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Health
Home
Herald 2021
Engaging Clients with Limited Decision-Making Capacity
By Brendy Visintainer with DSHS not mean that they cannot make providing to them. If we do not
a decision. Inform the client or feel they understand, we try a
How do you engage someone
different approach. If we believe
with limited (or lack of) decision representative exactly what the
program is, what our role is, and a client needs a formal assess-
making capacity? Maybe we
ment, we help with a referral to
could start from the beginning what decisions we are asking of
their PCP or other provider.
with a question. How will you them.
know someone has diminished Decisions may be communicated
Making decisions is fundamental
capacity? through verbal or non-verbal
to our independence and indi-
If phone calls are being made for viduality. Health Home services cues as well as through actions.
outreach do we ever get the cli- are designed to support changes Informed choices are choices we
ent on the telephone? If not, is to improve client’s ability to make based on our understand-
someone representing that per- function in their home and com- ing of options and what impact
son and how may we confirm munity and increase self- different options may have.
they are authorized to make de- management of their chronic
cisions on the person’s behalf? What cues do we have that the
diseases. We want to maximize
We may want to see if there is a our client’s understanding and client understands? Are the cues
case manager that may help pro- help them to develop person- verbal, non-verbal or through
vide information (see article on centered goals. actions? We should get an un-
finding case manager contact derstanding of how the person
Every time we speak with a cli- communicates and if we under-
information).
ent we are getting a sense of stand what they are communi-
We may be told the person has their decision-making capacity. cating.
dementia. Just because a person We want to know if they under-
(Continued onto page 2)
has a diagnosis of dementia does stand the information we are
(Continued from page 1) Maintain eye contact. Be too many)
face-to-face on eye level Explain risks and benefits
We may ask the person ques-
Eliminate as much distrac- of options
tions that will confirm their
tions and noise as possible Ask for their choices or
understanding of what we just
Use facial expressions and preferences
asked. Questions like:
gestures and watch for Be positive and smile
What does that mean to
their responses in non-
you? We want to honor client au-
verbal ways
How do you feel about tonomy. We want our clients
Use normal and adult voice
that? to make decisions after provid-
with short, simple sentenc- ing the information they need.
We may ask them to restate es
We want them to make every
what was said to show their Allow extra time for a re-
decision they are able to with
understanding. sponse
as little assistance as possible.
When working with someone Keep questions limited, This past year has brought
with limited decision-making break big questions into many extra challenges with
capacity consider what you are smaller parts
communication and we are
asking them to decide. It takes Restate or rephrase as
thankful for Care Coordinators
time, effort and listening skills. needed
who strive every day to honor
Here are some tips to consider: Explain options (but not their client’s autonomy.
Care Coordinator Corner
Cyndi Doolin, Care Coordinator, the children’s laundry, meal found this program. Now the
Area Agency on Aging & Disa- prep, etc… or deal with arguing children can get their needs
bilities of Southwest Washing- behavior of siblings. This is not met - to the doctor for their
ton the caregiver’s job either. shots, dental care, and meals
I have a very debilitated client I found out that DDA has a pro- prepared, etc… My client will be
who is also a single dad to 3 gram to provide caregivers for able to keep a caregiver work-
ing for him!
preteens (9, 10, 12 y/o). With children with severely disabled
the pandemic and schools be- parents. To qualify, the chil- P.S. The service is Community
ing closed, his children have dren have to have a diagnosis of First Choice under their spe-
been home since March. My anything (ie: allergies, ear in- cialized unit. Their specialized
client has an in-home daily fections, etc… does not need to unit supports individuals who
caregiver to help with his care be a developmental delay. A are under the age of 18, do not
needs. Since the children have caregiver will be set up for the meet DDA eligibility criteria
been home for many months, children, to come in and help but are Medicaid eligible and
my client has been at risk of with their needs so my client’s have unmet care needs. DDA
losing caregivers. The caregiv- caregiver can focus on his supports this program.
ers do not want to help with needs. I’m so excited to have
Submit your story, resource, or ideas to the Care Coordinator Corner via our newsletter in-
box: healthhomenewsletter@dshs.wa.gov
Care Coordinator Support Meeting
Barbara Lewis, Lead Care Coor- but on average 15 Care Coordi-
dinator with Full Life Care nators attend. Topics of discus-
sion have included outreach
At a Full Life Care Health Home
Lead Network Meeting on Oc- best practices, serving clients
tober 26, 2019, we had some telephonically during COVID-
breakout sessions. One of the 19, caseload size and self-care.
The initial feedback has shown
groups focused on developing a
that the CC Support Meeting is
Care Coordinator Support
Meeting. The basic premise was building comradery among the
that the Care Coordinators Care Coordinators throughout
the network. Sharing resources,
needed a safe outlet to vent,
best practices, and having the
compare experiences, share ide-
ability to discuss items directly
as and resources, build each
other up, etc. Our jobs can be after the network meeting, in a Developmental
stressful and emotionally drain- safe space, is building relation- Disabilities
ships. This, in turn, builds mo-
ing, and we need to honor Administration (DDA)
rale, which contributes to care
those feelings with some sup-
coordinator retention. And DDA has a great amount of
portive self-care.
that, better serves our clients. information on their website
Moving forward, we have been https://www.dshs.wa.gov/dda
The meeting agenda is truly
meeting quarterly, directly after
driven by Care Coordinators Including:
the main Network Meeting.
Participation is completely vol- and no meeting minutes are Information phone num-
taken. Meeting topics will ad-
untary. Attendance fluctuates ber for the county you live
just and change according to in
the needs and dynamic of the Publications and forms in-
network. Our group meeting, cluding fact sheets
for the last year, has offered the Resource links
opportunity for community and Services and programs
our conversation supports Care offered
Coordinator wellness. I would And so much more
encourage any Lead Network to
You may find a list and de-
explore developing a safe space
scriptions of services and pro-
for Care Coordinators to com-
grams offered by DDA at
municate and support each oth-
https://www.dshs.wa.gov/
er. dda/developmental-
disabilities-administration-
services-programs
The HCA & DSHS Health Home Team
Wishes you all a Safe and Healthy 2021
Participant Portrait the HHCC’s assistance, she also ed help finding outlets to keep
was able to obtain gas reim- her children busy, continue
Chynna Loeffler with Sunrise Ser- bursement for going to her their learning and ensure that
vices (CHPW Lead) medical appointments and ap- they were in a safe environ-
plied for Social Security Disa- ment. The HHCC connected
It took some time working
bility Income. When feeling the family to free community
with a client we will call Alice,
able to work, HHCC assisted events and social circles to
to have her open up to the
the client in a job search, and meet other children of their
HHCC and accept assistance
ultimately obtaining employ- age and build friendships. This
due to a history of abuse. The
ment. also allowed Alice to build rela-
HHCC worked diligently to
After Alice felt sure that her tionships with other moms in
gain her trust and learn the
primary needs were taken care her area and feel supported.
many ways that they could
help. of, she felt the need to obtain The HHCC has supplied Alice
her own housing, as she has with many resources and has
Health Homes has been able to
been living with her brother. broken down how to achieve
provide support to Alice by as-
her HHCC was able to get her her goals one step at a time.
sisting in finding resources in
on many housing waitlists and The HHCC has also assisted in
her community and building
make a plan to get her own calling healthcare providers
confidence in the client to bet-
apartment where she can feel and completing applications.
ter her health independently.
safe and have a fresh start. She Keeping in frequent contact
Since enrolling Alice has been
is expected to move into her and continuously encouraging
able to successfully obtain
new apartment by the end of Alice has attributed to her suc-
needed doctors and specialists
the month! cess!
(neurologist, infectious disease
doctor, etc.), and complete sig- While working with Alice the
nificant testing to identify is- HHCC learned of a need for
sues and new diagnoses. With family assistance as Alice need-
Finding Case Manager Contact Information in PRISM
By Brendy Visintainer with DSHS
If a CC is having difficulty getting
in contact with a client, they may
want to see if there is a case
manager assigned who may have
current contact information.
Speaking with case managers al-
so may help with coordinating
services for clients.
To find if there is a case manager
with HCS/AAA/DDA go to the
CARE tab in PRISM. If there is an
assessment, it will show under
“Long Term Care Assessments”.
Assessments will be listed as cur-
rent, pending or history.
When the PRISM user selects a
particular assessment from the
list, the following information
will be displayed.
Click on “Worker”. Once you do,
the current HCS/AAA/DDA case
manager and their phone num-
ber will be shown.
Webinar Trainings for First Quarter of2021
Please use this link to register: There will be a new link for https://www.dshs.wa.gov/altsa/
https:// April through June washington-health-home-
attendee.gotowebinar.com/ When registering, please make program-%E2%80%93-training-
sure your email address is invitations
register/7737551806507536396
correctly entered
Registration link is good for Jan- Invitations are also posted on Upcoming topics
uary through March DSHS website at JAN
Trauma 101
14
Health Home Puzzles & Games
(two types of rolls) to its price.
1. The client who ordered the hawaiian roll
paid 2 dollars more than the client who or-
dered the dragon roll.
2. The client who paid $13.50 and the custom-
er who ordered the futomaki roll, one or-
dered the rainbow roll and the other or-
dered the summer roll.
3. The customer who ordered the hawaiian
roll ordered the yellowtail roll.
4. The person who ordered the eel avocado
Ben works at Nemo Sushi and he needs to
roll paid $13.50.
figure out the total bill for a number of
different customers, each of whom ordered 5. The customer who paid $13.50 is either the
client who ordered the hawaiian roll or the
two different types of sushi rolls. Using the
client who ordered the summer roll.
clues provided, match each order
final word.
1. Phillip was from Mrs. Witte's class.
2. Of the child whose word was "anemic" and
the student whose final word was
"consomme," one was from Ms. Witte's class
and the other is Denise.
3. Of the child whose word was "anemic" and
the student whose final word was
"consomme," one was from Ms. Witte's class
and the other is Denise.
4. Stephanie had to spell a word that was 3 let-
Stride Elementary School held a spelling bee
ters shorter than the one given to the con-
this week. Each contestant was from a differ-
testant from Mrs. Nixon's class.
ent English class and each was given a differ-
5. Gayle has never taken a class from Mrs. Nix-
ent word during the final round of the con-
on.
test. Using only the clues provided, match
6. Stephanie was from Mrs. Manzella's class.
each child to their English teacher and their
Answers will be posted at… https://www.dshs.wa.gov/altsa/stakeholders/washington-health-home
-program-quarterly-newsletters
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