/her adult life? Healthy Living How will my child live a healthy lifestyle and manage health care supports in his/her adult life? Safety & Security How will I ensure the safety of my child from financial, emotional, physical or sexual harm in his/her adult life? Citizenship & Advocacy How can I make sure my child has valued roles and responsibilities, and has control of how his/her own life is lived as an adult? Supports for Family What will our family need to help support my child to live a quality life as an adult? Supports & Services How will my child be supported in his/her adult life to lead the kind of life he/she wants as independently as possible? Tool for Developing a Vision - Family Forming a vision and beginning to plan for the future in each of the life domains helps plot a trajectory for a full, inclusive, quality life in the community. This tool is to help families of all ages – those with a very young child, an adult or somewhere in between, start to think about a vision for how their family member will live their life as an adult. Vision Tool Refine a more specific vision for adult life in each of the life domains and think about next steps and priorities. Uncharted Possibilities Explore a variety of possibilities across life domains to chart the course to a good life Life Trajectory Worksheet Chart vision for a good life, and current or needed experiences that guide the life trajectory. APRIL, 2014 Focus on Transition Your child is entering a point in time, filled with change, growth, excitement, and sometimes fear and confusion, called TRANSITION. Transition is defined as movement, passage, or change from one position, state, stage, subject, concept, to another. For you and your child, transition means that he/she is moving from childhood to young adulthood, and from school to adult life. There are many things to think about and do to prepare for this change. This guide is to help you think about some of the questions to ask, options to consider, and things to talk about with your transitioning youth. Choices and decisions you and your son/daughter make during this time can help to positively shape the future and the life they will live as an adult. This guide is based on Charting the Life Course: A Guide for Individuals, Families and Professionals. Charting the Life Course is a framework that was developed to help individuals with disabilities and families at any age or stage of life to: think about what they need to know identify how to find or develop supports discover what it takes to create the lives they want to live Charting the Life Course presents questions to ask or consider in different life domains. Life domains are the different aspects and experiences of life that all people consider as they age and grow from childhood into adulthood and eventually the senior years of life. Individuals and families can focus on their current situation and stage of life, but may also find it helpful to look ahead and start thinking about what they can do or learn now that will help build an inclusive, productive life in the future. It is also important to consider questions and options regarding supports and services, especially when considering adult living. Focus on Transition Consider what is important in the transition from school to adult life with questions from the LifeCourse framework. Michelle “Sheli” Reynolds, PhD | UMKC-Institute for Human Development | [email protected] GOAL OF SUPPORTING FAMILIES Supporting Individuals & their Families The Individual will achieve self- determination, interdependence, productivity, integration, and inclusion in all facets of community life Families will be supported in ways that maximize their capacity, strengths, and unique abilities to best nurture, love, and support the individual to achieve their goal Recognizing that individuals exist within a family system, where: Caring About Affection & Self-Esteem Repository of knowledge Lifetime commitment Caring For Provider of day-to-day care Material/Financial Facilitator of inclusion, recreation, spirituality and meaningful Advocate for support RECIPROCAL ROLE OF FAMILY D I S C O V E R Y & N AVIG ATIO N GOODS&SERVICES CO N NECTIN G & N E T W O R K I N G citizenship & advocacy community living daily life & employment social & spirituality safety & security healthy living C O M M U NITY RESOURCES ELIGIBILITY SPECIFIC S U P P O R T S TECH N OLOGY RELATIONSHIP-BASED S U P P O R T S V IS IO N & VALUES R EL A TIO N S H I P S S T R E N G TH S & GIFTS SELF-DETER M IN A T I O N Core Belief: People with disabilities and their families have the right to live, love, work, play and pursue their life aspirations just as others do in their community. supporting positive life trajectories preventing negative life events Focusing on ALL 75% national percentage receiving state DD services 25% 4.9 million citizens with developmental disabilities 100% Framework for Policy & Practice Charting the Life Course (Based on 1.49% prevalence, US Census 2013) (Braddock et al, State of the State 2013) LifeCourse Infographic Understand the basic ideas and principles of the LifeCourse framework, and what the graphics represent. Integrated Supports Star Worksheet Map a combination of different kinds of supports from a variety of sources to achieve desired life outcomes. LIFECOURSETOOLS.COM HEALTH INFORMATION CENTER

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CHARTING THE LIFECOURSE | a framework for supporting individuals with intellectual & developmental disabilities and their families across the lifespan

Michelle C. Reynolds, PhD and Jane St. John | UMKC Institute for Human Development, UCEDD

What is the LifeCourse Framework?Practical, family-friendly framework based on life course theory and focused on quality of life for the individual and the family. Designed to assist in people with I/DD achieving a vision to live, work and play just as any citizen.

FAMILY SYSTEM People exist and have reciprocal

roles within a family system, which adjust as the individual members

change and age.

INTEGRATED DELIVERY OF SUPPORTSUtilizing an array

of integrated supports to achieve the envisioned

good life

PERSONAL STRENGTHS & ASSETS

RELATIONSHIP-BASED

COMMUNITY-BASED ELIGIBILITY-SPECIFIC

TECHNOLOGY-BASED

ALL/THE 100%ALL people are considered

in our vision, values, policies and practices for supporting people with intellectual and developmental disabilities.

LIFE STAGES & TRAJECTORYAwareness of how prior, current and

future life stages and experiences impact and influence life trajectory.

INDIVIDUAL & FAMILY SUPPORTSSupports address

all facets of life and adjust as roles and needs of all

family members change

LIFE OUTCOMESFocus on life experiences that point the trajectory

toward a good quality of life

DIS

COVE

RY &

NAVIG

ATION

GOODS & SERVICES

CONNECTING & NETWO

RKING

citiz

ensh

ip &

adv

ocac

y

community living

daily life & employment

social & spiritualitysafety & securityhe

alth

y liv

ing

T

ECHN

OLOG

Y

COMMUNITY-BASED

ELIGIBILITY-SPECIFIC

RELATIONSHIP-BASED

PERSONAL STRENGTHS & ASSETS

POLICY & SYSTEMSPeople direct supports,

influence planning, policy, and implementation, evaluation and

revision of practices.

LIFE DOMAINSPeople lead whole lives made up of specific and integrated life domains important to a good quality of life.

Development of LifeCourse Framework and Tools

NatioNal CommuNity of PraCtiCe for SuPPortiNg familieS with i/DD In 2012, the National Association of State Directors of Developmental Disabilities Services, in partnership with UMKC and HSRI, was awarded a national grant from the Administration on Intellectual and Developmental Disabilities to develop a national Community of Practice to enhance policies, practices, and systems to better assist and support families across the lifespan. The six CoP states (Connecticut, DC, Oklahoma, Tennessee, Washington, and Missouri) have formed teams that utilize the LifeCourse framework to guide systems and policy change activities and have also begun piloting the tools within both state service systems and family networks.

miSSouri lifeCourSe toolS workgrouP Starting in 2014, professionals and family leaders in Missouri that support people with disabilities and their families began piloting LifeCourse tools. The workgroup meets monthly to discuss the strengths of the tools and to provide recommendations for improvement. Currently the group is developing individualized support planning processes that incorporate person-centered planning strategies with the tools and training for support coordinators on using the framework and tools.

20142012

2011

miSSouri family to family at umkC ihDThe LifeCourse framework has been developed and refined since 2011 using an iterative process that involves self-advocates, families, and professionals throughout Missouri. Family staff and members of the Family to Family Stakeholders group meet quarterly to further enhance the principles and components of the framework and develop tools that can be used in day to day practices with self-advocates and families.

Tools for Framing ConversationsIntegrated Support OptionsExplore a variety of options that support a trajectory toward inclusive, quality, community life.

Charting the LifeCourse: Experiences BookletExplore questions to think about and ask in order to have experiences that lead to a good life.

MAY 2014

LIFE DOMAIN My Vision for My Family Member’s Future rank Current Situation/Things to Work On rank

Daily Life Employment

What do I think my child will do during the day in his/her adult life?

Community Living

Where and with whom do I think my child will live in his/her adult life?

Social & Spirituality

How will my child connect with spiritual and leisure activities; have friendships and relationships in his/her adult life?

Healthy Living

How will my child live a healthy lifestyle and manage health care supports in his/her adult life?

Safety & Security

How will I ensure the safety of my child from financial, emotional, physical or sexual harm in his/her adult life?

Citizenship & Advocacy

How can I make sure my child has valued roles and responsibilities, and has control of how his/her own life is lived as an adult?

Supports for Family

What will our family need to help support my child to live a quality life as an adult?

Supports & Services

How will my child be supported in his/her adult life to lead the kind of life he/she wants as independently as possible?

Tool for Developing a Vision - Family

Forming a vision and beginning to plan for the future in each of the life domains helps plot a trajectory for a full, inclusive, quality life in the community. This tool is to help families of all ages – those with a very young child, an adult or somewhere in between, start to think about a vision for how their family member will live their life as an adult.

Vision ToolRefine a more specific vision for adult life in each of the life domains and think about next steps and priorities.

Uncharted PossibilitiesExplore a variety of possibilities across life domains to chart the course to a good life

Life Trajectory WorksheetChart vision for a good life, and current or needed experiences that guide the life trajectory.

APRIL, 2014

Focus on Transition Your child is entering a point in time, filled with change, growth, excitement, and sometimes fear and confusion, called TRANSITION. Transition is defined as movement, passage, or change from one position, state, stage, subject, concept, to another. For you and your child, transition means that he/she is moving from childhood to young adulthood, and from school to adult life. There are many things to think about and do to prepare for this change. This guide is to help you think about some of the questions to ask, options to consider, and things to talk about with your transitioning youth. Choices and decisions you and your son/daughter make during this time can help to positively shape the future and the life they will live as an adult.

This guide is based on Charting the Life Course: A Guide for Individuals, Families and Professionals. Charting the Life Course is a framework that was developed to help individuals with disabilities and families at any age or stage of life to:

think about what they need to know identify how to find or develop supports discover what it takes to create the lives they want to live

Charting the Life Course presents questions to ask or consider in different life domains. Life domains are the different aspects and experiences of life that all people consider as they age and grow from childhood into adulthood and eventually the senior years of life.

Individuals and families can focus on their current situation and stage of life, but may also find it helpful to look ahead and start thinking about what they can do or learn now that will help build an inclusive, productive life in the future. It is also important to consider questions and options regarding supports and services, especially when considering adult living.

Focus on Transition Consider what is important in the transition from school to adult life with questions from the LifeCourse framework.

Michelle “Sheli” Reynolds, PhD | UMKC-Institute for Human Development | [email protected]

G OAL OF SUPPORTING FAMILIES

Supporting Individuals & their Families

The Individual will achieve self-determination, interdependence, productivity, integration, and inclusion in all facets of community life

Families will be supported in ways that maximize their capacity, strengths, and unique abilities to best nurture, love, and support the individual to achieve their goal

Recognizing that individuals exist within a family system, where:

Caring About

Affection & Self-Esteem

Repository of knowledge

Lifetime commitment

Caring For

Provider of day-to-day care

Material/Financial

Facilitator of inclusion, recreation, spirituality and meaningful

Advocate for support

R E C I P R O C A L R O L E O F FA M I LY

DIS

COVE

RY &

NAVIG

ATION

GOODS & SERVICES

CONNECTING & NETWO

RKING

citizenship & advocacy

community liv

ing

daily life & employment

social & spirituality

safety & security

heal

thy

livin

g

COM

MUNITY RESOURCES

ELIGIBILITY SPECIFIC

SUPP

ORTS

TECHNOLOGY

RELATIONSHIP-BASED SUPPORTS

V

ISIO

N & VALUES

RELATIONSHIPS

STRENGTHS & GIFTS

SELF-DETERMINATION

Core Belief: People with disabilities and their families have the right to live, love, work, play and pursue their life aspirations just as others do in their community.

s u p p o r t i n g p o s i t i v e l i f e t r a j e c t o r i e s

preventing negative life events

Focusing on ALL

75%national

percentage receiving state

DD services

25%

4.9 million citizens with

developmental disabilities

100%

Framework for Policy & PracticeCharting the Life Course

(Based on 1.49% prevalence, US Census 2013) (Braddock et al, State of the State 2013)

LifeCourse InfographicUnderstand the basic ideas and principles of the LifeCourse framework, and what the graphics represent.

Integrated Supports Star WorksheetMap a combination of different kinds of supports from a variety of sources to achieve desired life outcomes.

LIFECOURSETOOLS.COMHEALTH INFORMATION CENTER