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VIRGINIAS OPTIONS COUNSELING STANDARDS TRAININGMODULE 3DELIVERING OPTIONS COUNSELINGAugust 10, 2011

1OPTIONS COUNSELING STANDARDS TRAINING AGENDAMODULE 3Delivering Options CounselingStandards, Section 3.2

11:15 a.m.Who Participates in Options CounselingRole PlaysProviding and Obtaining Initial InformationUnderstanding the Individual12:00 noonWorking Lunch1:00 p.m.Role PlayProviding Information on Options Decision and Decision SupportRole Plays2:30 p.m.Break2:45 p.m.Developing the Individual Action PlanDocumentation Requirements3:30 p.m.Qs & As4:00 p.m.Adjourn for the day

2Goals for Module 3

Deliver Options Counseling

Develop Action Plan

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Getting Started

44THE INDIVIDUAL

THE INDIVIDUALS SURROGATE DECISION-MAKER(IF APPLICABLE)

ANYONE ELSE THE INDIVIDUAL WANTS

AND, OF COURSE, THE OPTIONS COUNSELOR!Clarify Who is Participating55Whats a Surrogate decision-maker?A person legally authorized to make decisions on behalf of an individual who has been declared legally incapacitated.

Two types in Virginia:Guardians/ConservatorsActive Powers of Attorney

PRESUMPTION OF CAPACITY

Person-centered practices are for surrogate decision-makers, too!

Standards Section 1.2

66Surrogate decision-maker MUST participate!

Individual makes ALL decisions about who participatesLEGAL INCAPACITY?NO LEGAL INCAPACITY?

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Options Counselors shall involve the eligible individual and all others the individual wishes to involve in Options Counseling except as follows: When the individual declines to have other individuals present at any point in the counseling, the Options Counselor shall respect the individuals wishes.

Standards Section 3.2(B)(1)

88JOE AND HIS MOM

9 99SARAH AND HER DAUGHTER10

10 10 Actively Encourage

SUPPORTER PARTICIPATION

1111Provide Initial InformationEXPLAIN BILL OFROLES RIGHTS

GIVE SURROGATEDECISION-MAKERGRIEVANCETIPSPROCEDURE

Standards, Section 3.1(D)(3)

1212 Talking? Sign language? What language? Communicationpreference ofthe individual

Special device? In writing?

Get Initial Information

1313 Home?In person?And where? Options Counselors Office? Neutral Environment location? preference of the individual

Telephone? Computer?

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14Understanding the individual

1515ALL INDIVIDUALS have unique Likes and dislikes

Strengths and challenges

Values and Opinions

1616Cultures

Living situations

Talents and interests 17

ALL INDIVIDUALS have unique17WHAT ARE YOURS

and why does it matter, anyway?

1818Options Counselors must make every effort to understand each individuals preferences, needs, values and circumstances.

Standards Section 3.2(C)

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2020questions and scenarios

Standards Section 3.2(C)(5)

2121providing information to the individual

2222The following information must be provided during Options Counseling, dependent upon the individuals unique needs, values and circumstances

Standards Section 3.2(D)

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Standards Section 3.2(D)(5) 26

26decision support

2727The following support, as applicable, shall be provided to the individual while the individual is considering and making decisions

Standards Section 3.2 (E)

28281. More information, please! 2. My place or yours?

3. Can you hear me?

4. What if..?5. But if?

29296. How do I get there? 7. Im confused!

8. I want to see it!

9. You? Me? Who? 10. Slow down, please!

3030. WHO MAKES THE DECISIONS?

INDIVIDUAL SURROGATE DECISION-MAKER

OPTIONS COUNSELOR OTHERS PARTICIPATING

Standards Section 3.2(F)

3131BUT WAIT! ISNT THAT TOO RISKY?

3232IT DEPENDS.

3333WHEN IS A DECISION TOO RISKY?

343434Developing the individual action planGoals

Decisions

Action Steps

Resources

Timelines

Responsible parties

3535The Options Counselor shall work with the individual to develop an action plan for implementing the decisions made as a result of Options Counseling.

Standards Section 3.2(G)

3636AN INDIVIDUAL ACTION PLAN INCLUDESTHE INDIVIDUALS GOALS AND DECISION/SMaking decisions and setting goals is a planned way to make a dream come true!

THE ACTION STEPS NEEDED TO REACH THE GOALS, INCLUDING RESOURCESGoals are more attainable if the steps and the resources needed to take each step are identified.

A TIMELINE FOR EACH ACTION STEPWithout time limits, progress might not be made, and its a lot harder to start.

WHO IS RESPONSIBLE FOR EACH ACTION STEPLet the individual do as much as possible, but others can/should assist as needed.3737

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OH, NO! What happens if:Joe doesnt qualify for the EDCD Waiver?Joe cant get a housing voucher?

Sarahs neighbor wont do the yard work?The AAA has no chore supports available?

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41documenting the time spent with an individual

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Individual support records shall bemaintained for each individualreceiving Options Counseling.

Standards Section 5.1 (A) The Individual Support Record

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4343When Options Counseling begins, the support record should already contain information recorded by the staff member who determined the individuals need for Options Counseling.

Standards, Section 5.1(B)(1)

4444 Initial contact date New? Reengaging? Why?

Environment and Participants communication preferences

THE OPTIONS COUNSELOR DOCUMENTS45

45IndividualCircumstances

46THE OPTIONS COUNSELOR DOCUMENTS46Preferences, needs, Options, alternatives Action Plan: values, definitionrisks, benefits discussed Goals/Decisionsof success Steps, resources Timeline, responsible party

Referrals made Evidence plan wasimplemented Progress Notes Future Needs

47THE OPTIONS COUNSELOR DOCUMENTS47Unit of ServiceA unit of service is defined as the number of contacts, and the time spent in hours or portions thereof, with and on behalf of each individual. The hours shall be recorded in 15-minute increments.

Standards Section 5.1(E)

4848The end

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