Shawna Tiem-In Home Support Services-Sample Person Centered Information – ODDS 1.20.2015
Person Centered Information
Person’s legal name: / Linh Shawna Tiem / Preferred name: / Shawna / Date of last update: / 5/21/2015Use the space under each topic to describe what is currently happening in this person’s life. If the person does not wish to discuss a topic, please note that. Seek perspectives from others that the person directs.
Hopes and Dreams Personal goals, career goals, where the person wants to live or work, etc.Person’s perspective
Person receiving services: / Shawna Tiem / Date of last update: / 5/21/2015 / Page 6 of 6Shawna Tiem-In Home Support Services-Sample Person Centered Information – ODDS 1.20.2015
Shawna just wants to be a good mom.She is happy with the way things are.
She tells her mom about her dreams.
Person receiving services: / Shawna Tiem / Date of last update: / 5/21/2015 / Page 6 of 6
Shawna Tiem-In Home Support Services-Sample Person Centered Information – ODDS 1.20.2015
Additional input
Person receiving services: / Shawna Tiem / Date of last update: / 5/21/2015 / Page 6 of 6Shawna Tiem-In Home Support Services-Sample Person Centered Information – ODDS 1.20.2015
Shawna’s mom (Anh) says she would like Shawna to just be happy.Anh thinks they have a great relationship and want to see that continue.
Person receiving services: / Shawna Tiem / Date of last update: / 5/21/2015 / Page 6 of 6
Shawna Tiem-In Home Support Services-Sample Person Centered Information – ODDS 1.20.2015
Communication Describe how this person communicates including the person’s preferences for expressing and receiving communication and how the person communicates their wants, needs, and pain.
Person’s perspective
Person receiving services: / Shawna Tiem / Date of last update: / 5/21/2015 / Page 6 of 6Shawna Tiem-In Home Support Services-Sample Person Centered Information – ODDS 1.20.2015
Shawna says she has a hard time reading sometimes and likes her mom to help her.Person receiving services: / Shawna Tiem / Date of last update: / 5/21/2015 / Page 6 of 6
Shawna Tiem-In Home Support Services-Sample Person Centered Information – ODDS 1.20.2015
Additional input
Person receiving services: / Shawna Tiem / Date of last update: / 5/21/2015 / Page 6 of 6Shawna Tiem-In Home Support Services-Sample Person Centered Information – ODDS 1.20.2015
Shawna needs support with reading and writing. She is skilled at reading traffic signs and signing her name but needs extra help reading complicated information and filling out forms. Her mom also helps her communicate effectively with doctors, helping with understanding and explaining complex information.Person receiving services: / Shawna Tiem / Date of last update: / 5/21/2015 / Page 6 of 6
Shawna Tiem-In Home Support Services-Sample Person Centered Information – ODDS 1.20.2015
Life in Current Living Arrangements Where and with whom the person lives, who provides supports, meal planning, cleaning, personal care, opportunities to develop skills at home, hobbies, pets, safety, opportunities to contribute to the household, etc.
Person’s perspective
Person receiving services: / Shawna Tiem / Date of last update: / 5/21/2015 / Page 6 of 6Shawna Tiem-In Home Support Services-Sample Person Centered Information – ODDS 1.20.2015
Shawna says she is much happier now that her mom and her live in separate homes. Shawna recently moved to her own place in the same mobile home park as her mom. She says they get along much better now. Shawna is also feeling good about her son, David, living at her mom’s place.Person receiving services: / Shawna Tiem / Date of last update: / 5/21/2015 / Page 6 of 6
Shawna Tiem-In Home Support Services-Sample Person Centered Information – ODDS 1.20.2015
Additional input
Person receiving services: / Shawna Tiem / Date of last update: / 5/21/2015 / Page 6 of 6Shawna Tiem-In Home Support Services-Sample Person Centered Information – ODDS 1.20.2015
Shawna has very good skills for maintaining the health and safety of her home. She is able to clean, cook, and take care of all her own (self-care) needs. Where she might need some additional assistance is with shopping for food and other household items; her mom supports her, and they want that to continue without any outside help.Person receiving services: / Shawna Tiem / Date of last update: / 5/21/2015 / Page 6 of 6
Shawna Tiem-In Home Support Services-Sample Person Centered Information – ODDS 1.20.2015
Pre-Employment and/or Work Job exploration, job development for self-employment or paid work, job coaching, career goals, job satisfaction, developing job skills, planning for retirement, workplace safety, opportunities for continuity between work and home, opportunities to contribute to the workplace, financial concerns, childcare needs, lack of resume, distance to work, etc.
Person’s perspective
Person receiving services: / Shawna Tiem / Date of last update: / 5/21/2015 / Page 6 of 6Shawna Tiem-In Home Support Services-Sample Person Centered Information – ODDS 1.20.2015
Shawna likes working with her mom at her mom’s cleaning service. They clean homes together and she wants to continue to do so. Her mom pays her a wage and Shawna is happy with her income. She works Monday-Friday 7am-4pmPerson receiving services: / Shawna Tiem / Date of last update: / 5/21/2015 / Page 6 of 6
Shawna Tiem-In Home Support Services-Sample Person Centered Information – ODDS 1.20.2015
Additional input
Person receiving services: / Shawna Tiem / Date of last update: / 5/21/2015 / Page 6 of 6Shawna Tiem-In Home Support Services-Sample Person Centered Information – ODDS 1.20.2015
Shawna and her mom say that Shawna does not need any additional assistance with employment.Shawna is very responsible about work and her mom helps her to get to and from each site and stay on task.
Person receiving services: / Shawna Tiem / Date of last update: / 5/21/2015 / Page 6 of 6
Shawna Tiem-In Home Support Services-Sample Person Centered Information – ODDS 1.20.2015
Employment-related skills Typing, answering phones, timeliness, organization, follow-through, friendliness, technical or computer skills, etc.
Person receiving services: / Shawna Tiem / Date of last update: / 5/21/2015 / Page 6 of 6Shawna Tiem-In Home Support Services-Sample Person Centered Information – ODDS 1.20.2015
Shawna is very good at cleaning. She and her mom have done it together full-time since Shawna turned 18, but Shawna has always been great at this type of work. She says she has all the skills she needs for her current job.Person receiving services: / Shawna Tiem / Date of last update: / 5/21/2015 / Page 6 of 6
Shawna Tiem-In Home Support Services-Sample Person Centered Information – ODDS 1.20.2015
Employment-related preferences Hours, pay, location, etc.
Person receiving services: / Shawna Tiem / Date of last update: / 5/21/2015 / Page 6 of 6Shawna Tiem-In Home Support Services-Sample Person Centered Information – ODDS 1.20.2015
Shawna wants to work with her mom and not have any one else help her.She likes how things are.
She is really good at her job and enjoys the relationship she shares with her mom there.
She likes that her job is at a pace that she is used to and that there aren’t other people around to disturb her while she’s working.
She likes the hours that she works at her current job (7am-4pm)
Person receiving services: / Shawna Tiem / Date of last update: / 5/21/2015 / Page 6 of 6
Shawna Tiem-In Home Support Services-Sample Person Centered Information – ODDS 1.20.2015
If the person chooses not to work in or explore individual, integrated employment: Explain why the person made this decision. What work experience was this decision based on? Does the person have any concerns about employment? Would the person like to revisit this decision within the next year? See Employment Discussion Guide.
Person receiving services: / Shawna Tiem / Date of last update: / 5/21/2015 / Page 6 of 6Shawna Tiem-In Home Support Services-Sample Person Centered Information – ODDS 1.20.2015
N/APerson receiving services: / Shawna Tiem / Date of last update: / 5/21/2015 / Page 6 of 6
Shawna Tiem-In Home Support Services-Sample Person Centered Information – ODDS 1.20.2015
School and Life-Long Learning Things this person would like to learn, opportunities for continuity of supports between school and home, continuing education, personal or professional development, accessing school options, graduation preferences and diploma options, etc.
Person’s perspective
Person receiving services: / Shawna Tiem / Date of last update: / 5/21/2015 / Page 6 of 6Shawna Tiem-In Home Support Services-Sample Person Centered Information – ODDS 1.20.2015
Shawna says she graduated from school and doesn’t want to go to college. She says if she wants to learn something new she will talk to her mom about it.Person receiving services: / Shawna Tiem / Date of last update: / 5/21/2015 / Page 6 of 6
Shawna Tiem-In Home Support Services-Sample Person Centered Information – ODDS 1.20.2015
Additional input
Person receiving services: / Shawna Tiem / Date of last update: / 5/21/2015 / Page 6 of 6Shawna Tiem-In Home Support Services-Sample Person Centered Information – ODDS 1.20.2015
N/APerson receiving services: / Shawna Tiem / Date of last update: / 5/21/2015 / Page 6 of 6
Shawna Tiem-In Home Support Services-Sample Person Centered Information – ODDS 1.20.2015
Community and Social Life Recreation/leisure activities, community activities, accessing community locations, shopping, visiting friends and family, social networking, clubs, volunteer work, safety, opportunities to develop social skills, opportunities to contribute to the community, etc.
Person’s perspective
Person receiving services: / Shawna Tiem / Date of last update: / 5/21/2015 / Page 6 of 6Shawna Tiem-In Home Support Services-Sample Person Centered Information – ODDS 1.20.2015
Shawna likes spending time with her friend, Stacy. They live near one another. Shawna says she does what she wants and doesn’t want any help with finding any additional social activities. She says she likes to stay home, go to Stacy’s, or go next door to her mom’s and spend time with her son. She says she doesn’t have time for anything else because she is focusing on being a good mom and taking care of her son.Person receiving services: / Shawna Tiem / Date of last update: / 5/21/2015 / Page 6 of 6
Shawna Tiem-In Home Support Services-Sample Person Centered Information – ODDS 1.20.2015
Additional input
Person receiving services: / Shawna Tiem / Date of last update: / 5/21/2015 / Page 6 of 6Shawna Tiem-In Home Support Services-Sample Person Centered Information – ODDS 1.20.2015
N/APerson receiving services: / Shawna Tiem / Date of last update: / 5/21/2015 / Page 6 of 6
Shawna Tiem-In Home Support Services-Sample Person Centered Information – ODDS 1.20.2015
Relationship Map / Who / Does the person want support to maintain these relationships? If yes, how?People I love and/or support / My mom (Anh), My son (David) / Shawna says she doesn’t want any help with friendships.
People I seek out every now and then / Nobody. I used to try and call David’s dad but not any more.
People who make me feel loved and supported / My mom
People I like to have fun with / Stacy and David
People I’d like to have in my life / Nobody
People who help me / My mom
Person receiving services: / Shawna Tiem / Date of last update: / 5/21/2015 / Page 6 of 6
Shawna Tiem-In Home Support Services-Sample Person Centered Information – ODDS 1.20.2015
Relationships Anything about current relationships that this person would like to change, suggestions from others on changing relationships, what will it take to have closer relationships in his/her life, etc.
Person’s perspective
Person receiving services: / Shawna Tiem / Date of last update: / 5/21/2015 / Page 6 of 6Shawna Tiem-In Home Support Services-Sample Person Centered Information – ODDS 1.20.2015
Shawna says she likes her relationships the way they are. She doesn’t want any more friends. She likes Stacy because Stacy isn’t bossy and calls her every day. She doesn’t want to ever talk to her son’s dad. Shawna doesn’t want any help making friends. Shawna says she was having some problems with a woman who is dating her son’s dad. This person kept calling her and “harassing” her, but that has since ceased and she just wants them to leave her alone.Person receiving services: / Shawna Tiem / Date of last update: / 5/21/2015 / Page 6 of 6
Shawna Tiem-In Home Support Services-Sample Person Centered Information – ODDS 1.20.2015
Additional input
Person receiving services: / Shawna Tiem / Date of last update: / 5/21/2015 / Page 6 of 6Shawna Tiem-In Home Support Services-Sample Person Centered Information – ODDS 1.20.2015
Shawna and her mom are very close. They spend most of their time together. In the past, Shawna had some problems with girls harassing her. This was reported to county abuse investigator. The result of the investigation was that the abuse was unsubstantiated. Shawna worked this out by ignoring these girls and not calling them back or responding to them.Person receiving services: / Shawna Tiem / Date of last update: / 5/21/2015 / Page 6 of 6
Shawna Tiem-In Home Support Services-Sample Person Centered Information – ODDS 1.20.2015