SUPPORTED DECISION MAKING CONFERENCE From Theory to Practice Melbourne – October 18th 2013 Cher Nicholson Supported Decision Making Training Project Officer Health and Community Services Complaints Commissioner HUMAN RIGHTS HCSCC Charter of Rights • Access • Safety • Quality • Respect • Information • Participation • Privacy • Comment Overview of SDM Facilitation Training Trainer – Cher Nicholson HCSCC Overseas Participants - 2 Strathmont 2 Minda 2 Leveda 2 CARA 2 Individualised Funding 2 Playford Council 1 STAR 1 UC Mental Health Service 1 8 8 8 8 8 4 4 4 12 12 12 12 12 6 6 6 12 12 12 12 12 6 6 6 Decision Workshop Makers/ Supporters Participants - 13 Clients - 52 - 26 Informal Networks - 78 Service Providers - 78 TOTAL 247 Breakdown of numbers in a single unit of training Trainer – Cher Nicholson HCSCC Trainee Facilitator Decision Makers/Clients Supporters Informal Networks Service Providers PLUS Community Networks, such as SA Housing and Centrelink = 20 (including Trainer) SDM Practice Model Facilitator Supporter - Friend Supporter - Mum Supporter – Work mate Supporter – Other family Decision Maker Service Providers Overview of SDM Training Trainer - Cher Nicholson • Facilitator – Trainee • Two weeks skills intensive • Weekly mentoring/coaahing with own clients in their workplace by trainer • Paid peer consultants with lived experience of disability that were in the previous trial as decision makers • Supporters from previous trial paid as consultants • Each service provider showcases their organisation to other participants telling of the philosophy, service provision & eligibility. • Trainee group becomes a resource group & support. • System & culture change from within services. Safety Measures • • • • • • • • • • Police Check as warranted Supervision discussion Clarity of roles Regular review by Facilitator Follow selection process Managing Conflict Involving Decision Makers networks Maintaining and enhancing relationships Connecting to Services and Local Community Adherence to service providers policies and procedures Community Development Training Model Health and Community Services Complaints Commissioner Builds on the developed SDM model produced by OPA Components of the SDM Training Model: •Uses community development principles •Works with formal and informal networks •Honours the role of the facilitator •Within the model, the Decision Makers’ network acts as a team for the expressed wishes of the Decision Maker, further enhancing desired outcomes Community Development Training Model cont. Health and Community Services Complaints Commissioner •Invites service providers to view their client numbers as a whole network rather than an individual person with a disability •Model invites all parties to measure success in a different way •Success is not the enacting of the decision, but whether there is an environment where decisions can be made and rights are upheld •Uses peer consultants with lived experiences to describe, communicate, and evaluate our practice (paid) Community Development Training Model cont. Health and Community Services Complaints Commissioner •Acknowledge people with lived experiences of disability can use their previous negative experiences to understand what positive experiences they want for their future •Use the worker/participants (trainees) as a group resource to continually build practice •Peer consultants will use their lived experience to manage their disability to support others working with what IS the reality of their world (reframing) •Builds on existing ideas of support •Uses training for culture change within service systems Community Development Training Model cont. Health and Community Services Complaints Commissioner •Model has moved forward from OPA model – taking the best of what worked well and safeguards •Works well with expressed wish and expands on it by working for and with the Person With Disability (PWD) outwards to their networks •Reverts to strength based practices – “Even small glimmers can beam” Cher •Training begins with intensive skills development workshops and continues with ongoing coaching and mentoring in the workplace for six months with the participants own clients – less chance of status quo Community Development Training Model cont. Health and Community Services Complaints Commissioner •Higher chance of success through working with systems rather than just Decision Maker and Supporter •Works with the belief that it is possible for systems to change •Introduce supporters – STAR volunteers (mutual pairing) •Worker participants/trainees selected from key disability organisations that have previously experienced SDM through clients in OPA trial •Independently evaluated – realist evaluation (Gill Westhorpe) Introduce Supporters •STAR volunteers will be utilised for Decision Makers that have no identifiable or desired supporters •STAR volunteers will remain connected to STAR, as well as the facilitator •These volunteers have completed a police check and are undertaking ongoing training appropriate for their volunteer role •The contract will be between the Decision Maker and the Volunteer Any Questions? Practice Reflections & Influences “I Have a Dream” Martin Luther King Jnr The “Power of One” Bryce Courtenay