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Moving from systems-centered planning to person-centered planning

The historical approach to service planning focused on systems and programs to keep the person healthy and safe. The person-centered approach shifts the focus toward what is important TO the person (i.e., personal preferences and desires) while maintaining a balance of what is important FOR the person (i.e., health and safety).

A person-centered approach recognizes each person’s right to make choices for him/herself, even if those choices differ from the ones the people who care for them would make. Person-centered plans often include creative options beyond a standard “menu” of services.

The following ideas have been adapted from the University of Minnesota’s Institute on Community Integration’s Manual for Person-Centered Planning Facilitators (PDF).

Person-centered planning

WHAT IT IS

WHAT IT IS NOT

Identifies the needs essential to a good life (as defined by the person) and plans supports to address those

Planning a lifetime of programs

Takes time to explore and understand each person’s interests, strengths and preferences

Makes assumptions about people (e.g., who may or may not want or be able to work)

Designs innovative options

Relies upon a limited number of program options (i.e., the “menu”)

Creates plans to reflect each person’s individuality and the characteristics of the local community

Planning for one person looks similar to those for other people

Describes goals that have specific examples of positive activities and experiences to increase or strive for (even if they seem hard-to-reach)

Focuses goals on negative behaviors that need to be changed or decreased

Increases the person’s valued role in the community by developing and deepening relationships and community life, as the person wants

Does not mention relationships or community life in support plans

Includes friends, family, and community members as “supports” and does so in new and creative ways

Creates support plans that only include paid staff

Has the person drive the planning. The person chooses the place and the people to include. The person is supported to lead the meetings, as the person wants.

Has the service planner drive planning. The planner chooses the time, the place and who is present.

Writes support plans that show respect for the person, his/her humanity and uniqueness

Uses clinical language throughout the plan (e.g., “client,” diagnoses, medications, therapies, etc.)

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