NYS OPWDD Regional Centers for Workforce Transformation Webinar

NYS OPWDD Regional Centers for Workforce Transformation Webinar Series The Why and HOW Joseph M. Macbeth, Executive Director John Raffaele, NADSP Consultant National Alliance for Direct Support Professionals

National Alliance for Direct Support Professionals (NADSP) Quick Introductions Joe Macbeth Executive Director John Raffaele Consultant & Educator

“Transformation” noun: transformation; plural noun: transformations a thorough or dramatic change in form or appearance. "its landscape has undergone a radical transformation” synonyms: change, alteration, mutation, conversion, metamorphosis, transfiguration, transmutation, sea change National Alliance for Direct Support Professionals (NADSP) trans·for·ma·tion: tran(t)sfərˈmāSH(ə)n/

National Alliance for Direct Support Professionals (NADSP) “System Transformation” The Evolution of a Word

National Alliance for Direct Support Professionals (NADSP) The Evolution of Human Services

This is One Reason Why We’re Here Today “At state-run homes, abuse and impunity” The New York Times, New York March 13, 2011 National Alliance for Direct Support Professionals (NADSP)

Which led to…. . “Legislative Leaders Announce Agreement on Legislation to (New York Times, June 18, 2012) Legislation Establishes Justice Center for the Protection of People with Special Needs to Prevent, Investigate and Prosecute Abuse and Neglect of Vulnerable New Yorkers National Alliance for Direct Support Professionals (NADSP) Protect People with Special Needs and Disabilities”

Closing the Barn Door after the horse has bolted. Legislation that focuses on Prosecution will NOT Transform a System National Alliance for Direct Support Professionals (NADSP) Which is sort of like…

“Direct Support jobs are compensated poorly, with many workers living at or near the poverty level or forced to work multiple jobs to make ends meet. One might summarize the job description of the direct support worker as requiring the wisdom of Solomon, the patience of Job and the caring of Florence Nightingale… While much is said about the value of these direct support jobs, the traditional hallmarks of value are often missing – qualifying credentials, adequate pay, career ladders, attention to working conditions, adequate training, managerial and supervisory support and so on…” The Measure of a Society: Protection of Vulnerable Persons in Residential Facilities Against Abuse & Neglect. Clarence J. Sundram, National Alliance for Direct Support 2012 Professionals National Alliance for Direct Support Professionals (NADSP) But it also led to this….

New Federal Requirements 441. 301(c) (4) – Optimizes, but does not regiment, individual initiative, autonomy, and independence in making life choices, including but not limited to: daily activities, physical environment, and with whom to interact. Proposed State Transition Plan Deliverables: “Identify, develop, and distribute training tools and policy updates that are needed for compliance” National Alliance for Direct Support Professionals (NADSP) Actions To Complete For Compliance

New Federal Requirements • Reflect risk factors and measures in place to minimize them, including individualized back-up plans and strategies when needed. • The individual will lead the person-centered planning process where possible • Includes people chosen by the individual. • Individual directs the process to the maximum extent possible • Reflects cultural considerations of the individual National Alliance for Direct Support Professionals (NADSP) (i) Providers must ensure that services are furnished: Under a written person-centered service plan (also called plan of care) that is based on a person-centered approach:

New Federal Requirements 1. People will have the freedom and support to control their own schedules and activities, and have access to food at any time. 1. People will be able to have visitors of their choosing at any time. 1. People will have the freedom to furnish and decorate their sleeping or living units ARE THEY PREPARED? National Alliance for Direct Support Professionals (NADSP) Direct Support Professional Must Understand:

National Alliance for Direct Support Professionals Are Direct Support Professionals Prepared?

“Preparing” Direct Support Professionals: How Have We Done? Teach me and I might remember. Involve me and I will learn”. - Chinese Proverb National Alliance for Direct Support Professionals (NADSP) “Tell me and I will forget.

• Direct Support Professionals seen as Entry Level Jobs • Requirements for Direct Support Professionals often minimal • “On-boarding” training is often quick and minimal in content • Regulatory read and sign and classroom style versus competency based and experiential • Direct Support Professionals often report that their training is lackluster and frankly boring. National Alliance for Direct Support Professionals (NADSP) “Training” for Direct Support Professionals

• Demand for direct support professionals at an all time high and will increase • Demand for better quality and competence • Diverse and NON-Academic workforce • Demographic, language and culture variables impacting the development of direct support professional workforce. National Alliance for Direct Support Professionals (NADSP) Rethinking Direct Support Professional Development and Education

• Classroom is the community • Lectures and didactics must remain minimal • Stories connected to competencies • Ethics lives and breathes in all activities of a direct support professional’s daily work • EXPERIENTIAL learning is key to successful direct support professional development programs • Adult Learning models promote active involvement • Good direct support professional trainers are translators of the competencies and ethics to the nonacademic workforce National Alliance for Direct Support Professionals (NADSP) Addressing the Challenge of Developing the Workforce:

Historically…. Now and in the Future…. • Primarily Seen as Caretaker • Ambassador, Mentor & Teacher • Focus on Custodial Care • Providing Companionship • Culturally Competent • Providing Coverage • Close Interactions with Families - often in Family Settings • Primarily Focused on Health & Safety Issues • Supporting Informed Decisions – Assessing RISK • Entry-Level Job • Possession of Complex Skills National Alliance for Direct Support Professionals (NADSP) The Emerging Role of Direct Support Professionals

Historically…. Now and in the Future…. • Follow the Plan • Creating plans with People they support • Filling shifts • Building meaningful friendships & relationships • Rely on readily available supervision • Inclusion – not recreation • Community Outings • System-Centered Identification • Advocating WITH – not FOR people with disabilities • Person-Centered Identification National Alliance for Direct Support Professionals (NADSP) Raising the Expectations of the Direct Support Workforce

National Alliance for Direct Support Professionals (NADSP) Building & Maintaining Friendships

National Alliance for Direct Support Professionals (NADSP) Speaking of Inclusion & Disabilities

National Alliance for Direct Support Professionals (NADSP) Quality Support

National Alliance for Direct Support Professionals (NADSP) OPWDD Regional Centers for Workforce Development (RCWT) www. workforcetransformation. org

OPWDD Regional Centers for Workforce Development (RCWT) “The core competencies are not a training program; they represent the day-to-day valuable work that DSPs perform when serving individuals with developmental disabilities. Coupled with the recently adopted National Alliance of Direct Support Professionals’ Code of Ethics, the standardized DSP competencies will help set standards for quality supports and services; provide guidance for DSPs; promote professionalism; standardize DSP skills; improve service provision; and save training costs”. Commissioner Courtney Burke National Alliance for Direct Support Professionals (NADSP) OPWDD Core Competencies

NY State OPWDD Direct Support Core Competencies: A. B. C. D. E. F. G. H. I. J. K. Supporting a person’s unique capacities, personality and potential Getting to know the person through assessment and discovery Promoting advocacy with the individual Facilitating personal growth and development Facilitation of supports and services Building and maintaining relationships Creating meaningful communication Developing professional relationships Exhibiting professional behavior Showing respect for diversity and inclusion Creating meaningful documentation records L. Education, training and selfdevelopment activities M. Organizational participation N. Exhibiting ethical behavior on the job O. Promoting positive behavior and supports P. Supporting Health and Wellness Q. Preventing, recognizing and reporting abuse R. Supporting crisis prevention, intervention and resolution S. Supporting safety T. Ensuring safety of individuals during environmental emergencies U. Supporting people to live in a home of their own choice V. Supporting ACTIVE participation in the community W. Supporting employment, educational and career goal attainment

OPWDD Regional Centers for Workforce Development (RCWT) “The Code of Ethics developed through the National Alliance for Direct Support Professionals (NADSP) guides DSPs through the ethical dilemmas they face daily and encourages the highest professional ideals. Direct support staff, agency leaders, policymakers, and people receiving services are urged to read the code and to consider ways that these ethical statements can be incorporated into daily practice. This code is not the handbook of the profession, but rather a roadmap to assist in staying the course of securing freedom, justice, and equality for all”. National Alliance for Direct Support Professionals (NADSP) Code of Ethics for Direct Support Professionals

The NADSP Code of Ethics Adopted by New York in 2012 Updated in 2016 Universally Accepted National Alliance for Direct Support Professionals( NADSP) Developed by NADSP in 2001

National Alliance for Direct Support Professionals (NADSP) Code of Ethics Word Cloud

Customized Trainings, One-Day Workshops and Culture of Direct Support Competency Technical Assistance Join us on Facebook! YES, We’re on You. Tube Follow us on Twitter @NADSPINC – www. workforcetransformation. org National Alliance for Direct Support Professionals (NADSP) Join Our Membership at www. nadsp. org!