Dynamics of Choice and Decision : Dynamics of Choice and Decision
Learning Objective : Learning Objective I. Introduction/Review
II. Factors in Decision-Making
III. Identifying Risk Tolerance
IV. Facilitating the Decision-Making Process
V. Expanding Decision-Making Choices
Learning Task One: : Learning Task One: Integrate the cognitive, emotional, social and purpose-driven components of choice and decision-making
Learning Task Two: : Learning Task Two: Reflect on the ethical and practice dilemmas that arise in participant-directed care when the “right to choose” may conflict with the “right choice.”
Learning Task Three: : Learning Task Three: Develop skills in facilitating the choice and decision-making process for participants in the consultant/support broker’s roles as coach and teacher.
Review of Tenets of Participant-Directed Care : Review of Tenets of Participant-Directed Care May represent a wide range of choices from a single service to total life planning options. Places the participant as expert in identifying needs and desires.
How did you decide where to sit? : How did you decide where to sit?
How do you decide where to sit? : How do you decide where to sit?
Intellectual Factors(Head) in Decision-Making : Intellectual Factors(Head) in Decision-Making What “knowledge” (or lack of) do participants bring to making decisions about services?
What kinds of gaps in knowledge may affect the kinds of decisions participants will make?
Emotional (Heart) Factors in Decision Making : Emotional (Heart) Factors in Decision Making How do past emotional experiences affect the decisions a participant makes?
What kinds of things do participants have strong emotional reactions to? Fear? Joy? Anxiety? Anger?
How do emotional factors cloud the role of knowledge in decision-making?
Social (Hands) Factors in Decision-Making : Social (Hands) Factors in Decision-Making What social experiences (or wanting social experiences) will affect who participants want to interact with them?
How do you think the participant sees himself or herself in relationship to greater society? How does this affect decision-making?
Purpose-Driven Factors in Decision-Making : Purpose-Driven Factors in Decision-Making Do you think your participants have a “vision” for their lives? Why? Why not?
Do they have dreams of what they want in life?
Do they see a reason for their lives?
Risk is… : Risk is… The likelihood of a bad or undesirable outcome.
The willingness to tolerate uncertain outcomes.
What is your risk tolerance? : What is your risk tolerance? Risk averse:
Prefers structure, certainty, with less (rather than more) variability.
Worst case scenario Risk seeker:
Prefer ambiguity, greater tolerance for unknown consequences.
Best case scenario
Risk tolerance is a function of …. : Risk tolerance is a function of …. Personality structure
The biological need for thrill
Age and gender
Birth order
Level of education
Previous experience
Perception of irreversibility
Risk with dignity: : Risk with dignity: Exploration of options
Careful consideration
Honoring of choice
Risk with dignity: : Risk with dignity: What components are influencing decisions?
What risks exist? Who is risk averse?
Can you broaden choices to be considered?
Personal Stories: : Personal Stories: Helps participant talk about his/her life
The story will help identify needs and wants.
Stories will explore previous decision-making
Themes emerge.
Bulls-Eye Diagram : Bulls-Eye Diagram Who are first circle friends?
Next circle of friends or family?
Those you know but are not close to.
How often do you see these people?
Brainstorming: : Brainstorming: Maximize the number of ideas generated to solve a problem within a short period of time.
Get creative juices flowing.
Revisit all ideas for most practical.
Parallel Scripting: : Parallel Scripting: Tell the participant a story of someone in a position similar to his or hers.
Through the story, options can be offered to help participant explore what s/he can do to meet service needs.
Make a list!!! : Make a list!!! Pros/Cons List
Best/Worst Case Scenario
Risk-taking is part of participant choice… : Risk-taking is part of participant choice… Risk taking is often due to over-reliance on one aspect of decision-making. Often more heart than head.
Few decisions are irreversible and are always a learning experience.
The “illusion” of choice is more degrading than the lack of it. Participant choice means participant choice.