Who's Risk? Risk enablement thought person centred approaches.

Slide set from the staff conference for Kingdom Care and Support May 2024. The presentation fits into the conference theme: Great Support, Great lives

1. WHO’S RISK?
JON RALPHS
Great Support, Great Lives
Kingdom Support and Care 6/7/8 May 2024

2. -
Traditional view of risk
-
How may it feel if you had a traditional approach
to risk applied on your life
-
What is risk enablement
-
The process of the person centred risk enablement
-
Some person centred tools to make sure the
person has choice and control
-
What’s the problem we need to solve
OUR SESSION

3. TRADITIONAL RISK
The focus is on
the risk or behaviour

4. TRADITIONAL RISK
1.Description of task or activity which could
lead to violent and aggression
2.Is there any historical evidence of physical
violence or aggression?
3.Probable likelihood X Potential Severity = risk
rating figure (I.e. 3x3 = 9)

5. WHAT GETS YOUR GOAT?
Photo by Yogendra Singh on Unsplash

6. YOU ARE IN A
PLACE WHERE
EVERY MINUTE
OF EVERY DAY
SOMETHING
GETS YOUR GOAT

7. HOW WOULD YOU FEEL?
WHAT WOULD YOU DO?

8. YOUR RISK
ASSESSMENT
SAYS YOU NEED
TO BE KEPT IN
THIS PLACE

9. HOW WOULD YOU FEEL?
WHAT WOULD YOU DO?

10. THE RISK REVIEW SAYS
YOU NEED TO BE KEPT
IN A THE SAME PLACE
IT’S NOW BEEN
OVER A YEAR

11. HOW WOULD YOU FEEL?
WHAT WOULD YOU DO?

12. A person comes
and really listens to you.
Together you have a great conversation
and they talk with you about moving
towards a great life
through risk enablement .

13. WOW
Photo by Aditya Saxena on Unsplash

14. Involved you and people that love and care about you in the
risk assessment
It focuses on positive and informed risk taking
Proportionality (just enough)

The person know the context of ‘what gets your goat’

All decision suggested the could be defended (law ethics)

They say we might not always get it right but we will learn and
change (a learning culture)

You might not always like the risk (tolerable risks)
Bates and Siberman’s ‘Holy Grail’ criteria

15. They leave and nothing changes.
It’s still a place where every minute of
everyday everything gets on your goat

16. HOW WOULD YOU FEEL?
WHAT WOULD YOU DO?

17. WHO WOULD
YOU
BLAME?

18. WHAT WOULD IT TAKE TO… Photo by Ronda Dorsey on Unsplash

19. What’s the purpose of risk enablement?
Photo by Evan Dennis on UnsplashWHY

20. Mission, Values &
Aims Statement
For further information call us on
01383 741220or email [email protected]
…to provide great
support which helps
people have great lives,
living as fully and
independently as possible
as part of their
community.

21. RISK ENABLEMENT
Risk enablement recognises that taking
carefully considered risks can enable
individuals and help improve their wellbeing.
(Happiness)

22. RISK ENABLEMENT
It refers to the outcome not the
risk

23. PROCTRUSTESS
1.Who is the person?
2.Where are we now?
3.Where do we want to be?
4.What have we tried already?
5.What shall we do next?

24. WHO IS THE PERSON?
Photo by mauro mora on Unsplash

26. WHERE ARE WE NOW?
Photo by Fallon Michael on Unsplash

28. What is the risk
you are trying to solve?
Photo by Nik Shuliahin !" on Unsplash

29. WHERE DO WE WANT TO BE?

30. What Success Would Look Like:
•Person
•Staff
•Organisation
•Family / Community

31. WHAT HAVE WE TRIED & LEARNT ALREADY?

32. Quick question:
What would happen
if we did nothing?
Table talk for 3
minutes
Photo by Evan Buchholz on Unsplash

33. What are the consequences if we do nothing?
Who General Impact Opportunies lost
What does the law
say? (Human rights)
To the person
To family and friends
To the community
To the organisation

34. WHAT SHALL WE DO NEXT?
Photo by Brett Jordan on Unsplash

35. Safe Unsafe
Name
Date
DEAD AND
HAPPY IS
INCOMPATIBLE
ALIVE AND
MISERABLE
IS
UNACCEPTABLE

36. I WANT TO
LIVE IN MY
OWN FLAT:
MANY IDEAS
AS YOU CAN:
IN 30 SECONDS

37. Safe Unsafe
Georgie
Date
Move into my
own flat
1.Dad buy her one
2.Squat
3.Find a rich partner (with
house)
4.Get a job with property
5.Live in shed / caravan in
garden
6.Get a place with best friend
George
7.Convert garage
8.Downsize and buy house
with Georgie annex

38. WHAT WILL YOU TRY?
Option Yes, Maybe/ try , No Reason Who? Will do what? By when?

39. How I like the
information
presented to
me
How to present
choices to me
How to help me
understand the
information
presented to me.
Best time for
me to make a
decision
Worst time. For
me to make a
decision
Talk to me.
I can read a bit
but prefer to
listen.
Give me some
information that
I can look at
after you have
gone.
Let me know I
have to make a
choice.
Keep if limited
this or that
Give me time to
think about it and
then give the
information again.
Let my best friend
tell me as well as I
trust her
After I've been
visited by my
best friend
When I've come
back from the
shops.
When I'm
talking to you
and giving you
eye contact.
When I have my
hoody up and do
not give you eye
contact.
When it’s time
for a meal
When I’m waiting
for something
like going out

40. Important decision in
my life
Who would be
involved and how
would I be involved
Who makes the final
decision
The friends I make
How I manage and
spend my money
Who to tell when I’m really unwell
Monitoring my epilepsy
Walking along side the road in my
neighbourhood

41. Core REsposibility
Creativity and judgementnot my repsonisbility
The doughnut
OUTCOME. RISK, ACTIVITY

42. Core REsposibility
Creativity and judgementnot my repsonisbility
The doughnut
Reporting signs
of MH relapse
What he spends
the money in
his pocket on
How many
pints of beer?

43. SOLUTION CIRCLES
WHAT IS THE PROBLEM WE
ARE TRYING TO SOLVE?