who will do what we do? serious mental illness or disability there is no cure these conditions need...

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Who will do what we do? Serious mental illness or disability There is no cure These conditions need to be managed There will be ups and downs Amount of involvement varies… someone needs to be there for support.

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Page 1: Who will do what we do? Serious mental illness or disability There is no cure These conditions need to be managed There will be ups and downs Amount of

Who will do what we do?

Serious mental illness or disability

• There is no cure

• These conditions need to be managed

• There will be ups and downs

Amount of involvement varies……someone needs to be there for support.

Page 2: Who will do what we do? Serious mental illness or disability There is no cure These conditions need to be managed There will be ups and downs Amount of

agen

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• why should we plan

• how to start planning

• who can do what we do

• why PLAN

• financial aspects

• how you can help!

Page 3: Who will do what we do? Serious mental illness or disability There is no cure These conditions need to be managed There will be ups and downs Amount of

What is our goal?

To have a quality of life for the rest of their life…

…not just for the rest of our life!

Page 4: Who will do what we do? Serious mental illness or disability There is no cure These conditions need to be managed There will be ups and downs Amount of

Quality of Life

• Expectations based on their capabilities and limitations

• Unique to their situation

“Quality of Life” = Best of what is possible.

Dependent upon others,but as independent as possible.

Page 5: Who will do what we do? Serious mental illness or disability There is no cure These conditions need to be managed There will be ups and downs Amount of

What we do now.

• Provide financial assistance.• Drive to appointments.• Recognize time for medication change.• Live with us.• Provide social interactions.

Do something on a daily, weekly, or monthly basis:

Page 6: Who will do what we do? Serious mental illness or disability There is no cure These conditions need to be managed There will be ups and downs Amount of

Do something on a daily, weekly, or monthly basis:

How to maintain that level of involvement when we’re no longer able to provide it ourselves?

Someone else to do what we do!

What we do now.

Page 7: Who will do what we do? Serious mental illness or disability There is no cure These conditions need to be managed There will be ups and downs Amount of

Hope?Can we afford NOT to plan?

Page 8: Who will do what we do? Serious mental illness or disability There is no cure These conditions need to be managed There will be ups and downs Amount of

What can go wrong?

• General funds continue to be cut

• Individuals “graduated” from systems

• May not have Case Manager in future

• As agencies are forced to reduce budgets, individuals could be cut from Medicaid, food stamps, and subsidized housing.

Page 9: Who will do what we do? Serious mental illness or disability There is no cure These conditions need to be managed There will be ups and downs Amount of

• Are they capable of straightening out the problem on their own?

• Leave an inheritance:

• Money could be squandered

• Stolen

• Services could be cut because of asset limits

What can go wrong?

Page 10: Who will do what we do? Serious mental illness or disability There is no cure These conditions need to be managed There will be ups and downs Amount of

When is the right time to start planning?

NOW!

Page 11: Who will do what we do? Serious mental illness or disability There is no cure These conditions need to be managed There will be ups and downs Amount of

Goals for yourself

• What would you like to change about your present situation?

• Do you want to be able to enjoy a worry-free vacation?

• Could the atmosphere in your home be better?

• Do you want to have peace of mind?

Write down realistic goals for yourself:

Page 12: Who will do what we do? Serious mental illness or disability There is no cure These conditions need to be managed There will be ups and downs Amount of

Goals for your loved one

• A safe place to live.

• Reliable and compassionate caregivers.

• Adequate financial resources.

• Good medical, dental and vision care.

Write down realistic goals for your loved one:

Page 13: Who will do what we do? Serious mental illness or disability There is no cure These conditions need to be managed There will be ups and downs Amount of

We can’t plan for the futurewithout an idea of what we

want that future to be.

Page 14: Who will do what we do? Serious mental illness or disability There is no cure These conditions need to be managed There will be ups and downs Amount of

Starting your plan

National Plan Alliance Workbook“Planning for the Future of a Loved One with a

Developmental Disability or Mental Illness”

Put it in writing!

Available at: www.NationalPlanAlliance.org

Page 15: Who will do what we do? Serious mental illness or disability There is no cure These conditions need to be managed There will be ups and downs Amount of

Building your plan

1. Develop a written roadmap.

2. Identify what needs to be done and when.

3. Stipulate wishes.

4. Develop resources.

5. Identify who will oversee the plan.

Skip to 24

Page 16: Who will do what we do? Serious mental illness or disability There is no cure These conditions need to be managed There will be ups and downs Amount of

Special Needs Trust

Part of a plan!

Only addresses financial and legal issues.

Building your plan

Page 17: Who will do what we do? Serious mental illness or disability There is no cure These conditions need to be managed There will be ups and downs Amount of

Who will implement your plan?

• Who will handle a crisis?

• Who will fight for rights and well-being?

Page 18: Who will do what we do? Serious mental illness or disability There is no cure These conditions need to be managed There will be ups and downs Amount of

Who will implement your plan?

Siblings

Spouse

Other Relatives

Attorney

Friend

Government service organization

Page 19: Who will do what we do? Serious mental illness or disability There is no cure These conditions need to be managed There will be ups and downs Amount of

Who will implement your plan?

1. Who will be there to carry out your wishes?

2. Who has the competency to implement your plan?

3. Who has the knowledge and information needed?

Page 20: Who will do what we do? Serious mental illness or disability There is no cure These conditions need to be managed There will be ups and downs Amount of

Who will implement your plan?

1. Who will be there to carry out your wishes?

Someone who is absolutely going to out-live your loved one.

Page 21: Who will do what we do? Serious mental illness or disability There is no cure These conditions need to be managed There will be ups and downs Amount of

Who will implement your plan?

2. Who has the competency to implement your plan? Who knows the “system”? Who knows how to advocate with

DHS, CMH, or Social Security? Who knows how to approach your

loved one?

Page 22: Who will do what we do? Serious mental illness or disability There is no cure These conditions need to be managed There will be ups and downs Amount of

Who will implement your plan?

3. Who has the knowledge and information needed?

You. ? ?

Page 23: Who will do what we do? Serious mental illness or disability There is no cure These conditions need to be managed There will be ups and downs Amount of

Can other family members have a role?

Do you want them to be a brother, sister, uncle or aunt?

OrDo you want them to be the one that says:

“No you can’t buy that!”

“You need to do this!”

Creating an uncomfortable relationship.

Who will implement your plan?

Page 24: Who will do what we do? Serious mental illness or disability There is no cure These conditions need to be managed There will be ups and downs Amount of

Family relationships are a critical part of your loved one’s life

• Spending holidays and special occasions together.

• Being someone for your loved one to talk to.

• Reaching out to them on a birthday or special events.

• Or just inviting them over for dinner.

and need to be preserved!

Who will implement your plan?

Page 25: Who will do what we do? Serious mental illness or disability There is no cure These conditions need to be managed There will be ups and downs Amount of

Who we needed to oversee our plans:

Had to be independent of the “system.”

Dedicated to seeing that our plan was the priority.

Experts at advocating with government agencies.

Who will implement your plan?

Page 26: Who will do what we do? Serious mental illness or disability There is no cure These conditions need to be managed There will be ups and downs Amount of

We wanted family members to continue to be family members……and not be burdened by having to be more than just that.

Who will implement your plan?

Who we needed to oversee our plans:

Page 27: Who will do what we do? Serious mental illness or disability There is no cure These conditions need to be managed There will be ups and downs Amount of

We knew that attorneys…

…aren’t able to provide the kind of care, monitoring, and advocacy that we know is necessary.

Who will implement your plan?

Who we needed to oversee our plans:

Page 28: Who will do what we do? Serious mental illness or disability There is no cure These conditions need to be managed There will be ups and downs Amount of

National Plan Alliance

22 PLAN organizations in 18 states (Planned Lifetime Assistance Networks)

Designed to provide what we are looking for.

Don’t replace public services. Do replace what is left for us as

families to provide.

Page 29: Who will do what we do? Serious mental illness or disability There is no cure These conditions need to be managed There will be ups and downs Amount of

Independent Governed by a local board 501 (c) (3), non-profit corporations

They continue to provide services beyond the “life” of any one person.

They help ensure “quality of life” for the rest of our loved one’s lives.

National Plan Alliance

Page 30: Who will do what we do? Serious mental illness or disability There is no cure These conditions need to be managed There will be ups and downs Amount of

What can a PLAN organization do?

Manage financial assistance Monitor medication compliance Schedule appointments Help with Social Service disputes Assist with transportation issues Report to family members

PLAN can help you create your Plan of Care.

PLAN can provide lists of qualified experts.

Page 31: Who will do what we do? Serious mental illness or disability There is no cure These conditions need to be managed There will be ups and downs Amount of

• Have they ever lived independently?

• Do you have a written housing plan… and when will it be implemented?

• When would you like to start working on a plan?

Does your family member live independently?

If no:

Page 32: Who will do what we do? Serious mental illness or disability There is no cure These conditions need to be managed There will be ups and downs Amount of

• Does your family member manage their own money?

• Will their inheritance jeopardize their public benefits?

• Will your family member be able to invest this money on their own?

• Is there a Special Needs Trust in place?

• When do you want to start working on a trust document?

Will your family member receive any inheritance?

If yes:

Page 33: Who will do what we do? Serious mental illness or disability There is no cure These conditions need to be managed There will be ups and downs Amount of

What will the PLAN program cost?

This Individualized Care Plan will spell out what you want the PLAN Director and staff to provide on a daily, weekly and monthly basis.

What services need to be provided

What items need to be monitored

Onetime fee of $750 to develop your Individualized Plan of Care

Page 34: Who will do what we do? Serious mental illness or disability There is no cure These conditions need to be managed There will be ups and downs Amount of

Hourly rates = $60–$100 for services

Director will work with you to determine whether funds are sufficient.

What will the PLAN program cost?

Page 35: Who will do what we do? Serious mental illness or disability There is no cure These conditions need to be managed There will be ups and downs Amount of

If your loved one needs medication: PLAN would remind your loved one to

get the blood test

Follow through with the pharmacy

If not ready…take appropriate steps

Cost: ¼ hr = $25(Assuming $100/hr.)

What will the PLAN program cost?

Page 36: Who will do what we do? Serious mental illness or disability There is no cure These conditions need to be managed There will be ups and downs Amount of

Loved one dropped from Medicaid: PLAN would contact Medicaid

Identify issue and take corrective action

Cost: 2 hours = $200(Assuming $100/hr.)

What will the PLAN program cost?

Page 37: Who will do what we do? Serious mental illness or disability There is no cure These conditions need to be managed There will be ups and downs Amount of

Registered as Michigan Corporation

Granted IRS non-profit status

Held two successful fund-raisers

Consulted with three PLAN Executive Directors

PLAN of Southeast Michigan

Page 38: Who will do what we do? Serious mental illness or disability There is no cure These conditions need to be managed There will be ups and downs Amount of

What would have been impossible to do individually…

…we have accomplished by working together.

PLAN of Southeast Michigan

Page 39: Who will do what we do? Serious mental illness or disability There is no cure These conditions need to be managed There will be ups and downs Amount of

If you would like to see this organization become operational…

…we need your help!

PLAN of Southeast Michigan

Page 40: Who will do what we do? Serious mental illness or disability There is no cure These conditions need to be managed There will be ups and downs Amount of

Approach foundations, agencies, corporations, and individuals for start-up funds

Present business plan and needs analysis

PLAN of Southeast Michigan

Page 41: Who will do what we do? Serious mental illness or disability There is no cure These conditions need to be managed There will be ups and downs Amount of

How you can help!

If you might possibly utilize the services of PLAN of Southeast Michigan, we are asking you to sign a non-binding Letter of Intent.

This Letter of Intent will demonstrate to potential funders that families in Southeast Michigan want the resources of PLAN of SEMI.

Page 42: Who will do what we do? Serious mental illness or disability There is no cure These conditions need to be managed There will be ups and downs Amount of

Family member created and governed.

Not a service organization like community or government providers.

Operate under the guidance of family members.

Government cuts won’t affect services.

PLAN of Southeast Michigan

Page 43: Who will do what we do? Serious mental illness or disability There is no cure These conditions need to be managed There will be ups and downs Amount of

PLAN is an imperative.

PLAN of Southeast Michigan

Must become operational!

PLAN of Southeast Michigan

Page 44: Who will do what we do? Serious mental illness or disability There is no cure These conditions need to be managed There will be ups and downs Amount of

Letter of Intent

PLAN of Southeast Michigan

Page 45: Who will do what we do? Serious mental illness or disability There is no cure These conditions need to be managed There will be ups and downs Amount of

agen

da

• why should we plan

• how to start planning

• who can do what we do

• why PLAN

• financial aspects

• how you can help!

Page 46: Who will do what we do? Serious mental illness or disability There is no cure These conditions need to be managed There will be ups and downs Amount of

Registered as Michigan Corporation

Granted IRS non-profit status

Held two successful fund-raisers

Consulted with three PLAN Executive Directors

Presented to more than 100 Easter Seals staff

Accomplishments