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Get to the Core of it: IL Skills Training (ILST)

A National Webinar/Teleconference

Presented by:Thomas Gregory and Tim Sheehan

ThursdayMay 27, 2010

3:00 PM – 4:30 PM EDT

CIL-NET Presents…

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Introduction

“I'm tired of well meaning non-cripples with their stereotypes of what I can and cannot do directing my life and my future. I want cripples to direct their own programs and to be able to train other cripples to direct new programs. This is the start of something big -- cripple power.” –Ed Roberts, 1970

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IL Skills Training: The “Why”

Ed’s Lessons Fight like Hell We are our own best teachers Support each other Be THE resource for each other and

the world

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The Wisconsin Story: Toward Best Practice

Quality Indicators in Independent Living Services (QUILS)

Wisconsin Coalition of Independent Living Centers (WCILC)

Program Committee—Best Practice Program Description, Reporting, and Policy implications

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Wisconsin Story cont’d…

Skills Training Defined:

“IL Skills Training and Life Skill Training Services – These may include instruction to develop independent living skills in areas such as personal care, coping, financial management, social skills, and household management. This may also include education and training necessary for living in the community and participating in community activities.” -- 704 definition

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Wisconsin Cont…

Reporting: When measuring the provision of ILST as

a core service, all service categories reported for open consumers will be considered ILST except: individual and systems advocacy, peer counseling, and information and referral. Services reported for consumers without a CSR (open file) will not be considered ILST, or any core service, except I&R.

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IL Skills: The Path Toward Freedom

Policy Implications:

ILST is provided to open consumers with a consumer service record (CSR) only. Consumers who are reported on the 704 report as having received ILST must be open consumers; per RSA rules. All data reported on the 704 must be from open consumers, the only exception being Information and Referral (I&R).

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CILWW: A 30 Year Journey

Founded in 1980 ILST Program Description

– CILWW advocates for the full participation in society of all persons with disabilities. Our goal is empowering individuals to exercise choices to maintain or increase their independence.

– Provides training and assistance in independent living skills (i.e. money management, household management, community involvement)

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CILWW: A 30 Year Journey, cont’d.

Provides… Information and assistance with locating and

using community resources and funding options

Assistance with developing your own supports system and developing problem solving skills

Disability information Information and assistance with locating

transportation resources Information and assistance with Employment

resources

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CILWW: Execution is the key

Approach: Holistic, individually tailored Design: To allow consumers to articulate and

achieve the dreams for their lives (goals) Does include access to more than 2,000

pieces of assistive technology. Can involve assessment, training. (FFS program for third-party purchasers)

Resources: Statewide micro-loan program (WisLoan) through centers. Up to $30,000 to purchase/install AT

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Got questions?

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Questions & Answers

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CIL’s “Moving On” Program – What is ILS Instruction?

Training that helps trainee acquire skills necessary to live as independently as possible. ILS instruction refers to the teaching of skills that would allow learner to successfully reside on her own – that is, without aid of family, friends, and/or service providers.

Categories of service that are core ILS domains:– Time Management– Household Organization– Social Skills– Communication Skills

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Training “Domains”

Categories into which life skills can be said to fall. Domains that RCEB recognize as legitimate areas in which ILS instruction can occur are:– Cooking/Meal Preparation– Menu Planning/Nutrition– Cleaning– Shopping– Money Management– Sustaining a Living Situation

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– Public Transportation/Mobility– Personal Health and Hygiene– Self-Advocacy Training– Independent Recreation– Accessing Medical/Dental Services– Community Resource Awareness– Home and Community Safety

Training “Domains”, cont’d.

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ILS versus PAS

PAS involves service provider helping consumer accomplish tasks necessary for day-to-day living

ILS involves service provider teaching the consumer how to accomplish such tasks

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Self-Direction

Consumer’s ILS plan must be acceptable to the referring agency and to the ILS service provider, but the consumer is entirely free to decide what goals to pursue

Central question: “What do you not know how to do that you would like to learn how to do?”

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Self-Direction, cont’d.

Philosophically, consumer is in best position to decide what skills to obtain

Practically, it’s important that consumer sets own goals so he/she will take more ownership in learning and mastering skills

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Eligibility/Recruitment/Enrollment

Who qualifies for ILS services?– Any Regional Center consumer or DOR

consumer so long as case manager or counselor is willing to authorize ILS services

Who pays for services?– Referring agency pays an hourly rate

Referrals and outreach– Most clients are referred by Regional Center

or DOR on initiative of client and case manager or counselor

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Assessment/intake– Creating the Individualized Service Plan

(ISP) Four hour POS (Purchase of Service) to

perform assessment with potential enrollee Discuss consumer’s ILS goals Introduce to one-on-one ILS Instructor Creating the ISP, including component

objectives, target dates and time needed per month

– Submitting the ISP and requesting the authorization to serve

Eligibility/Recruitment/Enrollment, cont’d.

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Delivering Services

Scope of Services/ POS– Maximum authorized hrs per month

Logistics– Biggest challenge is tailoring schedule

that fits consumer and instructor– Sessions rarely last longer than five

hours at a time

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Delivering Services, cont’d.

– Attempt to schedule sessions that are at least one hour long due to transaction costs involved

– Work takes place in homes, in the community, and/or at CIL’s offices, whatever makes the most senseLearning to do laundry = laundromatMeal preparation = supermarket and

kitchen

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Delivering Services, cont’d.

Following/amending the ISP – If work strays from plan, plan amended and

sent to case manager/counselor at referring agency

– Written plan notes when goals have been set, when they have been met, and what goals have been abandoned

Taking client’s family into account– Support, input and cooperation of family is

critical– Ideally, priorities will be in agreement– If differences can’t be resolved, consumers’

wishes trump.

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Outcomes-Based Service

Writing objectively measurable goals; Will it be clear when the goal is met?

– The more specific a goal, the better. Example:

1. “Client will master taking the bus to and from desired destinations”

2. “Client will master taking the bus from the corner of main and 2nd to the corner of Main and 98th.” The specificity here is much better!

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Numerical measurement of progress– One way is by tallying number of

prompts consumer requires to complete a task successfully (Prompts Record Sheet)

– Establishes baseline for measuring success

Outcomes-Based Service, cont’d.

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Paperwork/Documenting Progress and Maintaining Client Files

Instructor completes Progress Notes (ProgNotes) each month, using the IPP Objectives Form– Documents what activities client and

instructor are engaged in on which dates, what obstacles are encountered, and action to overcome obstacles

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Paperwork/Documenting Progress and Maintaining Client Files, cont’d.

Closing a client’s file1. All goals met2. All goals abandoned3. Inability to serve4. Referring agency won’t reauthorize5. Saved for at least five years – clients

are welcome to access their files for copies of any documents in their files

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Community Partnerships

Intra- and inter-agency referrals– Strive to maintain close relationships

with other local social service agencies Community Resource

Awareness/Self-Advocacy– Provide consumer with assistance

researching agencies and discovering what services are available to them

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About CIL

For More Information about CIL’s “Moving On”Program, an Independent Living Skills Training

Opportunity, Please Contact:Thomas Gregory, Moving On Coordinator2539 Telegraph Avenue Berkeley CA 94704

510-841-4776 tgregory@cilberkeley.orgCIL’s Website: www.cilberkeley.org

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Got questions?

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Questions & Answers

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Wrap Up and Evaluation

Click the link below now to complete an evaluation of today’s program found at:

https://vovici.com/wsb.dll/s/12291g44a27

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CIL-NET

Support for development of this Webinar/teleconference was provided by the U.S. Department of Education, Rehabilitation Services Administration under grant number H132B070002-09. No official endorsement of the Department of Education should be inferred. Permission is granted for duplication of any portion of this PowerPoint presentation, providing that the following credit is given to the project: Developed as part of the CIL-NET, a program of the IL NET, an ILRU/NCIL/APRIL National Training and Technical Assistance Project.