Quinebaug River Day Habilitation

Center of Hope FoundationDay HabilitationTracking Training

1OverviewThis PowerPoint training was designed for Direct Caregivers and Case Managers to increase accuracy and meaningful completion of Probes and Task Analysis. Topics covered will include

Background Information of Skills Objectives, TAs, and ProbesImplementation StrategiesTask Analysis Probe Logs

2Background InformationEach individual is assessed annually along seven quality of life areas at the time of their ISP meeting. The seven areas were defined by DDS and are as follows

Self-Help DevelopmentCommunicationSensory Motor DevelopmentSocial DevelopmentIndependent Living SkillsAffective DevelopmentBehavioral Development

These areas are prioritized and each individual is assigned goals to work on increasing skills in these areas.

3Background InformationIndividual with Many

One to one fundedRequires assistance in many skills areasIs Pre-vocationalIndividual with Few

Spend most of their programmatic day within the vocational program.May be outside of the facilityIs highly independentYou may notice that individuals are assigned a different number of goals. This is due to a few factors 4Background InformationIndividuals progress towards their skill objectives is collected in monthly Probes and Task Analysis (TA) forms.

Whether a TA or a Probe log is used to collect information depends on the objective being tracked

Task Analysis

Analyzes the step by step completion of a multistep task, for exampleHand Washing, Completing a Recipe, etc.Probe Log

Analyzes ability to display a skill at any given time or measures time spent engaged in a certain activity, for exampleMinutes of Exercise, Ability to Give an Appropriate Response, etc. Both these data tracking forms will be covered in depth later in the presentation.5Implementation Strategies

This is an Implementation Strategy form.

The form attempts to describe in depth the methods day habilitation staff will use to teach a client new skills.

We will now cover the functional parts of the Implementation strategy in further depth. They are Developmental Skill Area and GoalMeasurable ObjectiveAndStrategies to Assist the Individual6Developmental Skill Area & GoalThe Developmental Skill Area refers to which of the DDS Seven Quality of Life areas the goal wishes to address. The Goal section is a place to record the long term goal the objective wishes to achieve. Skills in this area are expected to be achieved in roughly 5 years. These goals are also known as Umbrella Goals.Individuals Desired Outcome is a place to record why learning this objective will be significant/meaningful to the individual.

7Measurable ObjectiveThe Measurable Objective is the most important thing to consider when tracking/assessing a clients ability to perform a task/skill.The Measurable Objective also appears on the corresponding Probe Log and Task Analysis sheets.Measurable Objectives are meant to be very precise black and white statements.Lets take a closer look at what parts make up a measurable objective statement

8Measurable Objective ExamplesIn weekly trials, Individual will be able to identify food groups as defined by the food guide pyramid, when presented with five food choices, independently with supervision, in 85% of opportunities, for two consecutive quarters.

In discreet weekly trials of five minutes, Individual will exhibit socially appropriate behavior, refraining from invading personal space, independently with supervision, in 85% of trials, for two consecutive quarters.

In weekly probes, when given five random purchase totals, Individual will be able to identify; the appropriate amount of bills to supply the cashier as well as the corresponding change required, independently with supervision in 90% of opportunities.

In weekly probes, Individual will be able to state five effective ways to cope with stress and frustration (talk with preferred staff, count to ten, walk away, listen to music or ask for quiet time) with no more than an initial verbal prompt per technique in 75% of opportunities, for two consecutive quarters.

9Measurable Objective ExampleIn weekly trials, Individual will be able to identify food groups as defined by the food guide pyramid, when presented with five food choices, independently with supervision, in 85% of opportunities, for two consecutive quarters.

You may have noticed that these objectives have some features in common. These are

Frequency: How often data should be collected for each objective. Examples include; Daily, Weekly, Bi-Weekly.

Some Objectives like physical or social activity must be tracked as they occur. For example each time an individual exercises those minutes should be recorded. 10Measurable Objective ExampleIn weekly trials, Individual will be able to identify food groups as defined by the food guide pyramid, when presented with five food choices, independently with supervision, in 85% of opportunities, for two consecutive quarters.

Skill Description: This states the skill you are monitoring in the form of a sentence.

You should ask the question Is my probe/analysis measuring the persons ability to perform this specific statement? 11Measurable Objective ExampleIn weekly trials, Individual will be able to identify food groups as defined by the food guide pyramid, when presented with five food choices, independently with supervision, in 85% of opportunities, for two consecutive quarters.

Prompting Allowed: This is the amount of assistance the prober/analyzer is able to give the individual in a successful trial.

In this specific objective the prober is allowed to give no assistance. However there must be an initial explanation of what is expected. An individual will not just go about spouting off food groups. They must be told initially that this is what is expected of them during the trial. This initial explanation SHOULD NOT be counted as a verbal prompt. 12Measurable Objective ExampleIn weekly trials, Individual will be able to identify food groups as defined by the food guide pyramid, when presented with five food choices, independently with supervision, in 85% of opportunities, for two consecutive quarters.

Goal Percentage: This is the individuals target percentage for successful trials. This percentage is an estimated goal for the individual FOR THE YEAR.

Individuals performance percentages are aggregated from an individuals trials month to month and is compiled by the Senior Developmental Specialist. 13Measurable Objective ExampleIn weekly trials, Individual will be able to identify food groups as defined by the food guide pyramid, when presented with five food choices, independently with supervision, in 85% of opportunities, for two consecutive quarters.

Criteria For Modification: Service coordinators expect Interdisciplinary Team members to evaluate individuals performance each quarter.

If an individual has exceeded their goal for two consecutive quarters, then the goal is considered met and should be modified to develop more advanced skills. 14Measurable Objective ExampleSo in conclusion/overview we have

In weekly trials, Individual will be able to identify food groups as defined by the food guide pyramid, when presented with five food choices, independently with supervision, in 85% of opportunities, for two consecutive quarters.

Frequency: How often data should be collected for each objective. Examples include; Daily, Weekly, Bi-Weekly.

Skill Description: States the skill you are monitoring in the form of a sentence.

Prompting Allowed: This is the amount of assistance the prober/analyzer is able to give the individual in a successful trial.

Goal Percentage: This is the individuals target percentage for successful trials. This percentage is an estimated goal for the individual FOR THE YEAR.

Criteria For Modification: Service coordinators expect Interdisciplinary Team members to evaluate individuals performance each quarter.

15Measurable Objective ExerciseIn discreet weekly trials of five minutes, Individual will exhibit socially appropriate behavior, refraining from invading personal space, with no more than two verbal prompts, in 85% of trials, for two consecutive quarters.

Can you identify and explain the parts???

What is the curveball here?

This objective requires that you assess the individuals skills discreetly. This means that they are unaware they are performing for their objective.

Analyzing this skill requires you to make observations of an individual over a given period of time. If they are able to satisfy the skill description with the prompting allowed Success!

If they require excessive prompting then you may stop the trial. 16Back to Implementation Strategies

The Implementation Strategy to Assist Section further describes how to teach the objective to the specific individual. This also outlines frequency of tracking, which type of tracking sheet will be used, and some teaching strategies (ratio, materials, prompting, and any special considerations). 17Tracking SheetsNow that we have a better understanding of Implementation Strategies we can move onto the specific forms we use to track each individuals progress.

These areTask Analysis

&

Probe Logs

18Task Analysis

19Task AnalysisA Task Analysis form, as we have established earlier, is used to analyze a multiple step task. This could include any task or procedure. Examples include; Washing Hands, Completing a Recipe, or Budgeting Money. These examples could be broken down as follows Washing Hands

Turning on WaterWetting HandsSoaping HandsRubbing Hands TogetherRinsing HandsTurning off WaterDrying Hands

Making a Recipe

Gathering IngredientsPouring out MixBreaking an EggMixing Placing on Cookie Sheet

Budgeting Money

Determine your IncomeGathering BillsWriting ChecksAddressing EnvelopesAdjusting Check RegisterDetermine Balance

20Task AnalysisA Task Analysis form may have these steps spelled out for you or they may be up to the staff to complete.

To successfully complete a trial with a Task Analysis form you must measure and record the prompting required for the individual to complete each step. If the person requires 2 verbal prompts to complete step one please write VP(2) next to space one

Please Note: As is the case with every tracking sheet, the Measurable Objective is provided on each sheet. 21Task Analysis Example

22Probe Logs

23Probe LogsA Probe Log, as we have established earlier, is used to measure an individuals ability to display a skill at a given time or measures time spent engaged in a particular activity (socializing, exercise, etc.). Please Note: When completing a probe log, you are tallying the amount of prompts required for the individual to complete the entire task. In the previous example the task is able to assemble a balanced meal according to the food guide pyramid using pictures of food.

Therefore, the individual should be prompted until they are able to create a balanced meal or it is determined the individual is unable to display the skill within a reasonable standard. At that point the staff may complete the task, if possible, for the individual in order to model a successful trial. 24Probe Log Example

25ConclusionsWhen completing tracking for an individual it is important to keep in mind a few truisms

Goal orientated progress is held in high regard by the Department of Developmental Services.

Each individuals programming is designed with data gathered from Probes and TAs in mind.

Data is the best proof/reflection of the hard work we all do each day to improve the lives of the people we serve!

Thank you for participating in our training! If questions should arise in your day to day duties please feel free to use Senior Developmental Specialist, Administrators/Directors, and Case Managers as a resource. 26End

27

Center of Hope Foundation, Inc.Day Habilitation ProgramsImplementation Strategies Form

Date of the ISPName of the IndividualIndividual Served: Date of Day Hab Plan:

Day Program AttendedProgram Site: Modification date:

#From one of the Seven Skill AreasDevelopmental Skill Area:Strategy:

Overarching, five year goal statement. Goal:

Individuals interest in accomplishing the goal. Individuals DesiredOutcome:

Specific goal statement to be accomplished within the year. This objective also appears on sheets used to track the data (TAs, Probes).

Measurable Objective:

Frequency: of data collection Weekly/DailyDuration:Method of Assessment: Task Analysis or Probe?Teaching Strategy: Ratio: Materials used: Type of prompting: Special Considerations: Skills Trainings Recommended:

Implementation Strategyto Assist Individual in Meeting Objective:

The individuals current ability, according to formal tracking (may not be available). Current Status of Skill:

Objectivemet _____ not met _____Modification: ______Person Responsible for Implementation:Title:

From one of the Seven Skill Areas#Developmental Skill Area:Strategy:

Overarching, five year goal statement. Goal:

Individuals interest in accomplishing the goal. Individuals DesiredOutcome:

Specific goal statement to be accomplished within the year. This objective also appears on sheets used to track the data (TAs, Probes).

Measurable Objective:

Frequency: of data collection Weekly/DailyDuration:Method of Assessment: Task Analysis or Probe?Teaching Strategy: Ratio: Materials used: Type of prompting: Special Considerations: Skills Trainings Recommended:

Implementation Strategyto Assist Individual in Meeting Objective:

Task Analysis Form

IndividualName Month:

Weekly, Individual will complete a five step recipe independently with supervision, in 85% of opportunities, for two consecutive quarters. MeasurableObjective:

Date:Date:

List each specific step/ taskRate Each step# of prompts given List each specific step/ taskRate Each Step# of prompts given

1.

1,

2.

2.

3.

3.

4.

4.

5.

5.

Person Completing Assessment:

Person Completing Assessment:

Assessment Rating Key: 1= Independent, 2 = Required verbal prompting 3 = Required partial physical assistance, 4 = Required full physical assistance, 5 = Unable, 6 = Declined

AprilTask Analysis Form

IndividualName Month:

Weekly, Individual will complete a five step recipe independently with supervision, in 85% of opportunities, for two consecutive quarters. MeasurableObjective:

Cookies Date:4/25/13Date:

List each specific step/ taskRate Each step# of prompts given List each specific step/ taskRate Each Step# of prompts given

1. Take out mixing bowl1N/A1,

2. Open mix packet1N/A2.

3. Add eggs & milk243.

4. Mix334.

5. Place on cookie sheet215.

Person Completing Assessment:

MALPerson Completing Assessment:

Assessment Rating Key: 1= Independent, 2 = Required verbal prompting 3 = Required partial physical assistance, 4 = Required full physical assistance, 5 = Unable, 6 = DeclinedDay Habilitation Skill Assessment Tool - Probe Log

IndividualName:

Self Help DevelopmentSkill Area:

In weekly trials Individual will be able to assemble a balanced meal according to the food guide pyramid using pictures of food, with no more than 2 verbal prompts, in 75% of opportunities, for two consecutive quarters. Measurable Objective:

Weekly, staff will meet with Individual either one to one or in an appropriate skills training to review healthy eating. Staff will present Individual with the food guide pyramid and food pictures, prompting him to complete a balanced meal.

Specific Probe Technique:

DateMeal Assembled(Write out the food that was indicated)Prompting Required(Type and # to assemble entire meal)Staff Initials

Prompting KeyI = Independent (Only initial prompt)VP (#) = Verbal Prompts (Number)PP (#) = Partial Physical (Number)

Casemanager Review: ___________________________________________________________ Date: ______________COHF, Inc 7/03, 5/10, 9/11Day Habilitation Skill Assessment Tool - Probe Log

IndividualName:

Self Help DevelopmentSkill Area:

Weekly, Individual will engage in an average of 200 minutes of physical activity, for two consecutive quarters. Measurable Objective:

Daily, preferred staff will encourage Individual to join the walking or exercise groups and track how long he participates. Specific Probe Technique:

DateProbe Procedure(Meet 1:1, YMCA, or group exercise session)Physical Activity(video, walking group, YMCA, swimming, etc)Minutes Spent ExercisingStaff InitialsComments

Casemanager Review: ___________________________________________________________ Date: _______________

COHF, Inc 7/03, 5/10, 9/11Day Habilitation Skill Assessment Tool - Probe Log

IndividualName:

Self Help DevelopmentSkill Area:

In weekly trials Individual will be able to assemble a balanced meal according to the food guide pyramid using pictures of food, with no more than 2 verbal prompts, in 75% of opportunities, for two consecutive quarters. Measurable Objective:

Weekly, staff will meet with Individual either one to one or in an appropriate skills training to review healthy eating. Staff will present Individual with the food guide pyramid and food pictures, prompting him to complete a balanced meal.

Specific Probe Technique:

DateMeal Assembled(Write out the food that was indicated)Prompting Required(Type and # to assemble entire meal)Staff Initials

4/13/13Water, Peas, Baked Potato, ChickenVP (2)MAL

4/26/13Juice, Peas, Carrots, SteakVP (3)PP (1)MAL

4/29/13

Juice, French Fries, Onion Rings, Jell-OVP (1)MAL

Prompting KeyI = Independent (Only initial prompt)VP (#) = Verbal Prompts (Number)PP (#) = Partial Physical (Number)

Casemanager Review: ___________________________________________________________ Date: ______________COHF, Inc 7/03, 5/10, 9/11