A Proposal for Housing and Support for the Pearson Redevelopment

The Pearson/Dogwood lands, which include the George Pearson long-term care facility and the Dogwood Senior’s facility at Vancouver’s 57th and Cambie will be redeveloped over the next few years.

This proposal has been collaboratively prepared by the

Pearson Residents Redevelopment Group

Vancouver Persons with Disabilities Advisory Committee

BC Coalition of People with Disabilities

December 9, 2013

                                                                                                

This proposal includes four housing and support options, all with people having control and autonomy over their lives.  We have included the first two independent community living options from the original VCH Housing Continuum, plus two group living models, which are what many current Pearson residents want.  The group living models include small groups of 2 – 4persons living in apartments or houses, or the Greenhouse model of 6 – 12 people,with changes to ensure people have control over their home and a real choice whether to live by themselves or in a group.

Housing Options

Each person must have a choice of four housing and support options all with viable levels of support

 

1.    Independent fully accessible apartments with affordable subsidized rent located in any market or non-market building.  The amount of support must be based on the person’s individual support plan.  Individual support plans must be developed by the individual with the assistance of CARMA or other independent advocates. (Details are not included here because they have been described in previous documents).

 

 

2.    Independent fully accessible apartments with affordable subsidized rent clustered in any market or non-market building with shared overnight support.  Assistance during the day can be shared or individual, based on the person’s preferences.  The amount of support must be based on the person’s individual support plan.  Individual support plans must be developed by the individual with the assistance of CARMA or other independent advocates.(Details are not included here because they have been described in previous documents).

 

3.    Groups of 1 – 4 people with disabilities living in 2 – 5 bedroom fully accessible apartments or houses with affordable subsidized rent. 

a.    Each person with a disability can choose who to live with including:

                                                                      i.     Other persons with disabilities

                                                                    ii.     Partner of person with disability

                                                                  iii.     Family member(s) of person(s) with disabilities

                                                                  iv.     Live-in Attendant

                                                                    v.     Friends or roommates of persons with disabilities

b.    Total amount of support is the combined amount of authorized support for all persons living in the house or apartment, based on each person’s individualized support plan.

c.     Decisions about new residents are democratically made by the persons already living in the house or apartment.

d.    Individuals living together decide democratically on how the support will be delivered: whether it will be delivered individually, shared, or a combination of individual or shared.

e.    People can live in the small group living option only if they freely choose to do so when given choices that must include:

                                                                      i.     at least one individual independent community living choice (Option 1 and/or Option 2) with the same or greater amount of support, and 

                                                                    ii.     the Greenhouse model (Option 4) with the same or greater amount of support

 

4.    The Greenhouse model, which enables small group living with personal choice/control

 

Greenhouse: general description

 

·       Each Greenhouse has 6 – 12 people, each with their own bedroom & bathroom.

·       The bedrooms surround a large common living room with hearth & fireplace.

·       The large kitchen is open and accessible for use by residents.

·       The kitchen table(s) are used by residents, family, friends and staff.

·       Meaningful relationships with staff and residents are encouraged.

·       Workers are Shabazz, or total care workers, organized into self-managed teams.

·       There is no set schedule; activities and timing of support depend on residents’ wishes. 

 

Greenhouses in an Integrated Building: Specific details

Crucial conditions which must be included

·       Each Greenhouse is limited to a maximum of twelve residents, each with their own bedroom and bathroom.

·       The size of the bedrooms and common open concept kitchen, dining/living room, as recently presented to Pearson residents in the functional plan, must be increased.

·       Staff ratios, currently stated in the functional plan, must be increased and must be the larger of the following two options:

–        Staff ratio currently in ward two of Pearson.

–        Staff ratio reported for Greenhouses by the Greenhouse organization.

·       Each Greenhouse must use total care workers or Shabazz, who are expected to do any task, including outings, bathing, cooking, helping with work or volunteer work etc.

·       In houses with high acuity residents, a hybrid can be designed with a few medical    staff shared between two Greenhouses in the same neighbourhood.

·       All of the staff, including total care workers and medical workers, must be organized into self-managed teams.

·  Green houses must be subject to a yearly 

    independent audit using standards

      established by the International Green

      House Project. The results of the audit must        be made public.

 

Greenhouse: Crucial conditions which must be included, continued

·       People who live in each Greenhouse have choice of workers – ie residents can choose who will work in their house, they can participate in hiring decisions, and they can say yes or no to any possible worker.  Residentsof each Greenhouse will also be involved in regular evaluations of staff.

·       People can live in a Greenhouse only if they freely choose to do so when given choices that must include:

–        at least one individual independent community living choice (Option 1 and/or Option 2) with the same or greater amount of support, and 

–        the small group living option (Option 3) with the same or greater amount of support.

·       There is no set schedule; activities and timing of support depend on resident’s wishes in collaboration with the other residents in the house; each person can choose when to get in or out of bed, when to take a bath or shower, when and what to eat, the activities of their daily life.

·       All meals are cooked in the Greenhouse kitchen – they are not cooked off-site.

·       Persons living in the Greenhouse can perform or assist with any household duties if they choose to do so, including cooking, shopping etc.

·       Building meaningful relationships with staff and residents are encouraged to create a strong and vibrant community.

·       Residents, family, friends and workers eat at the common eating table(s).  There should be several smaller tables that can be joined into one large table when desired.

·       Pets are allowed.

·       People can bring their own furniture.

·       Each person’s medications are in their own room or bedroom.

·       Several Greenhouses can be built on one floor of a larger building and may share some broad services, but each individual Greenhouse must be self-sufficient for daily living activities and have designated staff to ensure continuity of care.

Principles for the Pearson Redevelopment

 

·       Separation of housing and support. 

·       Each person has a choice of all four housing options with viable levels of support.

·       Every person has the right to choose their support worker(s), and every person has the right to delegate this responsibility to a designated person or group.

·       Each person can choose to use the CISL program in any of the housing options except the Greenhouse option.

·       Each person has an individualized support plan.

–        The individualized support plan is developed with the person; at least one advocate of the person’s choice is involved in drawing up the plan.  The advocate must be chosen by the person, and can be a CARMA representative or any individual chosen by the person.

–        The individual support plan must include support for all activities of a full life including personal care, housework, outings and recreation, support for volunteer and/or paid work.

–        The individualized support plans for current Pearson residents and projections provided by the BC Coalition of People with Disabilities for other persons with disabilities should be the basis for determining how many units are needed of each housing and support option.  In other words, the number of Greenhouses that are built for persons with disabilities should depend on the personalized individual support plans of current Pearson residents.  If many people want the Greenhouse model, then the number of these available should reflect that choice.  If more people want other options, then the number of the other options should reflect that choice.

·       Person-centered support must be included in all support models: support must include personal care, housework, outings & recreation, support for volunteer and paid work, support for all the activities of a full life.

·       People must be given all four housing and support models to choose from, all with viable levels of support for that individual.

Principles for the Pearson Redevelopment, continued

·       Choice:

–        Each person can choose which housing model to live in.

–        Each person can choose their own worker(s), or if they prefer, they can choose an agency to provide service.

–        Each person can set their own schedule and can choose the activities of their daily life.

·       People who are not verbal or persons with cognitive disabilities have the same rights as other persons.  Supportive decision making must be available with trusted assistants and provision for this should be included in the individual’s support plan.

·       Security of housing tenure.

·       Security of support.

Support cannot be reduced unless a significant reduction in need can be demonstrated based on a significant improvement in the person’s functional ability.

·       Flexibility

·       Integration: 

–        All buildings on the site cannot have more than 30% of units specifically designed for persons with disabilities. 

–        With the exception of the Greenhouses, no other building on the site should have more than 30% of units on any floor specifically designated for persons with disabilities. 

·       Honesty and transparency: all communications must be honest and transparent.  The same information must be provided to different groups.

Preferred recommendations:

 

·       Money for support attached to individuals.

·       The number of transitional units in the community, similar to ones already available, should be increased.

New Guided Autobiography Program for People Living with HIV/HCV

Need a serving of resilience to go with those New Year’s resolutions? 
Ah January… a new year, a fresh start … time to tackle those goals and dreams that have been carried forward—over and over again! Most of us have a list of goals that seem to elude us. Sometimes (especially when we live with chronic illness or disability) it’s a time and energy issue. And sometimes we lack the courage to begin. When we’re facing the future and afraid to take a step we often forget to turn around to see that we have a lifetime of preparation. Too often we ignore our hard-earned experience, skills, strengths and resources. A few years ago I discovered Guided Autobiography (GAB), a tool for life review or reminiscence and a way to access our personal stories.

Stories are containers that hold our tacit knowledge, the knowledge we possess without knowing that we know it. A unique mixture of experience, skills, strengths, aptitude, feelings and more, tacit knowledge is difficult to write down or communicate to others. We tend to forget about our tacit knowledge because it surfaces only when needed. By sharing stories about our life, we can see evidence that we do indeed know more than we think we do. Revisiting our stories can increase self-esteem and confidence.

Guided Autobiography (GAB) is a form of life review or reminiscence developed by James Birren in the mid-80s. Since then, considerable research has documented the benefits of the GAB method. A standard GAB group meets weekly to read a short story (less than two pages) written on a weekly theme or topic handed out the week before. Each topic is accompanied by a list of questions to help you remember experiences. Topics include: Major branching points in your life; Your major life work or career; Your health and body; Your spiritual life and values; and Your goals and aspirations. It’s important to note that while GAB may be therapeutic, it is not therapy.

BCCPD is offering three ways of experiencing Guided Autobiography through a new program called SOAR (Stories of Adversity and Resilience). Currently SOAR is open to people living with HIV and/or Hepatitis C.

1. GAB Group teleconference: a small group (maximum six people) meets weekly by teleconference
2. GAB Group face-to-face: a small group (maximum six people) meets weekly. By special arrangement with agencies/service providers in the Vancouver area. [If you are a service provider interested in a face-to-face GAB Group, please contact me. Contact information below.]
3. GAB Interview: an individual interview (by telephone across BC or face-to-face in Vancouver) for those who prefer not to participate in a group or write their stories. The interview will be between one and two hours long. Prior to the interview you will be asked to make notes in response to a list of questions provided when you register.

 

FREQUENTLY ASKED QUESTIONS

How much does it cost?
SOAR is free of charge.

Is there an honourarium or compensation for participating?
No financial compensation is provided. Guided Autobiography participants typically find the process enjoyable and helpful.

Why is this program available only to people living with HIV/HCV?
This is a pilot project and our funding is specific to an HIV/HCV audience.

I’m not a “writer” and feel uncomfortable about writing stories to share with a group. Do I HAVE to read my stories?
It is normal to feel a bit uncertain about sharing stories with others in your group. Group guidelines regarding respect and confidentiality are discussed and accepted at the first meeting. The facilitator monitors participants’ feedback to ensure that it is supportive, encouraging and empathetic. You will never be asked to share information you don’t feel comfortable sharing. While writing skills vary, the focus is on conveying your experiences and reflections and not “perfect writing.”

How much time will the course take each week?
GAB Group: You can expect to spend an hour or more writing one or more stories each week plus two hours for each class meeting.
GAB Interview: You can expect to spend an hour or more reflecting and making notes on a list of questions provided when you register. The interview will be one-two hours long.

When will the GAB Groups and GAB Interviews take place?
The groups and interviews will be scheduled in consultation with the participants and options discussed when you register.

Why would I choose the group format versus the individual format?
Research on the Guided Autobiography group process has documented the positive benefits of reflecting on and sharing your stories and hearing feedback from others in your group. Sometimes fellow participants observe aspects of your story that you had not considered. Comments about the challenges or difficulties you’ve experienced or your creative problem solving can be surprisingly affirming.

The GAB Interview offering a single appreciative listener/facilitator does not provide the benefits of hearing multiple reactions to your stories. Guided Autobiography is typically done in a group format but the GAB Interview is available for those who may be unable to write their own stories or may need an introduction in order to become comfortable with the process. There are a limited number of GAB Interview spaces.

I have a question not answered here…
Please feel free to get in touch with me if you have additional questions, want clarification or wish to register.

Contact:
Shelley Hourston
Program Director
Wellness & Disability Initiative/AIDS & Disability Action Program
BC Coalition of People with Disabilities
604-875-0188 or toll-free 1-877-232-7400
Email wdi@bccpd.bc.ca

PDF for printing: New Guided Autobiography Program Blog Announcement

Ministry of Social Development and Social Innovation Makes Improvements to Request for Reconsideration Process

The Ministry of Social Development and Social Innovation (MSDSI) has made a positive change to the regulations governing the Request for Reconsideration process. This change will start immediately. It will primarily impact people who have applied for the Persons with Persistent Multiple Barriers (PPMB) benefit, the Persons with Disabilities (PWD) benefit and the Monthly Nutritional Supplement (MNS) who have had their Reconsideration decision delayed.

Here’s how this change will work.

Unless someone applies for an extension, the Ministry must make its decision about a Request for Reconsideration within 10 business days. Benefits for PPMB, PWD and the MNS start the month after the Ministry makes its decision.

Before, if the MSDSI took longer than 10 business days to make its reconsideration decision, people could lose a month’s benefits, depending upon the date the reconsideration decision was due. Now, when this happens people will not lose a month’s benefits.

This change to the Request for Reconsideration process is backdated to 2009. It means that the Ministry will begin issuing 1,272 people compensation payments by January 13th 2014. People do not need to apply for this compensation, payments will be made automatically. These payments will range from $10 – $2,000 depending on the case.

Here’s a link to the Ministry’s announcement about this change: http://tinyurl.com/nxhplge

If you have any questions, please email Robin Loxton at povpost@bccpd.bc.ca

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