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Person-centered planning at home for an adult with I/DD in Maryland

Person-Centered Planning at Home: Turning Goals Into Daily Routines for an Adult With I/DD

Quick Answer

Person-centered planning at home means using the person’s own goals, preferences, strengths and support needs to shape everyday routines. In Maryland’s DDA system, the formal Person-Centered Plan is a written plan developed with the person and their chosen team. A household routine can help put that plan into practice, but it should not replace the PCP, add unauthorized services or turn someone else’s preferences into the person’s goals.

A goal such as “be more independent” is too broad to guide a Tuesday afternoon. Daily support becomes more useful when the person and team connect that goal to specific choices and routines, such as preparing one part of lunch, choosing clothing, practicing a bus route with approved support or deciding which community activity to attend.

Maryland DDA describes person-centered planning as a process led by the person with a developmental disability and supported by a team that can include the Coordinator of Community Services and other people the individual chooses. The home routine should carry that same spirit of choice.

Start Person-Centered Planning at Home With What Matters to the Person

Ask what the person wants more of, less of or different in daily life. Preferences can involve privacy, food, music, social time, quiet time, community activities, work, faith, family and how assistance is offered. Record the person’s own words when possible.

Support needs matter too, but they should not erase preferences. A routine can include both what is important to the person and what is important for health or safety, with the formal team resolving conflicts when they arise.

    Turn One Goal Into a Repeatable Opportunity

    Choose a goal already identified in the PCP and ask where it naturally fits. If the person wants more involvement in meal preparation, one step might be choosing between two lunch options or gathering ingredients with the level of support authorized. If the goal involves community participation, the routine might include selecting an activity and preparing what is needed for the outing.

    Avoid creating a long list of training tasks. One meaningful opportunity repeated consistently may teach more than a schedule packed with goals from morning to night.

      Write the Support Level Beside the Activity

      A routine should show not only what happens, but how support is offered. Does the person need a verbal reminder, visual prompt, demonstration, physical assistance or simply extra time? Use the terminology and level of support established by the person’s plan and provider process.

      Do not increase restrictions or reduce assistance based on convenience. Changes in assessed support needs belong in the person-centered planning and service-review process.

      Make Choice Visible Inside the Routine

      Predictability and choice can exist together. A morning routine can stay familiar while the person chooses between two shirts, the order of two tasks or which music plays. A community day can have a planned time block while the person selects the destination from realistic options.

      When staff or family members make every small decision to keep the day moving faster, the routine may become organized but less person-centered. Build in choices that are genuine and practical.

      Bring Patterns Back to the PCP Team

      If the household notices a goal is no longer meaningful, a support level is not working or a new risk is affecting participation, document the pattern and bring it to the appropriate team. Maryland DDA states that the PCP is developed with the person and team and includes goals, needs and resources.

      Available Hands Inc. provides Developmental and Intellectual Disability Services in Maryland. Families can ask how daily support routines are documented and how provider observations are shared with the person’s Coordinator of Community Services and PCP team.

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        Frequently Asked Questions

        Is a household routine the same as a Maryland DDA Person-Centered Plan?

        No. The PCP is the formal written plan developed through Maryland DDA’s person-centered process. A household routine can help carry out authorized goals and supports but does not replace or revise the PCP.

        Who should choose the goals used in daily routines?

        The person should direct the goals and choices as much as possible, with input from the chosen team and the formal planning process. Support people should not substitute their own preferences for the person’s priorities.

        Can a daily routine change before the annual PCP review?

        Ordinary timing and preference changes may be possible within the authorized plan, but changes to needs, risks, services or formal goals should be discussed with the Coordinator of Community Services and PCP team.

        How can families make routines more person-centered without making them unpredictable?

        Keep stable anchors such as meal or appointment times while offering real choices within them. The person might choose the order of tasks, activity, clothing, food option or how a break is used.

        This article is general educational information about person-centered support. Maryland DDA eligibility, authorized services and PCP changes must follow the current DDA and Coordinator of Community Services process.

        How to Take the Next Step

        Available Hands Inc. provides Developmental and Intellectual Disability Services in Maryland. Call (240) 206-1727 to ask how the agency supports daily routines that align with an individual’s authorized Person-Centered Plan.

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