SELF-VENDORED SUPPORTED LIVING By Bill Silverberg 1725 De La Vina #5, Santa Barbara, CA 93101 1-805-898-2006 MISSION My mission is to gain the necessary experience to allow me to personally manage my support system so that I can maximize the use of available support resources which in turn will allow me to exercise the maximum possible direct control over my life, enjoy positive, safe relationships, and continue to live in the safe and healthy environment of my own home. GOALS In keeping with my Person Centered Plan, my support goals will include: 1) Continued connections with my network of family and friends; 2) Maintaining medical and emotional well-being; 3) Learning management and decision-making skills; and 4) Continue living in my own home where I select my support people. VALUES Individuality - Dignity Self-Determination - Community Integration & Friendships Self-Expression - Sense of Responsibility Health, Safety and Security APPROACHES AND STRATEGIES My supported living program will help me to develop the critical skills necessary to exercise personal responsibility, make valid decisions, and develop and maintain a variety of different relationships. Directly managing my own support is the best way to fulfill these aims. The following approaches will be employed to achieve the outcomes of my program: 1) NATURAL LEARNING I can most easily develop my abilities to administer and manage my own support program in the natural home environment. Support for me in the form of consultation and training in the "OJT" mode will identify the naturally occurring requirements as they arise at appropriate times. 2) DECISION-MAKING I will need support in learning how to make effective administrative, financial and personnel decisions and how to develop appropriate policies. 3) PARTICIPATION WITH ADMINISTRATION Although I intend to employ professional services for such administrative functions as accounting, tax preparation, and payroll, it is critical that I develop the abilities to participate with the people who are providing me with these services. It is especially important that I continue to learn to develop and work within responsible budgets. SUPPORT PERSONS RESPONSIBILITIES, ORIENTATION AND TRAINING The most important aspect in the selection and training of my support people is their understanding of normal peer relationships rather than the more traditional "staff" relationships. Training will be a natural component of my home and I will always direct and participate fully in all training. Any training conducted will be delivered in a style that is consistent with supported living. 1) SUPPORT PERSON RESPONSIBILITIES Persons supporting me must have both the understanding of and commitment to supported living. Abilities in a wide range of areas, including household management, are essential, along with the desire to learn new skills and to integrate community resources. As well as conforming to sections 58641, 58642 and 58643 of the Supported Living Service Regulations, people supporting me must either demonstrate or be trained in the areas of: a) Appropriate Peer Relationships; b) Daily Living Skills; c) Development of Natural Supports; d) Circles of Support; e) Habilitation; and f) Specialized Care requirements. 2) ORIENTATION a) Support persons will receive orientation training provided by both myself and third-parties that are knowledgeable with respect to supported living and will consist of: The philosophy and values of Supported Living, including the appropriate conduct and relationships for support people; b) A review of the goals of my program design, my Person-Centered Plan (PCP), and/or my Individual Program Plan (IPP) with emphasis on the means of the achievement of specified outcomes; c) The ways they can help me to achieve the greatest level of self-sufficiency and a harmonious living environment, including the Consumer Bill of Rights; d) The use of community resources as they pertain to my needs and interests; e) The procedures for assisting me with prescribed medications and assisting me in monitoring my health and well-being; f) The health, safety and emergency procedures and precautions; and g) The identification of abuses, the intervention procedures which are prohibited or restricted by law or regulation, and requirements to report even suspected abuse. 3) ON-THE-JOB-TRAINING A combination of knowledgeable third-parties will be used to provide training on a regular basis, but at least annually, for myself and as required for my support people. Training will include procedures for meeting outcomes and methods for problem resolution. 4) CONTINUING EDUCATION My support persons will be encouraged to further develop their knowledge and skills through self-study, in-service education and outside training. Topics to be required (a) or considered (b & c) will include the following: a) First Aid Training - Completion of a course approved by the American Red Cross in basic first aid resulting in the issuance of a First Aid card and retraining as required to maintain certification. b) Supported Living - Overview of the concepts of supportive living and the methods and experiences of agencies providing similar living situations. c) Community Integration - Overview of contemporary practice in community integration with particular emphasis on the practical use of local opportunities to maximize social and physical integration. GRIEVANCE PROCEDURES Because my supported living program is self-directed, more traditional grievance procedures are not required. However, there may be cases of employee grievances in the future that could require the intervention of an independent third party with experience in supported living issues as a consultant or mediator. DESIRED OUTCOMES The outcome objectives of this program are directed toward the growth and development goals in my Person Centered Plan. By using a natural learning approach, this program will allow me to assume the highest possible degree of control of and responsibility for my life. These objectives will require on-going monitoring; they will be reviewed annually and updated when appropriate. 1) CHOICE: I will achieve an enhanced ability to make choices that include not only personal choices, such as the selection of my support people, but also business choices that will have a direct effect upon my life: a) Increase my ability to understand the relationships between my personal choices and business results. b) Improve my ability to predict the results of my choices on myself and the people around me, as well as upon the finances of the operation. 2) RELATIONSHIPS: I will continue to maintain and develop caring relationships through a wider scope of involvement with others: a) The individuals providing professional services creates an ideal opportunity to expand my personal involvement with professional peer relationships. 3) LIFESTYLE: My self-directed supported living program will naturally help me to achieve a more independent lifestyle that also reflects my cultural preferences: a) Continue to review, with assistance, my level of satisfaction at least monthly through monthly meetings and discussions that include plans to remove significant barriers. 4) HEALTH AND WELL-BEING: I will continue to monitor, with assistance, my emotional and physical health: a) Regular annual medical check-ups; and b) Regular dental checkups. 5) RIGHTS: I fully understand my rights and responsibilities and will insist that my home maintains an atmosphere of dignity and respect for both myself and my support people: a) Discuss the consumer's bill of rights with my support people at least annually. b) Continue to develop a greater sense of personal responsibility by accepting the challenge of providing my own supported living program. 6) SATISFACTION: I will have the satisfaction of knowing that support I am receiving is directly related to my ability to direct this program: a) My satisfaction with respect to all my accomplishments, opportunities to learn, regional center involvement, and supports will be reviewed and recorded annually. RECORDS AND REPORTS My home support program will maintain and provide access to financial records that reflect the amount and nature of support expenses, service delivery records, employee time records, and records of progress in meeting outcome objectives. Recording procedures may include but are not limited to timesheets, financial statements, quarterly reports, progress notes, and a daily diary. All data will be maintained for a minimum of three years after the annual expiration date of the contract. BUDGET DESCRIPTION The budget for my home has been developed through discussions with my current support people and in conjunction with my person centered plan. Generic services are used as a first priority, including IHSS. The attached budget includes my IHSS allowed hours of 276.4 hours per month for Medical Appointments, Related Services and Personal Services.