Presentation on Client Directed Choice

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Support client self direction
Support client-direction…
SESSION TOPICS:
• Definition of self-direction
• Principles of self-directed support
• Traditional care v’s self-directed support
• Achieving self-direction
• The unique client
• Psychological, emotional, social and spiritual
needs
• Resources and networks
Support client self-direction…
SESSION TOPICS:
• Risks and self-directed care
• The support worker
• Code of conduct
• Difficulties of self-directed care
• Behaviour
Self Direction
“ Self-direction means the interventions, training,
and skills by which clients with a chronic
condition, disability, or disease can effectively
take care of themselves and learn how to do so”.
Principles of self-directed
support…
•
Collaborative and active partnership between
client and service provider
•
Client-centered care
•
•
Shared responsibility for outcomes
Empowerment and enhanced capacity as goals of
care
•
Care is lifelong
Traditional Care v’s Self
Directed Support…
COLLABORATIVE AND ACTIVE PARTNERSHIP
BETWEEN CLIENT AND SERVICE PROVIDER
TRADITIONAL
SELF DIRECTED
SUPPORT
Service provider is expert Expertise is shared
and the client basically
between client (expert on
has little say.
their life) and provider
(expert on needs and
care).
CLIENT - CENTRED CARE
TRADITIONAL
SELF DIRECTED
SUPPORT
Care is disease and/or
service centered and
often standardised or
generic.
Care is planned around
the client’s individualised
circumstances, needs
and preference.
SHARED RESPONSIBILITY
FOR OUTCOMES
TRADITIONAL
SELF DIRECTED
SUPPORT
A single service provider Responsibility for
is the principle caregiver outcomes is shared
and therefore responsible between the client and
for outcomes.
often multiple service
providers
EMPOWERMENT AND ENHANCED
CAPACITY AS GOALS OF CARE
TRADITIONAL
SELF DIRECTED
SUPPORT
The goal is compliance
with funded packages
and the implementation of
care along with the
provision of information
and advice.
The goal is to empower
the client and enhance
their capacity to engage
in activities that will
improve their health
and care.
SUPPORT IS LIFELONG
TRADITIONAL
SELF DIRECTED
SUPPORT
Immediate needs are
addressed and care is a
one-time assessed
activity.
Long-term change and
impacts are addressed
and care is a continual
and self-corrective
process.
ACTIVITY 1…
Brainstorm Achieving Self Direction
Achieving self-direction…
• Communicate and engage effectively with
clients and service providers
• Conduct comprehensive, holistic assessments
• Plan and provide care collaboratively
• Support and empower clients
• Deliver care using a variety of approaches
• Possess care knowledge
Achieving self-direction…
• Use decision supports, information and
communication management systems effectively
• Identify and respond to clinical risks
• Engage in continuous quality improvement
activities
Communication…
Communicate and engage effectively with clients
and service providers.
Informed choices – information that is relevant.
valid and accessible
Ask questions to clarify – assist client put into
words the situation they are facing
Eg: What is happening in your life that you are
not happy about or feel out of control or simply
want to change
Communication…
Inform regarding options – list the different
options or help the client list them
Eg: The option for a person feeling overwhelmed
might be counselling or personal development
group or medication (last option)
Facilitate the decision making – help the client
think about the possible positive and negative
consequences of each option and the risks and
constraints associated with their choice/s
Communication…
Explain how to make the decision – explain to
the client how to adopt the new behaviour or
how to put the actions in place
Eg: the worker might need to explain the
process of receiving treatment for a mental
health issue, such as being assessed by mental
health professional, possibly being referred to a
psychiatrist.
Activity 2…
Brain storm inclusions for holistic assessment
Conduct comprehensive,
holistic assessments…
Including assessment of:
 client health risk factors;
 psychosocial concerns and supports;
 self-management capacity
Plan and provide
support collaboratively …
•
Collaborating with clients and other service
providers to define problems, set goals and
actions, and problem solve.
Support and empower
clients…
To:
1. access appropriate information;
2. develop skills required for their self-direction;
3. develop and maintain health related
behaviours;
4. use available technologies to support selfdirection;
Support and empower
clients…
5. access and use available self-management
tools; access support networks;
6. manage health risks;
7. communicate their needs and choices; and
8. understand their strengths, areas for
development, and capacity and willingness to
self-manage.
Deliver support using a
variety of approaches…
Including:
• group services,
• individual sessions,
• telephone-based support, and
• the use of other communication technologies to
support care.
Possess support
knowledge…
Awareness of:
i. the interaction between factors that influence
client behaviour;
ii. the importance of personal, religious and
cultural beliefs, and their impact on individual
choices;
iii. the impact of one’s own beliefs on one’s ability
to support clients;
Possess support
knowledge…
iv. the range of services and treatments available;
v. the range of self-management support tools
available to clients
vi. the range of support networks available to
clients;
vii. evidence-based guidelines for care;
Possess support
knowledge…
viii. the roles of other members of the health care
team;
ix. Maintain carer professional development,
implement knowledge into practice.
Achieving self-direction…
Managerial and corporate level:
• Use decision supports, information and
communication management systems effectively
• Identify and respond to risks
• Engage in continuous quality improvement
activities
ACTIVITY 3…
http://www.youtube.com/watch?v=X1OcfvaTjl0
The uniqueness of a client…
Every client is unique, based on their:
• Psychological needs
• Biological needs
• Social needs
• Emotional needs
Psychological, social
& emotional needs…
Traditionally carried out by family, friends, relatives
or community members.
• In todays world there is:
• breakdown in families and extended families
• loosening of links between people
• community bonds are changing & weakening
Psychological, social
& emotional needs…
• critical events –
• disasters,
• conflict/s,
• accidents and health problems
• world unrest
Psychological support
needs…
• Time for self reflection
• Counseling when needed
• Do something fun
• Minimise stress
• Write a journal
• Learn something new
• Receive from others
Physical support needs…
• Eat regularly and healthily
• Preventative medical care
• Massages
• Wear clothes of choice
• Vacations, day trips
• Dancing, swimming, walk, physical activity
Emotional support needs…
• Enjoyable company
• Contact with friends
• Read favorite books
• Cry when sad
• Laugh
• Express outrage
Spiritual care needs…
• Make time for reflection
• Be open to inspiration
• Have faith
• Go to church
• Meditate
• Sing
• Identify what is meaningful
• Contribute to causes
Activity 4…
Brain storm information gathering on networks,
support groups, resources
Required Resources…
•
Support Groups
•
Personal helpers and mentor programs
•
Accommodation support
•
Activity centres
•
Employment services
•
Counselling Services
•
Health services
•
Training and education
Required Resources…
•
Peer worker groups
•
Disability support services
•
Child and family services
Networks…
A network is a structure of one or more links
Generally with a common interest
Social Networks – facebook, twitter, Myspace
Business Networks - linkedin
To give people the power to share, be more open
and connected.
Networks…
Sexual
Learning
Friendship
Church
Group
Support
Networks…
•
Peer worker groups
•
Disability support services
•
Child and family services
Risks and self-directed
support…
• Risks and constraints can be in the areas of:
• Finance
• Transport
• Cognitive ability
• Language
• Culture
• Communication
Risks and self-directed
support…
• Duty of Care - page 22
• Anti discrimination – page 22/23
• WHS Legislation – page 22/23
• Manual Handling and risk - page 23
ACTIVITY 5…
Discuss in detail the risk factors of self-directed
support.
The Carer…
Code of Conduct…
• Being accountable to the clients to deliver a safe
and effective services
• Giving clients choice of service options
• Community inclusion
• Confidentiality and privacy
• Respecting the rights and dignity of the client
• Equality
• Empowering clients
Code of Conduct…
• Avoiding conflict
• Caring, responsible and diligent
• Positive influence
• Attentive to the client
• Acquiring relevant knowledge and skills
• Adherence to equal opportunity, health and
safety and discrimination legislation
Activity 6…
• In small groups discuss the difficulties you may
encounter in meeting the clients needs.
• How to address the difficulties.
Difficulties…
• Client not coping
• Lack of funding
• No appropriate service/s
• Lack of transport
• Lack of support staff
• Inability to match a worker with the client
• Lack of resources
Difficulties…
• No support worker support
• Communication Barriers
• Family intrusions
Caring for the Support
Worker …YOU!!
• Time out
• Rest & Relax
• Socialise
• Engaging in a hobby
• Walk, run…..
• Employee Assistance Program (CSC EAP)
• Talk to you case manager
Thank you…
http://www.youtube.com/watch?v=9me
gUfjDNSA&list=PLEED264C424422C39
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