2008 Statewide Directors Meeting Break-Out Session Outcomes for Jackson Disengagement Strategies
The Developmental Disabilities Supports Division (DDSD) provided a series of information sharing and strategy sessions to improve critical Jackson Lawsuit disengagement issues. The outcomes were offered as possible solutions for disengagement. The outcomes are listed under each of the following Break-Out Session Topics:
Strategic Session Topic (click on link to reveal outcome strategy):
Aspiration Risk Management facilitated by Betsey Finley
Healthcare Coordination facilitated by Jennifer Thorne-Lehman and Travis Goldman
ISP Implementation facilitated by Cathy Stevenson
Assistive Technology facilitated by Jamie Noon
Supported Employment facilitated by Judith Stevens and Pamela Dobson
Meaningful Day facilitated by Susan Shapero and Tricia Farnham
Quality of Individual Service Plan (ISP) and Facilitation of Meetings Break-Out Group Session facilitated by Lisa Storti and Paul Schwalje.
This group consisted of Case Managers, DDSD Staff, Service Coordinators, and Self-Advocates.
- Barriers to Effective ISP Facilitation:
- Many changes to the Individual Service Plan (ISP) form over time have meant constant revisions and less buy-in for resulting changes in the Interdisciplinary Team (IDT) meeting process.
- Poor attendance by IDT members, especially therapists and direct care staff who often have the most detailed knowledge regarding the individual for whom they provide supports.
- Failure to discuss progress or lack of progress from the prior year which results in less effective outcomes. Limiting outcomes to existing activities.
- Failure to keep the IDT members on track – need to prevent the team from getting side-tracked.
- Lack of preparation for the IDT meeting, so that time is spent on “housekeeping” issues such as updating phone numbers, etc.
- Assessments not submitted to team members prior to the IDT meeting.
- Possible Solutions:
- Do not revise the ISP form in the immediate future.
- Improve the quality of IDT work preparation, including updating contact information, reviewing quarterly reports, etc. Meeting with the individual and/or direct care staff to gather their input if they are not comfortable contributing during the meeting (or if direct care staff are not able to attend).
- Review the expectations for attendance with all IDT meeting members, including the importance of attendance by therapists and direct care staff.
- Review expectations for the submission of Quarterly and Annual reports prior to the meeting.
- Provide training and technical assistance to improve Facilitation skills.
- Strategies:
- Development of a Pre-ISP form which would be used by the provider to gather input from direct care staff and the Individual Served prior to the meeting in order to facilitate the most meaningful input and make the meeting more efficient.
- Provide targeted training and technical assistance within Case Management agencies, including mentoring staff.
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