Outcomes - Emma Miller - Self Directed Support Scotland

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Principles/Defining Outcome Focused Approach
• Understand outcomes as the
impact or end result of support
and/or services on a person’s life:
• Believing that being clear about
outcomes is fundamental to
effective practice
• Focus on strengths and capacities
more than deficits
• Start by defining expectations
and outcomes with the person
• Outcomes can be measured both
for the individual and for the
service as a whole
• Believing that the participation of
the person is core to practice
Challenges
FROM
TO
Needs Led
Identifying Potential
Coordinator
Use of Self
Tick Boxes
Analytical
Service Led
Outcomes Led
Clienthood
Citizenship
Engagement, recording and use of information
(Talking Points practical guide)
Exchange Model of Assessment
1
EXCHANGE INFORMATION
- Identify desired outcomes
2
User’s view
Carer’s view
NEGOTIATE
3
AGREE
OUTCOMES
Assessor’s view
4
RECORD
OUTCOMES
Agency’s view
‘EXCHANGE MODEL’ OF ASSESSMENT
Recording outcomes
•
•
•
•
Clarify purpose of involvement
Person and family should have a copy
Who is doing what and when
Can record areas of disagreement which can help
negotiation
• When things get complicated, can refer back to see
what the purpose was
• Importance of review – share learning about what is
working well and less well– acknowledge success,
including the individual’s role in achieving their
outcomes - is the plan still relevant
Personal outcomes: the missing piece
of the information jigsaw
Outcomes Focused Supervision for Staff (Stirling)
References/Resources
Cook and Miller (2012) Talking Points: A Practical Guide, JIT
IRISS (2011) Leading for outcomes: a guide, IRISS (and associated guides on dementia,
parental substance misuse and children and young people)
http://www.iriss.org.uk/resources/leading-outcomes-guide
Johnstone and Miller (2010) Staff support and supervision for outcomes based
working, NLC and the JIT
IRISS (2011) Measuring personal outcomes: challenges and strategies, IRISS
http://www.iriss.org.uk/resources/measuring-personal-outcomes-challenges-andstrategies
Miller and Cook (2011) Recording outcome sin care and support planning
http://strath.academia.edu/EmmaMiller/Papers/1178076/Recording_outcomes_i
n_care_and_support_planning_and_review
Stirling Council Social Services (2011) Supervision and Practice development planning:
policy and guidance
(resources in italics available on JIT website) http://www.jitscotland.org.uk/actionareas/talking-points-user-and-carer-involvement/
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