Active Treatment& Quality Enhancement

Ann Seisa, R.N.

Agenda

What is Active Treatment?

Who, when, and how is it provided?

How do you know when Active Treatment is taking place and when its not?

What is Quality Enhancement?

- What is the Principle of Universal Enhancement?

What is Active Treatment?

•It is the consistent, aggressive, continuous, and accountable application of (habilitative) interventions by caregivers of persons with developmental disabilities

What is Active Treatment?

•It is founded on the principle that each individual is capable of continued change and can benefit from participation in individually designed programs.

What is Active Treatment?

•Programs are carried out in structured & unstructured settings and are focused in improving each person’s developmental progress throughout his or her life.

Active Treatment

All people who support persons with disabilities should provide Active Treatment

It is the means by which we help our clients “get a life”

You must know your client as an INDIVIDUAL – his or her likes, dislikes, and preferences

Quality Enhancement

It is raising the value in achieving excellence.

Quality Enhancement

VALUE OF LIFE QUALITYVALUE OF LIFE QUALITY –

Characteristics of a person’s life that include those things that the person feels are most important, like good friends, good health, and a safe and comfortable place to go to or to live in.

Focus on the Individual

What is important to the individual?

What will increase his/her quality of life?

1. Enjoy a safe, comfortable environment and exercise greater control of his/her environment & his/her daily experiences.

2. Be and stay healthy with the least amount of medication to appropriately manage health conditions.

3. Learn ways of expressing & communicating their wants & needs – without being self-injurious or disruptive.

4. Choose and participate in hobbies, leisure interests, social & recreational activities that they enjoy.

5. Look their best on daily basis, and be as self-sufficient and independent as possible in completing their activities of daily living.

6. Be good neighbors and citizens with valuable contributions to make in the community.

When does Active Treatment take place?

Who is critical to providing Active Treatment?

STAFF Day-long

interaction Must work together

as a team Are among the first

to notice changes in the client

ADMINISTRATOR Pulls the Inter-

Disciplinary Team (IDT) together

Trains the staff Supports the staff

Importance of DSP Staff •They are a critical component of the support team.

• They are able to negotiate, counsel, and provide positive support training to clients explaining the responsibilities, consequences and options to these individuals.

Importance of DSP Staff •They act in a professional, positive and friendly manner at all times.

• High expectations are expected of them and will hold them accountable for meeting those expectations.

How do you implement Active Treatment?

Start with RESPECT Show how to complete a task Link with interests Focus on what the client CAN do Motivate Behavior is a form of communication - always

work on increasing client’s ability to express self Remember choices

Principle of Universal Enhancement

Getting a life for people and coaching them into it to improve the quality of their life.

Universal Enhancement

What are ways to support people: Listen and hear our voice – we’ve got a lot to

say. Treat us like you want to be treated - with

respect and dignity. Ask us how we feel about stuff. Take time to explain things if we don’t

understand something. Put yourself in our shoes – walk our walk. Be good to yourself – we want you to be

healthy and energized.

Universal Enhancement

When engaging with a client, keep the noise level to the minimum and your voice down (at conversation level).

Gain their permission before holding their hands. Holding hands without permission encourages dependence.

Encourage the person to hold your arm instead. Do not tow.

Do not talk about people in front of others. Encourage the individuals to participate in

household chores, in all routines.

How do you know when Active Treatment is taking place?

INCREASED SKILLS!

Self Help•Can brush own hair

•Pulls up his pants

•Uses the toilet when need arises

Behavior•Communicates wants or needs verbally or gesturally

•Makes choices

Social/Recreational•Goes to watch a movie with his favorite actor in the cast

Independent Living•Makes her own snacks

•Cleans her bedroom

•Washes her clothes

Indicators that Active Treatmentis NOT taking place Lack of client

progress No activities in sight Behaviors Clients pacing Staff in one area and

clients in another

Clients have no energy

Staff are bored Clients told what to do Maid/butler service TV with no interaction

Active Treatment – It’s an ATTITUDE!We are teachers and mentors,

not caretakersFocus on abilities, not disabilitiesOptions and choices for everyoneIt’s not our job to say “No” but to show a

better waySelf-esteem and independence go hand in

hand

Active Treatment – It’s an ATTITUDE!Maximize positive contactsDon’t take it personally – break the chainThe best prompts are non-verbal and

subtleThe best training environments are naturalRemember to reinforce desired/positive

behavior

Active Treatment – It’s an ATTITUDE!Staff make it happenWatch body proximity (e.g. don’t stand

over the person)Watch body language (open hands, don’t

cross arms, etc.)Power struggles mean you loseRESPECT ourselves, each other, and the

people we serve

“Excellence can be attained if you…

Care more than others think is wise…

Risk more than others think is safe…

Dream more than others think is practical…

Expect more than others think is possible.”

Questions