person centered support and tbi (1)
TRANSCRIPT
Person-Centered Support (PCS) and Traumatic Brain
Injury
• 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.
Disclaimer
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Christopher J George, MSW, LGSW, CBISTraumatic 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:www.cedwvu.org/programs/tbi
Toll Free: 1-877-724-8244
Authors
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Upon completion of this training participants
will:
• Be able to define the concept of person-centeredness
• Have the skills and knowledge to provide support of members using a person-centered approach
Learning Objectives
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Traumatic Brain Injury (TBI) isan 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)
Overview of Traumatic Brain Injury
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• 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
Overview of Traumatic Brain Injury
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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.
Medicaid TBI Waiver definition
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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
Videos
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What is Person Centered Support?
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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 2Center for Excellence in Disabilities
• Participating in community life• Satisfying Relationships• Making choices in everyday life • Having opportunities to fulfill respected
roles in society • Continuing to develop skills
5 Essential Goals of Person Centered Supports
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Member first Team process Positive, proactive interactions Meaningful quality of life
DEFINING CHARACTERISTICS OF PCS
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Management vs. Support
Manage: to handle, direct, control
Support: to give courage, faith or confidence; help or comfort; to
maintain
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Medical Model Person-centered Support
Focus on agency
Expert Driven
Emphasizes disability
Focus on member and family
Respects focus person, family, and team members
Emphasizes strengths and abilities
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Use Your Skills to:
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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
• 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
How Does PCS Help the Member Reach Their Goals?
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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
Person-Centered Support and Traumatic Brain Injury
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• 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.
Person Centered Supports and Traumatic Brain Injury Cont’d
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• 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.
Challenging Behaviors and Planning Ahead
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• 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.
Challenging Behavior and TBI
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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
References and Resources
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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 Virgin
ia University Preventing, Treating, and Living with TBI
Additional Resources and Readings
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• 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.
Next Steps
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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!
Thank You for Your Thoughts
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